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Published Online: 1 April 2011

An Electronic Decision Support System to Motivate People With Severe Mental Illnesses to Quit Smoking

Mary F. Brunette, M.D. [email protected], Joelle C. Ferron, M.S.W., Ph.D. [email protected], Gregory J. McHugo, Ph.D. [email protected], Kristin E. Davis, Ph.D., Timothy S. Devitt, Psy.D., Sandra M. Wilkness, Ph.D. [email protected], and Robert E. Drake, M.D., Ph.D. [email protected]Authors Info & Affiliations
Publication: Psychiatric Services
Volume 62, Number 4
https://doi.org/10.1176/ps.62.4.pss6204_0360
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Abstract

Objective:

Rates of cigarette smoking are high among people with severe mental illnesses compared with the general population (45%–90% versus 20%). The authors developed a Web-based computer decision support system that is tailored for use by people with cognitive deficits and is designed to stimulate motivation to quit smoking by using evidence-based treatment.

Methods:

This initial study used a quasi-experimental design to test the decision support system among a convenience sample of 41 smokers with severe mental illnesses. Researchers interviewed participants at baseline and two months later to assess for behaviors indicative of motivation to quit smoking. A negative binomial regression modeled the outcome and controlled for baseline group differences.

Results:

Participants who used the decision support system were significantly more likely to show any behavioral motivation to quit smoking (such as meet with a clinician to discuss cessation, initiate cessation treatment, or otherwise attempt to quit) (67% versus 35%; χ2=4.11, df=41, p=.04). Further, using the decision support system increased by a factor of 2.97, or about 300%, the expected number of ways that a participant showed motivation.

Conclusions:

The encouraging results of this pilot study indicate that electronic decision supports may facilitate motivation to quit smoking and use of cessation treatment among people with severe mental illnesses. (Psychiatric Services 62:360–366, 2011)

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Figures and Tables

Table 1 Baseline characteristics of participants with serious mental illnesses who used or did not use an electronic decision support system about smoking
Table 2 Behaviors over two-month follow-up indicating motivation to quit smoking among patients with a serious mental illness who used or did not use an electronic decision support system on smoking
Table 3 Negative binomial regression predicting behavioral engagement at two months among patients with a serious mental illness who used an electronic decision support system on smoking

Information & Authors

Information

Published In

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Cover: Maine Headland, Black Head, Monhegan Island, by N. C. Wyeth, 1934. Oil on canvas, 48¼ × 52¼ inches. Farnsworth Art Museum, Rockland Maine, bequest of Mrs. Elizabeth B. Noyce, 1997.3.59.
Psychiatric Services
Volume 62 • Number 4 • April 2011
Pages: 360 - 366
PubMed: 21459986

History

Published online: 1 April 2011
Published in print: April 2011

Authors

Details

Mary F. Brunette, M.D. [email protected]
Dr. Brunette, Dr. Ferron, Dr. McHugo, Dr. Wilkness, and Dr. Drake are affiliated with the Department of Psychiatry, Dartmouth Psychiatric Research Center, State Office Park South, 105 Pleasant St., Concord, NH 03301 (e-mail: [email protected]).
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Joelle C. Ferron, M.S.W., Ph.D. [email protected]
Dr. Brunette, Dr. Ferron, Dr. McHugo, Dr. Wilkness, and Dr. Drake are affiliated with the Department of Psychiatry, Dartmouth Psychiatric Research Center, State Office Park South, 105 Pleasant St., Concord, NH 03301 (e-mail: [email protected]).
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Gregory J. McHugo, Ph.D. [email protected]
Dr. Brunette, Dr. Ferron, Dr. McHugo, Dr. Wilkness, and Dr. Drake are affiliated with the Department of Psychiatry, Dartmouth Psychiatric Research Center, State Office Park South, 105 Pleasant St., Concord, NH 03301 (e-mail: [email protected]).
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Kristin E. Davis, Ph.D.
Dr. Davis and Dr. Devitt are with Thresholds, Chicago.
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Timothy S. Devitt, Psy.D.
Dr. Davis and Dr. Devitt are with Thresholds, Chicago.
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Sandra M. Wilkness, Ph.D. [email protected]
Dr. Brunette, Dr. Ferron, Dr. McHugo, Dr. Wilkness, and Dr. Drake are affiliated with the Department of Psychiatry, Dartmouth Psychiatric Research Center, State Office Park South, 105 Pleasant St., Concord, NH 03301 (e-mail: [email protected]).
Dr. Wilkness, formerly also at Thresholds, is now with the Office of U.S. Senator Jeff Bingaman, Washington, D.C.
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Robert E. Drake, M.D., Ph.D. [email protected]
Dr. Brunette, Dr. Ferron, Dr. McHugo, Dr. Wilkness, and Dr. Drake are affiliated with the Department of Psychiatry, Dartmouth Psychiatric Research Center, State Office Park South, 105 Pleasant St., Concord, NH 03301 (e-mail: [email protected]).
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