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 Miguel, Patil, B., Firth, J., Sawyer, C., Amann, B.L., Fonseca, F., Torrens, M., Perez, V., Castellanos, F.X., Kane, J.M., Guinart, D.
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Servizo Galego de Saúde (SERGAS)
Repositorio:RUNA. Repositorio da Consellería de Sanidade e Sergas
OAI Identifier:oai:runa.sergas.gal:20.500.11940/21059
Acceso en línea:https://portalcientifico.sergas.gal//documentos/65187c5bdac9c450d3989070
http://hdl.handle.net/20.500.11940/21059
Access Level:acceso abierto
Palabra clave:Humans
Smoking Cessation
Tobacco Smoking
Telemedicine
Mental Disorders
Mindfulness
AS Santiago
CHUS
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spelling A systematic review of digital interventions for smoking cessation in patients with serious mental illnessMartínez Agulleiro, Luis MiguelPatil, B.Firth, J.Sawyer, C.Amann, B.L.Fonseca, F.Torrens, M.Perez, V.Castellanos, F.X.Kane, J.M.Guinart, D.HumansSmoking CessationTobacco SmokingTelemedicineMental DisordersMindfulnessAS SantiagoCHUSTobacco 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.2023info:eu-repo/semantics/articlehttps://portalcientifico.sergas.gal//documentos/65187c5bdac9c450d3989070http://hdl.handle.net/20.500.11940/21059reponame:RUNA. Repositorio da Consellería de Sanidade e Sergasinstname:Servizo Galego de Saúde (SERGAS)Ingléshttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:runa.sergas.gal:20.500.11940/210592026-06-12T08:40:47Z
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 Miguel
Humans
Smoking Cessation
Tobacco Smoking
Telemedicine
Mental Disorders
Mindfulness
AS Santiago
CHUS
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 Miguel
Patil, B.
Firth, J.
Sawyer, C.
Amann, B.L.
Fonseca, F.
Torrens, M.
Perez, V.
Castellanos, F.X.
Kane, J.M.
Guinart, D.
author Martínez Agulleiro, Luis Miguel
author_facet Martínez Agulleiro, Luis Miguel
Patil, B.
Firth, J.
Sawyer, C.
Amann, B.L.
Fonseca, F.
Torrens, M.
Perez, V.
Castellanos, F.X.
Kane, J.M.
Guinart, D.
author_role author
author2 Patil, B.
Firth, J.
Sawyer, C.
Amann, B.L.
Fonseca, F.
Torrens, M.
Perez, V.
Castellanos, F.X.
Kane, J.M.
Guinart, D.
author2_role author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Humans
Smoking Cessation
Tobacco Smoking
Telemedicine
Mental Disorders
Mindfulness
AS Santiago
CHUS
topic Humans
Smoking Cessation
Tobacco Smoking
Telemedicine
Mental Disorders
Mindfulness
AS Santiago
CHUS
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
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://portalcientifico.sergas.gal//documentos/65187c5bdac9c450d3989070
http://hdl.handle.net/20.500.11940/21059
url https://portalcientifico.sergas.gal//documentos/65187c5bdac9c450d3989070
http://hdl.handle.net/20.500.11940/21059
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
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.source.none.fl_str_mv reponame:RUNA. Repositorio da Consellería de Sanidade e Sergas
instname:Servizo Galego de Saúde (SERGAS)
instname_str Servizo Galego de Saúde (SERGAS)
reponame_str RUNA. Repositorio da Consellería de Sanidade e Sergas
collection RUNA. Repositorio da Consellería de Sanidade e Sergas
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