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  1. Article ; Online: Quitline Programs Tailored for Mental Health: Initial Outcomes and Feasibility.

    Morris, Chad D / Lukowski, Amy V / Vargas-Belcher, Robert A / Ylioja, Thomas E / Nash, Chelsea M / Bailey, Linda A

    American journal of preventive medicine

    2021  Volume 60, Issue 3 Suppl 2, Page(s) S163–S171

    Abstract: Introduction: The general efficacy of quitlines has been widely demonstrated, but uncertainty exists regarding how quitlines might best intervene for persons with mental health conditions. A total of 1 in 5 people in the U.S. has a diagnosable ... ...

    Abstract Introduction: The general efficacy of quitlines has been widely demonstrated, but uncertainty exists regarding how quitlines might best intervene for persons with mental health conditions. A total of 1 in 5 people in the U.S. has a diagnosable psychiatric disorder. These individuals smoke at 2‒4 times the rate of smoking among those without a mental health condition and face high rates of related death and disability. About half of quitline callers self-report a mental health condition, but until recently, quitline protocols tailored to these smokers did not exist.
    Methods: This paper provides initial results for tailored mental health programs from the largest quitline providers in the U.S., Optum and National Jewish Health. From 2017 to 2018, cohorts of callers with a mental health condition who enrolled in tailored programs were compared with cohorts with a mental health condition who received standard care. Both mental health programs offered participants additional calls, longer duration of combination nicotine-replacement therapy, and attention to mental health issues. Analyses were conducted in 2018-2019.
    Results: Findings suggest that callers with a mental health condition benefit from both standard care and tailored mental health services. Tailored programming did well in engaging people with mental health conditions. At the same time, there were no significant differences in abstinence rates when comparing mental health programs with standard care. Mental health cohorts did receive significantly greater service durations, more counseling calls, and longer nicotine-replacement therapy duration.
    Conclusions: Tailored mental health quitline programs present a promising framework for testing the services that address psychiatric symptoms as well as other frequent population characteristics such as chronic illness. Implications for increasing reach to the often underserved population with a mental health condition are discussed.
    MeSH term(s) Counseling ; Feasibility Studies ; Hotlines ; Humans ; Mental Health ; Smoking Cessation ; Tobacco Use Cessation Devices
    Language English
    Publishing date 2021-03-04
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 632646-8
    ISSN 1873-2607 ; 0749-3797
    ISSN (online) 1873-2607
    ISSN 0749-3797
    DOI 10.1016/j.amepre.2020.02.025
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Vaping and E-Cigarettes Within the Evolving Tobacco Quitline Landscape.

    Vickerman, Katrina A / Carpenter, Kelly M / Raskob, Margaret K / Nash, Chelsea M / Vargas-Belcher, Robert A / Beebe, Laura A

    American journal of preventive medicine

    2021  Volume 60, Issue 3 Suppl 2, Page(s) S142–S153

    Abstract: This article summarizes the vaping research literature as it pertains to tobacco quitlines and describes vaping assessment, treatment, and evaluation quitline practices. It also presents 2014-2018 registration data (vaping in the past 30 days, number of ... ...

    Abstract This article summarizes the vaping research literature as it pertains to tobacco quitlines and describes vaping assessment, treatment, and evaluation quitline practices. It also presents 2014-2018 registration data (vaping in the past 30 days, number of use days, use for quitting smoking, and intentions to quit vaping) from 24 public quitlines (23 states and District of Columbia) and 110,295 enrollees to employer-sponsored quitlines. Trends in vaping rates over time, by state, and by age group are described. Approximately 57,000 adult public quitline enrollees in the U.S. reported vaping at registration in 2018 (14.7% of enrollees). Most quitline participants who vape also smoke cigarettes and contact the quitline for smoking cessation support. Rates of reporting vaping and no combustible or smokeless tobacco use in the past 30 days are 0.5% of all public quitline participants (<3% of public quitline vaping product users). Data are not systematically available regarding the number of quitline participants who are seeking help quitting vaping and only vape (do not use combustible or smokeless tobacco). Few quitline participants (<1%) are youth aged <18 years, but more than a third (35%) report vaping. This paper outlines research and evaluation priorities to inform the future quitline treatment landscape with respect to vaping. The quitline community is positioned to increase the likelihood that vaping has a positive impact for adults who smoke through harm reduction or supporting cessation and has opportunities to expand impacts on youth and young adult vaping prevention and cessation.
    MeSH term(s) Adolescent ; Aged ; District of Columbia ; Electronic Nicotine Delivery Systems ; Humans ; Nicotiana ; Tobacco Products ; Vaping ; Young Adult
    Language English
    Publishing date 2021-03-01
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 632646-8
    ISSN 1873-2607 ; 0749-3797
    ISSN (online) 1873-2607
    ISSN 0749-3797
    DOI 10.1016/j.amepre.2020.07.013
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Feasibility and Early Outcomes of a Tailored Quitline Protocol for Smokers With Mental Health Conditions.

    Carpenter, Kelly M / Nash, Chelsea M / Vargas-Belcher, Robert A / Vickerman, Katrina A / Haufle, Vincent

    Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco

    2019  Volume 21, Issue 5, Page(s) 584–591

    Abstract: Introduction: Adults with mental health conditions (MHCs) smoke at higher rates, are more nicotine dependent, and have more trouble quitting smoking than those without MHCs. About half of smokers who call state-funded quitlines report MHCs, and those ... ...

    Abstract Introduction: Adults with mental health conditions (MHCs) smoke at higher rates, are more nicotine dependent, and have more trouble quitting smoking than those without MHCs. About half of smokers who call state-funded quitlines report MHCs, and those with such conditions have cessation rates 8%-10% lower than those without MHCs. This article describes a clinical pilot of a tailored protocol for quitline callers with MHCs.
    Methods: Callers to the Texas Tobacco Quit Line who self-reported MHCs were offered a tailored quitline program, offering up to 12 weeks of combination nicotine replacement (nicotine patch plus gum or lozenge) and seven counseling calls. Characteristics, program engagement, and 7-month outcomes for these pilot participants were compared to callers in the standard Texas Tobacco Quit Line program with and without MHCs not offered the tailored program.
    Results: Eighty-eight percent of eligible quitline callers accepted enrollment in the tailored pilot. Pilot enrollees (n = 311) had high rates of comorbidity and serious mental illness, including bipolar disorder (59%). Those in the pilot sample participated in more coaching calls and used more nicotine replacement versus comparison groups. Early cessation outcomes showed numerically higher quit rates for pilot participants than those with MHCs in the standard program, but small sample size and low response rates prevent definitive statements about efficacy.
    Conclusions: Offering a tailored quitline protocol for callers with MHCs was feasible and acceptable to quitline callers and increased engagement in treatment. A larger study is needed to determine if the protocol increases cessation among this group.
    Implications: Nearly half of all quitline callers report a MHC. This clinical quality improvement pilot shows that delivering a tailored tobacco cessation program for smokers with MHCs is feasible and acceptable to quitline callers. Participants in the pilot group had higher engagement in treatment, doubling the number of coaching calls received and using more nicotine replacement than comparison groups. Further investigation is needed to determine the effect of this program on cessation rates, although preliminary outcomes are promising.
    MeSH term(s) Adult ; Counseling/methods ; Feasibility Studies ; Female ; Hotlines/methods ; Humans ; Male ; Mental Disorders/epidemiology ; Mental Disorders/psychology ; Mental Disorders/therapy ; Middle Aged ; Pilot Projects ; Self Report ; Smokers/psychology ; Smoking Cessation/methods ; Smoking Cessation/psychology ; Texas/epidemiology ; Tobacco Smoking/epidemiology ; Tobacco Smoking/psychology ; Tobacco Smoking/therapy ; Treatment Outcome
    Language English
    Publishing date 2019-02-15
    Publishing country England
    Document type Journal Article
    ZDB-ID 1452315-2
    ISSN 1469-994X ; 1462-2203
    ISSN (online) 1469-994X
    ISSN 1462-2203
    DOI 10.1093/ntr/ntz023
    Database MEDical Literature Analysis and Retrieval System OnLINE

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