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Clearing the smoke: experiences of patients and professionals during a one-year smoking cessation intervention in ambulatory mental healthcare – a qualitative study: experiences of patients and professionals during a one-year smoking cessation intervention in ambulatory mental healthcare - a qualitative study

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Title: Clearing the smoke: experiences of patients and professionals during a one-year smoking cessation intervention in ambulatory mental healthcare – a qualitative study: experiences of patients and professionals during a one-year smoking cessation intervention in ambulatory mental healthcare - a qualitative study
Authors: Küçükaksu, Müge H, Jansen, Lola, Hoekstra, Trynke, Helmig, Sanne, Adriaanse, Marcel C, van Meijel, Berno
Contributors: RIVM Publications Repository
Source: Subst Abuse Treat Prev Policy
Publisher Information: Springer Science and Business Media LLC, 2025.
Publication Year: 2025
Subject Terms: Male, Adult, Mental Health Services, Cognitive Behavioral Therapy, Research, Tobacco addiction, Thematic analyses, Smoking cessation, Middle Aged, Smoking Cessation/psychology, Ambulatory mental healthcare, Severe mental illness, Mental Disorders/psychology, Ambulatory Care, Humans, Female, Qualitative Research, Netherlands
Description: BACKGROUND: To further develop effective smoking cessation interventions within mental healthcare for people with severe mental illness (SMI), it is essential to gain insights into patients’ experiences with smoking (cessation), and professionals’ experiences with guiding patients in overcoming tobacco addiction. METHODS: We conducted 26 semi-structured interviews with 16 patients and 10 mental healthcare professionals (MHPs), as part of a one-year smoking cessation intervention. A purposive sampling strategy was applied to select the interviewees. All interviews were transcribed verbatim and thematically analysed using MAXQDA software. This study was embedded in a randomised controlled trial conducted in ambulatory mental healthcare in the Netherlands. RESULTS: Patients reported to smoke to cope with psychological distress and psychiatric symptoms, and to alleviate potential side effects of antipsychotic medication. For some patients low self-esteem and a lack of confidence in one’s own capacity to quit smoking were obstacles to a quit attempt. Therefore, for those patients these were crucial aspects to address. Patients and MHPs valued the exercises based on cognitive behavioural therapy (CBT). During group sessions, establishing personalised relapse prevention strategies was regarded as effective preparation for a quit attempt. The group setting was welcomed, however, adjustments to individual needs and preferences are required to personalise the intervention. CONCLUSIONS: Findings highlight the need for personalised care in treating tobacco addiction among people with severe mental illness. The KISMET intervention may serve as a useful framework for tailored cessation support, informed by the diverse experiences presented in this study. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13011-025-00663-9.
Document Type: Article
Other literature type
Language: English
ISSN: 1747-597X
DOI: 10.1186/s13011-025-00663-9
Access URL: https://research.vu.nl/en/publications/5fd6ac4d-8efd-4650-8f9a-5fd6ac700c7a
https://doi.org/10.1186/s13011-025-00663-9
https://hdl.handle.net/1871.1/5fd6ac4d-8efd-4650-8f9a-5fd6ac700c7a
https://rivm.openrepository.com/handle/10029/655565
Rights: CC BY NC ND
Accession Number: edsair.doi.dedup.....ceab0eb9dc2ca3478f971b8276b1be89
Database: OpenAIRE
Description
Abstract:BACKGROUND: To further develop effective smoking cessation interventions within mental healthcare for people with severe mental illness (SMI), it is essential to gain insights into patients’ experiences with smoking (cessation), and professionals’ experiences with guiding patients in overcoming tobacco addiction. METHODS: We conducted 26 semi-structured interviews with 16 patients and 10 mental healthcare professionals (MHPs), as part of a one-year smoking cessation intervention. A purposive sampling strategy was applied to select the interviewees. All interviews were transcribed verbatim and thematically analysed using MAXQDA software. This study was embedded in a randomised controlled trial conducted in ambulatory mental healthcare in the Netherlands. RESULTS: Patients reported to smoke to cope with psychological distress and psychiatric symptoms, and to alleviate potential side effects of antipsychotic medication. For some patients low self-esteem and a lack of confidence in one’s own capacity to quit smoking were obstacles to a quit attempt. Therefore, for those patients these were crucial aspects to address. Patients and MHPs valued the exercises based on cognitive behavioural therapy (CBT). During group sessions, establishing personalised relapse prevention strategies was regarded as effective preparation for a quit attempt. The group setting was welcomed, however, adjustments to individual needs and preferences are required to personalise the intervention. CONCLUSIONS: Findings highlight the need for personalised care in treating tobacco addiction among people with severe mental illness. The KISMET intervention may serve as a useful framework for tailored cessation support, informed by the diverse experiences presented in this study. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13011-025-00663-9.
ISSN:1747597X
DOI:10.1186/s13011-025-00663-9