Combined behavioral- and pharmacological-based tobacco cessation interventions are effective for adults with serious mental illness; yet, they continue to smoke at alarming rates.
Materials and Methods:
A pilot two-arm randomized controlled trial of the program consisted of 50 minutes of game-based groups 3×/week, for 12 weeks alongside counseling and pharmacotherapy. The intervention group engaged in game-based group physical activity (PA), while the control group engaged in sedentary games.
Results:
Multilevel regression analyses were used to examine the primary aims. Mean number of cigarettes smoked per week (cig/wk) for the sample (n = 48) at enrollment was 56.3 cigarettes. The linear change was significant at 2.9 fewer cig/wk. The average psychiatric symptom score at enrollment for the PA group was 41.5 points with a significant predicted linear decrease in scores.
Conclusion:
Both study groups showed a significant reduction in cig/wk. The combination of counseling and pharmacotherapy offered in groups may have aided with cessation and cigarette reduction while also providing a benefit to mental health.
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References
1.
GonzalesL, KananiA, PereyraA. Policy definitions for “Serious Mental Illness” across 56 United States, districts and territories. Community Ment Health J, 2023; 59(3):595–599.
2.
FolsomD, McCahillM, BartelsS, et al.Medical comorbidity and receipt of medical care by older homeless people with schizophrenia and depression. PS, 2002; 53(11):1456–1460.
3.
KellyDL, McMahonRP, WehringHJ, et al.Cigarette smoking and mortality risk in people with schizophrenia. Schizophr Bull, 2011; 37(4):832–838.
4.
ChafetzL, Collins-BrideG. Primary care for mentally Ill adults in acute residential treatment facilities. Issues Ment Health Nurs, 2017; 38(10):791–797.
5.
DixonL, PostradoL, DelahantyJ, et al.The association of medical comorbidity in schizophrenia with poor physical and mental health. J Nerv Ment Dis, 1999; 187(8):496–502.
6.
MittalD, DavisCE, DeppC, et al.Correlates of health-related quality of well-being in older patients with schizophrenia. J Nerv Ment Dis, 2006; 194(5):335–340.
7.
HowardR, RabinsP, SeemanM, JesteD. Group, the international Late-Onset S. Late-Onset schizophrenia and very-late-onset schizophrenia-like psychosis: An international consensus. Am J Psychiatry, 2000; 157(2):172–178.
8.
KilbourneAM, MordenNE, AustinK, et al.Excess heart-disease-related mortality in a national study of patients with mental disorders: Identifying modifiable risk factors. Gen Hosp Psychiatry, 2009; 31(6):555–563.
9.
DiazFJ, VelasquezDM, SusceMT, de LeonJ. The association between schizophrenia and smoking: Unexplained by either the illness or the prodromal period. Schizophr Res, 2008; 104(1–3):214–219.
10.
ColtonCW, ManderscheidRW. Congruencies in increased mortality rates, years of potential life lost, and causes of death among public mental health clients in eight states. Prev Chronic Dis, 2006; 3(2):A42–A.
11.
HawesMR, RothKB, CabassaLJ. Systematic review of psychosocial smoking cessation interventions for people with serious mental illness. J Dual Diagn, 2021; 17(3):216–235.
12.
UssherMH, FaulknerGEJ, AngusK, et al.Cochrane Tobacco Addiction Group. Exercise interventions for smoking cessation. Cochrane Database of Systematic Reviews, 2019; 2019(10).
13.
SmitsJAJ, ZvolenskyMJ, DavisML, et al.The efficacy of vigorous-intensity exercise as an aid to smoking cessation in adults with high anxiety sensitivity: A randomized controlled trial. Psychosom Med, 2016; 78(3):354–364.
14.
PattenCA, BronarsCA, Vickers DouglasKS, et al.Supervised, vigorous intensity exercise intervention for depressed female smokers: A pilot study. Nicotine Tob Res, 2017; 19(1):77–86.
15.
MarcusBH, AlbrechtAE, KingTK, et al.The efficacy of exercise as an aid for smoking cessation in women: A randomized controlled trial. Arch Intern Med, 1999; 159(11):1229–1234.
16.
MarcusBH, AlbrechtAE, NiauraRS, et al.Exercise enhances the maintenance of smoking cessation in women. Addict Behav, 1995; 20(1):87–92.
17.
MartinJE, CalfasKJ, PattenCA, et al.Prospective evaluation of three smoking interventions in 205 recovering alcoholics: One-year results of Project SCRAP-Tobacco. J Consult Clin Psychol, 1997; 65(1):190–194.
18.
LiebermanDA, ChamberlinB, MedinaEJr,et al.; Power of Play: Innovations in Getting Active Summit Planning Committee. The power of play: Innovations in getting active summit 2011: A science panel proceedings report from the American Heart Association. Circulation, 2011; 123(21):2507–2516.
19.
BorgGA. Psychophysical bases of perceived exertion. Med Sci Sports Exerc, 1982; 14(5):377–381.
20.
HallSM, TsohJY, ProchaskaJJ, et al.Treatment for cigarette smoking among depressed mental health outpatients: A randomized clinical trial. Am J Public Health, 2006; 96(10):1808–1814.
MuthénBMLK, AsparouhovT. Regression and Mediation Analysis Using Mplus. Muthén and Muthén: Los Angeles, CA; 2016.
36.
NichC, CarrollK. Now you see it, now you don’t: A comparison of traditional versus random-effects regression models in the analysis of longitudinal follow-up data from a clinical trial. J Consult Clin Psychol, 1997; 65(2):252–261.
37.
CohenJ. Statistical Power Analysis for the Behavioral Sciences. Lawrence Erlbaum Associates, Inc: Hillsdale, NJ; 1998.
38.
TaylorGM, LindsonN, FarleyA, et al.Smoking cessation for improving mental health. Cochrane Database Syst Rev, 2021; 3(3):CD013522.
39.
GilbodyS, PeckhamE, BaileyD, et al.Smoking cessation for people with severe mental illness (SCIMITAR+): A pragmatic randomised controlled trial. Lancet Psychiatry, 2019; 6(5):379–390.
40.
Bedimo-RungAL, MowenAJ, CohenDA. The significance of parks to physical activity and public health: A conceptual model. Am J Prev Med, 2005; 28(2 SUPPL. 2):159–168.
41.
Thompson CoonJ, BoddyK, SteinK, et al.Does participating in physical activity in outdoor natural environments have a greater effect on physical and mental wellbeing than physical activity indoors? A systematic review. Environ Sci Technol, 2011; 45(5):1761–1772.
42.
ZhangR, WulffH, DuanY, WagnerP. Associations between the physical environment and park-based physical activity: A systematic review. J Sport Health Sci, 2019; 8(5):412–421.
43.
JenningsV, BamkoleO. The relationship between social cohesion and urban green space: An avenue for health promotion. Int J Environ Res Public Health, 2019; 16(3).
