Low-Burden strategies to promote smoking cessation treatment among patients with serious mental illness

Li Shiun Chen; Timothy B. Baker; Jeanette M. Korpecki; Kelly E. Johnson; Jaime P. Hook; Ross C. Brownson; Laura J. Bierut

doi:10.1176/appi.ps.201700399

Low-Burden strategies to promote smoking cessation treatment among patients with serious mental illness

Li Shiun Chen, Timothy B. Baker, Jeanette M. Korpecki, Kelly E. Johnson, Jaime P. Hook, Ross C. Brownson, Laura J. Bierut

Research output: Contribution to journal › Article › peer-review

8 Scopus citations

Abstract

Patients with serious mental illness have high smoking prevalence and early mortality. Inadequate implementation of evidence-based smoking cessation treatment in community mental health centers (CMHCs) contributes to this disparity. This column describes a study of the effects of quality improvement strategies on treatment and cessation outcomes among patients with serious mental illness at four CMHCs. Two low-burden strategies, decision support and academic detailing with data-driven feedback, were implemented in the CMHCs’ clinics from 2014 to 2016. Pre- and postimplementation data from pharmacy and medical records were analyzed. The percentage of patients receiving cessation medication increased from 5% to 18% (p#.001), and smoking prevalence decreased from 57% to 54% (p#.001). This quality improvement approach holds great potential for increasing the level of smoking cessation care for patients treated in CMHC settings. Decision support and academic detailing with feedback may be effective strategies to promote best practices.

Original language	English
Pages (from-to)	849-851
Number of pages	3
Journal	Psychiatric Services
Volume	69
Issue number	8
DOIs	https://doi.org/10.1176/appi.ps.201700399
State	Published - Aug 2018

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title = "Low-Burden strategies to promote smoking cessation treatment among patients with serious mental illness",

abstract = "Patients with serious mental illness have high smoking prevalence and early mortality. Inadequate implementation of evidence-based smoking cessation treatment in community mental health centers (CMHCs) contributes to this disparity. This column describes a study of the effects of quality improvement strategies on treatment and cessation outcomes among patients with serious mental illness at four CMHCs. Two low-burden strategies, decision support and academic detailing with data-driven feedback, were implemented in the CMHCs{\textquoteright} clinics from 2014 to 2016. Pre- and postimplementation data from pharmacy and medical records were analyzed. The percentage of patients receiving cessation medication increased from 5% to 18% (p#.001), and smoking prevalence decreased from 57% to 54% (p#.001). This quality improvement approach holds great potential for increasing the level of smoking cessation care for patients treated in CMHC settings. Decision support and academic detailing with feedback may be effective strategies to promote best practices.",

author = "Chen, {Li Shiun} and Baker, {Timothy B.} and Korpecki, {Jeanette M.} and Johnson, {Kelly E.} and Hook, {Jaime P.} and Brownson, {Ross C.} and Bierut, {Laura J.}",

note = "Funding Information: Funding for the study was provided by the National Institute on Drug Abuse (R01 DA038076, Dr. Chen; R01 DA036583, Dr. Bierut) and the National Cancer Institute (P30CA091842-16S2, Dr. Chen; P30CA091842, Dr. Bierut). The authors thank the quality improvement team for their contribution and Nina Smock for assistance with editing. Dr. Bierut is listed as inventor on issued U.S. patent 8,080,371 (“Markers for Addiction”). The other authors report no financial relationships with commercial interests. Received September 18, 2017; revisions received December 13, 2017, and March 23, 2018; accepted April 5, 2018; published online June 1, 2018. Publisher Copyright: {\textcopyright} 2018 American Psychiatric Association. All rights reserved.",

year = "2018",

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doi = "10.1176/appi.ps.201700399",

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AU - Hook, Jaime P.

AU - Brownson, Ross C.

AU - Bierut, Laura J.

N1 - Funding Information: Funding for the study was provided by the National Institute on Drug Abuse (R01 DA038076, Dr. Chen; R01 DA036583, Dr. Bierut) and the National Cancer Institute (P30CA091842-16S2, Dr. Chen; P30CA091842, Dr. Bierut). The authors thank the quality improvement team for their contribution and Nina Smock for assistance with editing. Dr. Bierut is listed as inventor on issued U.S. patent 8,080,371 (“Markers for Addiction”). The other authors report no financial relationships with commercial interests. Received September 18, 2017; revisions received December 13, 2017, and March 23, 2018; accepted April 5, 2018; published online June 1, 2018. Publisher Copyright: © 2018 American Psychiatric Association. All rights reserved.

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Low-Burden strategies to promote smoking cessation treatment among patients with serious mental illness

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