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The active control condition included on\u2010line training and generic, scheduled support via email.<\/jats:p><\/jats:sec><jats:sec><jats:title>Measurements<\/jats:title><jats:p>The primary outcome was whether consumers reported receiving an offer of NRT at nine\u2010month follow\u2010up. Secondary outcomes at the consumer, staff and organisational level were also measured.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>Consumers in the intervention group had statistically significantly higher odds of being offered NRT at nine\u2010month follow\u2010up compared with control (intention to treat missing\u2009=\u2009no offer: 38% versus 7%, odds ratio 5.72, 95% confidence interval = 2.2, 14.9). There were no statistically significant differences in seven\u2010day point prevalence or continuous abstinence at six\u2010 or nine\u2010month follow\u2010ups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>An organisational change\u2010based program led to an increase in the offer of nicotine replacement therapy (NRT) nine months after program initiation in community managed mental health organisations, compared with active control. There was evidence of greater NRT use in the intervention condition at nine months but no evidence of differences on abstinence measures at six or nine months.<\/jats:p><\/jats:sec>","DOI":"10.1111\/add.16733","type":"journal-article","created":{"date-parts":[[2025,2,23]],"date-time":"2025-02-23T22:00:22Z","timestamp":1740348022000},"page":"937-950","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Outcomes of an organisational change program aimed at increasing smoking cessation support within Australian community managed mental health organisations: A cluster randomised controlled trial"],"prefix":"10.1111","volume":"120","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2255-9086","authenticated-orcid":false,"given":"Laura","family":"Twyman","sequence":"first","affiliation":[{"name":"Cancer Prevention and Advocacy Division Cancer Council NSW  Woolloomooloo 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