A systematic review of digital interventions for smoking cessation in patients with serious mental illness

Tobacco smoking is highly prevalent among patients with serious mental illness (SMI), with known deleterious consequences. Smoking cessation is therefore a prioritary public health challenge in SMI. In recent years, several smoking cessation digital interventions have been developed for non-clinical...

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Autores: Martínez Agulleiro, Luis, Patil, Bhagyashree, Firth, Joseph, Sawyer, Chelsea, Amann, Benedikt Lorenz, Fonseca Casals, Francina, 1972-, Torrens, Marta, Pérez Solà, Víctor, Castellanos, Francisco X., Kane, John M., Guinart, Daniel
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:España
Institución:Universitat Pompeu Fabra
Repositorio:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/59579
Acceso en línea:http://hdl.handle.net/10230/59579
http://dx.doi.org/10.1017/S003329172300123X
Access Level:acceso abierto
Palabra clave:Bipolar disorder
Depression
Digital health
e-Health
Schizophrenia
Smoking cessation
Tobacco
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spelling A systematic review of digital interventions for smoking cessation in patients with serious mental illnessMartínez Agulleiro, LuisPatil, BhagyashreeFirth, JosephSawyer, ChelseaAmann, Benedikt LorenzFonseca Casals, Francina, 1972-Torrens, MartaPérez Solà, VíctorCastellanos, Francisco X.Kane, John M.Guinart, DanielBipolar disorderDepressionDigital healthe-HealthSchizophreniaSmoking cessationTobaccoTobacco smoking is highly prevalent among patients with serious mental illness (SMI), with known deleterious consequences. Smoking cessation is therefore a prioritary public health challenge in SMI. In recent years, several smoking cessation digital interventions have been developed for non-clinical populations. However, their impact in patients with SMI remains uncertain. We conducted a systematic review to describe and evaluate effectiveness, acceptability, adherence, usability and safety of digital interventions for smoking cessation in patients with SMI. PubMed/MEDLINE, EMBASE, CINAHL, Web of Science, PsychINFO and the Cochrane Tobacco Addiction Group Specialized Register were searched. Studies matching inclusion criteria were included and their information systematically extracted by independent investigators. Thirteen articles were included, which reported data on nine different digital interventions. Intervention theoretical approaches ranged from mobile contingency management to mindfulness. Outcome measures varied widely between studies. The highest abstinence rates were found for mSMART MIND (7-day point-prevalent abstinence: 16-40%). Let's Talk About Quitting Smoking reported greater acceptability ratings, although this was not evaluated with standardized measures. Regarding usability, Learn to Quit showed the highest System Usability Scale scores [mean (s.d.) 85.2 (15.5)]. Adverse events were rare and not systematically reported. Overall, the quality of the studies was fair to good. Digitally delivered health interventions for smoking cessation show promise for improving outcomes for patients with SMI, but lack of availability remains a concern. Larger trials with harmonized assessment measures are needed to generate more definitive evidence and specific recommendations.Cambridge University Press202420242023info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/59579http://dx.doi.org/10.1017/S003329172300123Xreponame:Repositorio Digital de la UPFinstname:Universitat Pompeu FabraInglésPsychol Med. 2023 Aug;53(11):4856-68© The Author(s), 2023. Published by Cambridge University Press. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:repositori.upf.edu:10230/595792026-06-12T07:21:37Z
dc.title.none.fl_str_mv A systematic review of digital interventions for smoking cessation in patients with serious mental illness
title A systematic review of digital interventions for smoking cessation in patients with serious mental illness
spellingShingle A systematic review of digital interventions for smoking cessation in patients with serious mental illness
Martínez Agulleiro, Luis
Bipolar disorder
Depression
Digital health
e-Health
Schizophrenia
Smoking cessation
Tobacco
title_short A systematic review of digital interventions for smoking cessation in patients with serious mental illness
title_full A systematic review of digital interventions for smoking cessation in patients with serious mental illness
title_fullStr A systematic review of digital interventions for smoking cessation in patients with serious mental illness
title_full_unstemmed A systematic review of digital interventions for smoking cessation in patients with serious mental illness
title_sort A systematic review of digital interventions for smoking cessation in patients with serious mental illness
dc.creator.none.fl_str_mv Martínez Agulleiro, Luis
Patil, Bhagyashree
Firth, Joseph
Sawyer, Chelsea
Amann, Benedikt Lorenz
Fonseca Casals, Francina, 1972-
Torrens, Marta
Pérez Solà, Víctor
Castellanos, Francisco X.
Kane, John M.
Guinart, Daniel
author Martínez Agulleiro, Luis
author_facet Martínez Agulleiro, Luis
Patil, Bhagyashree
Firth, Joseph
Sawyer, Chelsea
Amann, Benedikt Lorenz
Fonseca Casals, Francina, 1972-
Torrens, Marta
Pérez Solà, Víctor
Castellanos, Francisco X.
Kane, John M.
Guinart, Daniel
author_role author
author2 Patil, Bhagyashree
Firth, Joseph
Sawyer, Chelsea
Amann, Benedikt Lorenz
Fonseca Casals, Francina, 1972-
Torrens, Marta
Pérez Solà, Víctor
Castellanos, Francisco X.
Kane, John M.
Guinart, Daniel
author2_role author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Bipolar disorder
Depression
Digital health
e-Health
Schizophrenia
Smoking cessation
Tobacco
topic Bipolar disorder
Depression
Digital health
e-Health
Schizophrenia
Smoking cessation
Tobacco
description Tobacco smoking is highly prevalent among patients with serious mental illness (SMI), with known deleterious consequences. Smoking cessation is therefore a prioritary public health challenge in SMI. In recent years, several smoking cessation digital interventions have been developed for non-clinical populations. However, their impact in patients with SMI remains uncertain. We conducted a systematic review to describe and evaluate effectiveness, acceptability, adherence, usability and safety of digital interventions for smoking cessation in patients with SMI. PubMed/MEDLINE, EMBASE, CINAHL, Web of Science, PsychINFO and the Cochrane Tobacco Addiction Group Specialized Register were searched. Studies matching inclusion criteria were included and their information systematically extracted by independent investigators. Thirteen articles were included, which reported data on nine different digital interventions. Intervention theoretical approaches ranged from mobile contingency management to mindfulness. Outcome measures varied widely between studies. The highest abstinence rates were found for mSMART MIND (7-day point-prevalent abstinence: 16-40%). Let's Talk About Quitting Smoking reported greater acceptability ratings, although this was not evaluated with standardized measures. Regarding usability, Learn to Quit showed the highest System Usability Scale scores [mean (s.d.) 85.2 (15.5)]. Adverse events were rare and not systematically reported. Overall, the quality of the studies was fair to good. Digitally delivered health interventions for smoking cessation show promise for improving outcomes for patients with SMI, but lack of availability remains a concern. Larger trials with harmonized assessment measures are needed to generate more definitive evidence and specific recommendations.
publishDate 2023
dc.date.none.fl_str_mv 2023
2024
2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/59579
http://dx.doi.org/10.1017/S003329172300123X
url http://hdl.handle.net/10230/59579
http://dx.doi.org/10.1017/S003329172300123X
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Psychol Med. 2023 Aug;53(11):4856-68
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Cambridge University Press
publisher.none.fl_str_mv Cambridge University Press
dc.source.none.fl_str_mv reponame:Repositorio Digital de la UPF
instname:Universitat Pompeu Fabra
instname_str Universitat Pompeu Fabra
reponame_str Repositorio Digital de la UPF
collection Repositorio Digital de la UPF
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