A systematic review of digital interventions for smoking cessation in patients with serious mental illness

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• dc.contributor.author Martínez Agulleiro, Luis
• dc.contributor.author Patil, Bhagyashree
• dc.contributor.author Firth, Joseph
• dc.contributor.author Sawyer, Chelsea
• dc.contributor.author Amann, Benedikt Lorenz
• dc.contributor.author Fonseca Casals, Francina, 1972-
• dc.contributor.author Torrens, Marta
• dc.contributor.author Pérez Solá, Victor
• dc.contributor.author Castellanos, Francisco X.
• dc.contributor.author Kane, John M.
• dc.contributor.author Guinart, Dani
• dc.date.accessioned 2024-03-26T07:25:43Z
• dc.date.available 2024-03-26T07:25:43Z
• dc.date.issued 2023
• dc.description.abstract 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.
• dc.format.mimetype application/pdf
• dc.identifier.citation Martinez Agulleiro L, Patil B, Firth J, Sawyer C, Amann BL, Fonseca F, et al. A systematic review of digital interventions for smoking cessation in patients with serious mental illness. Psychol Med. 2023 Aug;53(11):4856-68. DOI: 10.1017/S003329172300123X
• dc.identifier.doi http://dx.doi.org/10.1017/S003329172300123X
• dc.identifier.issn 0033-2917
• dc.identifier.uri http://hdl.handle.net/10230/59579
• dc.language.iso eng
• dc.publisher Cambridge University Press
• dc.relation.ispartof Psychol Med. 2023 Aug;53(11):4856-68
• dc.rights © The Author(s), 2023. Published by Cambridge University Press. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by/4.0/
• dc.subject.keyword Bipolar disorder
• dc.subject.keyword Depression
• dc.subject.keyword Digital health
• dc.subject.keyword e-Health
• dc.subject.keyword Schizophrenia
• dc.subject.keyword Smoking cessation
• dc.subject.keyword Tobacco
• dc.title A systematic review of digital interventions for smoking cessation in patients with serious mental illness
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion