{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T20:00:26Z","timestamp":1790020826643,"version":"4.0.1"},"reference-count":50,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2017,2,14]],"date-time":"2017-02-14T00:00:00Z","timestamp":1487030400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Aust N Z J Psychiatry"],"published-print":{"date-parts":[[2017,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Interventions are required to redress the disproportionate tobacco-related health burden experienced by persons with a mental illness. This study aimed to assess the efficacy of a universal smoking cessation intervention initiated within an acute psychiatric inpatient setting and continued post-discharge in reducing smoking prevalence and increasing quitting behaviours.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>A randomised controlled trial was undertaken across four psychiatric inpatient facilities in Australia. Participants ( N\u2009=\u2009754) were randomised to receive either usual care ( n\u2009=\u2009375) or an intervention comprising a brief motivational interview and self-help material while in hospital, followed by a 4-month pharmacological and psychosocial intervention ( n\u2009=\u2009379) upon discharge. Primary outcomes assessed at 6 and 12\u2009months post-discharge were 7-day point prevalence and 1-month prolonged smoking abstinence. A number of secondary smoking-related outcomes were also assessed. Subgroup analyses were conducted based on psychiatric diagnosis, baseline readiness to quit and nicotine dependence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Seven-day point prevalence abstinence was higher for intervention participants (15.8%) than controls (9.3%) at 6\u2009months post-discharge (odds ratio\u2009=\u20091.07, p\u2009=\u20090.04), but not at 12\u2009months (13.4% and 10.0%, respectively; odds ratio\u2009=\u20091.03, p\u2009=\u20090.25). Significant intervention effects were not found on measures of prolonged abstinence at either 6 or 12\u2009months post-discharge. Differential intervention effects for the primary outcomes were not detected for any subgroups. At both 6 and 12\u2009months post-discharge, intervention group participants were significantly more likely to smoke fewer cigarettes per day, have reduced cigarette consumption by \u2a7e50% and to have made at least one quit attempt, relative to controls.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Universal smoking cessation treatment initiated in inpatient psychiatry and continued post-discharge was efficacious in increasing 7-day point prevalence smoking cessation rates and related quitting behaviours at 6\u2009months post-discharge, with sustained effects on quitting behaviour at 12\u2009months. Further research is required to identify strategies for achieving longer term smoking cessation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0004867417692424","type":"journal-article","created":{"date-parts":[[2017,2,14]],"date-time":"2017-02-14T06:07:02Z","timestamp":1487052422000},"page":"366-381","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":47,"title":["Efficacy of a universal smoking cessation intervention initiated in inpatient psychiatry and continued post-discharge: A randomised controlled trial"],"prefix":"10.1177","volume":"51","author":[{"given":"Alexandra P","family":"Metse","sequence":"first","affiliation":[{"name":"The University of Newcastle, Australia, Callaghan, NSW, Australia"},{"name":"Hunter Medical Research Institute, New Lambton Heights, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Wiggers","sequence":"additional","affiliation":[{"name":"The University of Newcastle, Australia, Callaghan, NSW, Australia"},{"name":"Hunter Medical Research Institute, New Lambton Heights, NSW, Australia"},{"name":"Hunter New England Population Health, Wallsend, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paula","family":"Wye","sequence":"additional","affiliation":[{"name":"The University of Newcastle, Australia, Callaghan, NSW, Australia"},{"name":"Hunter Medical Research Institute, New Lambton Heights, NSW, Australia"},{"name":"Hunter New England Population Health, Wallsend, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luke","family":"Wolfenden","sequence":"additional","affiliation":[{"name":"The University of Newcastle, Australia, Callaghan, NSW, Australia"},{"name":"Hunter Medical Research Institute, New Lambton Heights, NSW, Australia"},{"name":"Hunter New England Population Health, Wallsend, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan","family":"Freund","sequence":"additional","affiliation":[{"name":"The University of Newcastle, Australia, Callaghan, NSW, Australia"},{"name":"Hunter Medical Research Institute, New Lambton Heights, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Clancy","sequence":"additional","affiliation":[{"name":"The University of Newcastle, Australia, Callaghan, NSW, Australia"},{"name":"Hunter Medical Research Institute, New Lambton Heights, NSW, Australia"},{"name":"Centre for Translational Neuroscience and Mental Health, Calvary Mater Hospital, Waratah, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Stockings","sequence":"additional","affiliation":[{"name":"National Drug and Alcohol Research Centre, University of New South Wales, Randwick, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margarett","family":"Terry","sequence":"additional","affiliation":[{"name":"Mental Health and Substance Use Service, Calvary Mater Hospital, Waratah, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Allan","sequence":"additional","affiliation":[{"name":"Mental Health Alcohol and Other Drugs Branch, Queensland Health, Fortitude Valley, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim","family":"Colyvas","sequence":"additional","affiliation":[{"name":"The University of Newcastle, Australia, Callaghan, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith J","family":"Prochaska","sequence":"additional","affiliation":[{"name":"Stanford Prevention Research Center, School of Medicine, Stanford University, Stanford, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenny A","family":"Bowman","sequence":"additional","affiliation":[{"name":"The University of Newcastle, Australia, Callaghan, NSW, Australia"},{"name":"Hunter Medical Research Institute, New Lambton Heights, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,2,14]]},"reference":[{"key":"bibr1-0004867417692424","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.2006.163.11.1934"},{"key":"bibr2-0004867417692424","doi-asserted-by":"publisher","DOI":"10.1375\/jsc.1.1.3"},{"key":"bibr3-0004867417692424","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2011.03685.x"},{"key":"bibr4-0004867417692424","doi-asserted-by":"publisher","DOI":"10.3109\/00048674.2010.536904"},{"key":"bibr5-0004867417692424","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2008.02.017"},{"key":"bibr6-0004867417692424","first-page":"A42","volume":"3","author":"Colton CW","year":"2006","journal-title":"Preventing Chronic Disease"},{"key":"bibr7-0004867417692424","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.284985"},{"key":"bibr8-0004867417692424","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2005.02.010"},{"key":"bibr9-0004867417692424","doi-asserted-by":"publisher","DOI":"10.1080\/08870446.2012.672649"},{"key":"bibr10-0004867417692424","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2010.01.012"},{"key":"bibr11-0004867417692424","doi-asserted-by":"publisher","DOI":"10.1093\/ntr\/ntp072"},{"key":"bibr12-0004867417692424","volume-title":"Treating Tobacco Use and Dependence: 2008 Update","author":"Fiore MC","year":"2008"},{"key":"bibr13-0004867417692424","doi-asserted-by":"publisher","DOI":"10.4088\/PCC.v10n0109"},{"key":"bibr14-0004867417692424","doi-asserted-by":"publisher","DOI":"10.1093\/ntr\/ntv034"},{"key":"bibr15-0004867417692424","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD009164.pub2"},{"key":"bibr16-0004867417692424","doi-asserted-by":"publisher","DOI":"10.1136\/tc.6.suppl_2.S57"},{"key":"bibr17-0004867417692424","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD006936.pub2"},{"key":"bibr18-0004867417692424","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD001118.pub2"},{"key":"bibr19-0004867417692424","first-page":"606","volume":"284","author":"Lasser K","year":"2000","journal-title":"Journal of the American Medical Association"},{"key":"bibr20-0004867417692424","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-9-285"},{"key":"bibr21-0004867417692424","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2009.188136"},{"key":"bibr22-0004867417692424","doi-asserted-by":"publisher","DOI":"10.1186\/1745-6215-15-266"},{"key":"bibr23-0004867417692424","doi-asserted-by":"publisher","DOI":"10.1007\/s10865-016-9757-3"},{"key":"bibr24-0004867417692424","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c869"},{"key":"bibr25-0004867417692424","unstructured":"National Institute for Health Care Excellence (2013) Smoking: Acute, maternity and mental health services: NICE clinical guideline PH48. Available at: www.nice.org.uk\/guidance\/ph48"},{"key":"bibr26-0004867417692424","volume-title":"The Prevention and Treatment of Missing Data in Clinical Trials","author":"National Research Council","year":"2010"},{"key":"bibr27-0004867417692424","volume-title":"Guide for the Management of Nicotine Dependent Inpatients","author":"New South Wales Department of Health","year":"2002"},{"key":"bibr28-0004867417692424","volume-title":"Smoke Free Workplace Policy Supplement","author":"New South Wales Department of Health","year":"2005"},{"key":"bibr29-0004867417692424","volume-title":"Smoke-Free Health Service Policy: Managing Nicotine Dependent Inpatients and Prospective Aged Care Residents","author":"New South Wales Department of Health","year":"2009"},{"key":"bibr30-0004867417692424","volume-title":"Integrated Household Survey (Experimental Statistics): January to December 2013","author":"Office for National Statistics","year":"2014"},{"key":"bibr31-0004867417692424","doi-asserted-by":"publisher","DOI":"10.1080\/15504263.2013.866860"},{"key":"bibr32-0004867417692424","doi-asserted-by":"publisher","DOI":"10.3310\/hta19250"},{"key":"bibr33-0004867417692424","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2013.301403"},{"key":"bibr34-0004867417692424","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD001837.pub3"},{"key":"bibr35-0004867417692424","volume-title":"Smoking and mental health","author":"Royal College of Physicians and Royal College of Psychiatrists","year":"2013"},{"key":"bibr36-0004867417692424","first-page":"27","volume":"5","author":"Schuck RK","year":"2016","journal-title":"Tobacco Control"},{"key":"bibr37-0004867417692424","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2009.02545.x"},{"key":"bibr38-0004867417692424","volume":"10","author":"Stead LF","year":"2012","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"bibr39-0004867417692424","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD002850.pub2"},{"key":"bibr40-0004867417692424","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD000146.pub4"},{"key":"bibr41-0004867417692424","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2015.01.016"},{"key":"bibr42-0004867417692424","doi-asserted-by":"publisher","DOI":"10.1093\/ntr\/ntu097"},{"key":"bibr43-0004867417692424","doi-asserted-by":"publisher","DOI":"10.1093\/ntr\/nts206"},{"key":"bibr44-0004867417692424","doi-asserted-by":"publisher","DOI":"10.1177\/0004867414533835"},{"key":"bibr45-0004867417692424","doi-asserted-by":"publisher","DOI":"10.1093\/ntr\/ntu173"},{"key":"bibr46-0004867417692424","unstructured":"West R (2005) Assessing smoking cessation performance in NHS Stop Smoking Services: The Russell Standard (Clinical). Available at: www.ncsct.co.uk\/usr\/pub\/assessing-smoking-cessation-performance-in-nhs-stop-smoking-services-the-russell-standard-clinical.pdf"},{"key":"bibr47-0004867417692424","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2004.00995.x"},{"key":"bibr48-0004867417692424","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-5994.2011.02442.x"},{"key":"bibr49-0004867417692424","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2013.2182"},{"key":"bibr50-0004867417692424","doi-asserted-by":"publisher","DOI":"10.1111\/j.1753-6405.2010.00530.x"}],"container-title":["Australian &amp; New Zealand Journal of Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0004867417692424","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0004867417692424","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0004867417692424","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T10:55:11Z","timestamp":1777373711000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0004867417692424"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,2,14]]},"references-count":50,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2017,4]]}},"alternative-id":["10.1177\/0004867417692424"],"URL":"https:\/\/doi.org\/10.1177\/0004867417692424","relation":{},"ISSN":["0004-8674","1440-1614"],"issn-type":[{"value":"0004-8674","type":"print"},{"value":"1440-1614","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,2,14]]}}}