The impact of a smoke-free psychiatric hospitalization on patient smoking outcomes: a systematic review
Objective: Smoke-free policies have been introduced in inpatient psychiatric facilities in most developed nations. Such a period of supported abstinence during hospitalization may impact smoking behaviours post discharge, yet little quantitative evidence exists. The aim of this review was to provide...
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| Veröffentlicht in: | Australian & New Zealand Journal of Psychiatry 2014-07, Vol.48 (7), p.617-633 |
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| container_title | Australian & New Zealand Journal of Psychiatry |
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| creator | Stockings, Emily A Bowman, Jenny A Prochaska, Judith J Baker, Amanda L Clancy, Richard Knight, Jenny Wye, Paula M Terry, Margarett Wiggers, John H |
| description | Objective:
Smoke-free policies have been introduced in inpatient psychiatric facilities in most developed nations. Such a period of supported abstinence during hospitalization may impact smoking behaviours post discharge, yet little quantitative evidence exists. The aim of this review was to provide the first synthesis of the research evidence examining the impact of a smoke-free psychiatric hospitalization on patients’ smoking-related behaviours, motivation, and beliefs.
Methods:
We conducted a systematic review of electronic databases PubMed, MEDLINE, PsycINFO, and EMBASE from inception to June 2013. Studies were included if they were conducted in an inpatient psychiatric facility with a smoke-free policy and if they examined any change in patients’ smoking-related behaviours, motivation, or beliefs either during admission, post discharge, or both. Risk of bias was assessed using the Cochrane Collaboration Risk of Bias Tool.
Results:
Fourteen studies were included in the review. Of the four studies that assessed change in smoking from admission to post discharge, two indicated a significant decline in cigarette consumption up to 3 months post discharge. Positive changes in motivation to quit and beliefs about quitting ability were identified in two studies. One study reported an increase in the rate of quit attempts and one reported a decline in nicotine dependence levels.
Conclusions:
A smoke-free psychiatric hospitalization may have a positive impact on patients’ smoking-related behaviours, motivation, and beliefs, both during admission and up to 3 months post discharge. Further controlled studies with more rigorous designs are required to confirm this potential. |
| doi_str_mv | 10.1177/0004867414533835 |
| format | Article |
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Smoke-free policies have been introduced in inpatient psychiatric facilities in most developed nations. Such a period of supported abstinence during hospitalization may impact smoking behaviours post discharge, yet little quantitative evidence exists. The aim of this review was to provide the first synthesis of the research evidence examining the impact of a smoke-free psychiatric hospitalization on patients’ smoking-related behaviours, motivation, and beliefs.
Methods:
We conducted a systematic review of electronic databases PubMed, MEDLINE, PsycINFO, and EMBASE from inception to June 2013. Studies were included if they were conducted in an inpatient psychiatric facility with a smoke-free policy and if they examined any change in patients’ smoking-related behaviours, motivation, or beliefs either during admission, post discharge, or both. Risk of bias was assessed using the Cochrane Collaboration Risk of Bias Tool.
Results:
Fourteen studies were included in the review. Of the four studies that assessed change in smoking from admission to post discharge, two indicated a significant decline in cigarette consumption up to 3 months post discharge. Positive changes in motivation to quit and beliefs about quitting ability were identified in two studies. One study reported an increase in the rate of quit attempts and one reported a decline in nicotine dependence levels.
Conclusions:
A smoke-free psychiatric hospitalization may have a positive impact on patients’ smoking-related behaviours, motivation, and beliefs, both during admission and up to 3 months post discharge. Further controlled studies with more rigorous designs are required to confirm this potential.</description><identifier>ISSN: 0004-8674</identifier><identifier>EISSN: 1440-1614</identifier><identifier>DOI: 10.1177/0004867414533835</identifier><identifier>PMID: 24819934</identifier><identifier>CODEN: ANZPBQ</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Addictive behaviors ; Adult and adolescent clinical studies ; Biological and medical sciences ; General aspects ; Government policy ; Hospitalization ; Hospitals, Psychiatric - organization & administration ; Hospitals, Psychiatric - statistics & numerical data ; Humans ; Medical sciences ; Mental Disorders - complications ; Mental Disorders - therapy ; Nonsmoking areas ; Patients ; Prevention ; Psychiatric hospitals ; Psychiatry ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Smoke-Free Policy ; Smoking - epidemiology ; Smoking - psychology ; Smoking Prevention ; Tobacco smoking ; Tobacco use ; Tobacco, tobacco smoking ; Toxicology</subject><ispartof>Australian & New Zealand Journal of Psychiatry, 2014-07, Vol.48 (7), p.617-633</ispartof><rights>The Royal Australian and New Zealand College of Psychiatrists 2014</rights><rights>2015 INIST-CNRS</rights><rights>The Royal Australian and New Zealand College of Psychiatrists 2014.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c437t-71df474e3d8eff012e8e20e5d3e528058bb4cebb3c40e2224ca8576279fe520c3</citedby><cites>FETCH-LOGICAL-c437t-71df474e3d8eff012e8e20e5d3e528058bb4cebb3c40e2224ca8576279fe520c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0004867414533835$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0004867414533835$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>313,314,780,784,792,21819,27922,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://natlib-primo.hosted.exlibrisgroup.com/primo-explore/search?query=any,contains,998023813602837&tab=innz&search_scope=INNZ&vid=NLNZ&offset=0$$DView this record in NLNZ$$Hfree_for_read</backlink><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28616891$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24819934$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Stockings, Emily A</creatorcontrib><creatorcontrib>Bowman, Jenny A</creatorcontrib><creatorcontrib>Prochaska, Judith J</creatorcontrib><creatorcontrib>Baker, Amanda L</creatorcontrib><creatorcontrib>Clancy, Richard</creatorcontrib><creatorcontrib>Knight, Jenny</creatorcontrib><creatorcontrib>Wye, Paula M</creatorcontrib><creatorcontrib>Terry, Margarett</creatorcontrib><creatorcontrib>Wiggers, John H</creatorcontrib><title>The impact of a smoke-free psychiatric hospitalization on patient smoking outcomes: a systematic review</title><title>Australian & New Zealand Journal of Psychiatry</title><addtitle>Aust N Z J Psychiatry</addtitle><description>Objective:
Smoke-free policies have been introduced in inpatient psychiatric facilities in most developed nations. Such a period of supported abstinence during hospitalization may impact smoking behaviours post discharge, yet little quantitative evidence exists. The aim of this review was to provide the first synthesis of the research evidence examining the impact of a smoke-free psychiatric hospitalization on patients’ smoking-related behaviours, motivation, and beliefs.
Methods:
We conducted a systematic review of electronic databases PubMed, MEDLINE, PsycINFO, and EMBASE from inception to June 2013. Studies were included if they were conducted in an inpatient psychiatric facility with a smoke-free policy and if they examined any change in patients’ smoking-related behaviours, motivation, or beliefs either during admission, post discharge, or both. Risk of bias was assessed using the Cochrane Collaboration Risk of Bias Tool.
Results:
Fourteen studies were included in the review. Of the four studies that assessed change in smoking from admission to post discharge, two indicated a significant decline in cigarette consumption up to 3 months post discharge. Positive changes in motivation to quit and beliefs about quitting ability were identified in two studies. One study reported an increase in the rate of quit attempts and one reported a decline in nicotine dependence levels.
Conclusions:
A smoke-free psychiatric hospitalization may have a positive impact on patients’ smoking-related behaviours, motivation, and beliefs, both during admission and up to 3 months post discharge. Further controlled studies with more rigorous designs are required to confirm this potential.</description><subject>Addictive behaviors</subject><subject>Adult and adolescent clinical studies</subject><subject>Biological and medical sciences</subject><subject>General aspects</subject><subject>Government policy</subject><subject>Hospitalization</subject><subject>Hospitals, Psychiatric - organization & administration</subject><subject>Hospitals, Psychiatric - statistics & numerical data</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Mental Disorders - complications</subject><subject>Mental Disorders - therapy</subject><subject>Nonsmoking areas</subject><subject>Patients</subject><subject>Prevention</subject><subject>Psychiatric hospitals</subject><subject>Psychiatry</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Smoke-Free Policy</subject><subject>Smoking - epidemiology</subject><subject>Smoking - psychology</subject><subject>Smoking Prevention</subject><subject>Tobacco smoking</subject><subject>Tobacco use</subject><subject>Tobacco, tobacco smoking</subject><subject>Toxicology</subject><issn>0004-8674</issn><issn>1440-1614</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kN1rFTEQxYNY7LX67pMERPBla752k_VNSqtCwZf6vGSzk3tTd5M1yVZv__pmvVeFgjAwA_M7Z4aD0CtKzimV8j0hRKhGCipqzhWvn6ANFYJUtKHiKdqs62rdn6LnKd0SQjmt5TN0yoSibcvFBm1vdoDdNGuTcbBY4zSF71DZCIDntDc7p3N0Bu9Cml3Wo7vX2QWPS81lAp9_K5zf4rBkEyZIH1aXfcowFcDgCHcOfr5AJ1aPCV4e-xn6dnV5c_G5uv766cvFx-vKCC5zJelghRTABwXWEspAASNQDxxqpkit-l4Y6HtuBAHGmDBa1bJhsrUFIIafoXcH3zmGHwuk3E0uGRhH7SEsqaOyhMBrqWhByQE1MaQUwXZzdJOO-46Sbo23exxvkbw-ui_9BMNfwZ88C_D2COhk9Gij9salf5xqaKPa9fabA-dHf985P8Cv0ttWEcbLaw1histCVQcq6S10t2GJvmT3__ceAIuQmpQ</recordid><startdate>20140701</startdate><enddate>20140701</enddate><creator>Stockings, Emily A</creator><creator>Bowman, Jenny A</creator><creator>Prochaska, Judith J</creator><creator>Baker, Amanda L</creator><creator>Clancy, Richard</creator><creator>Knight, Jenny</creator><creator>Wye, Paula M</creator><creator>Terry, Margarett</creator><creator>Wiggers, John H</creator><general>SAGE Publications</general><general>Sage Publications</general><scope>DUNLO</scope><scope>GOM</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140701</creationdate><title>The impact of a smoke-free psychiatric hospitalization on patient smoking outcomes: a systematic review</title><author>Stockings, Emily A ; Bowman, Jenny A ; Prochaska, Judith J ; Baker, Amanda L ; Clancy, Richard ; Knight, Jenny ; Wye, Paula M ; Terry, Margarett ; Wiggers, John H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c437t-71df474e3d8eff012e8e20e5d3e528058bb4cebb3c40e2224ca8576279fe520c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Addictive behaviors</topic><topic>Adult and adolescent clinical studies</topic><topic>Biological and medical sciences</topic><topic>General aspects</topic><topic>Government policy</topic><topic>Hospitalization</topic><topic>Hospitals, Psychiatric - organization & administration</topic><topic>Hospitals, Psychiatric - statistics & numerical data</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Mental Disorders - complications</topic><topic>Mental Disorders - therapy</topic><topic>Nonsmoking areas</topic><topic>Patients</topic><topic>Prevention</topic><topic>Psychiatric hospitals</topic><topic>Psychiatry</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Smoke-Free Policy</topic><topic>Smoking - epidemiology</topic><topic>Smoking - psychology</topic><topic>Smoking Prevention</topic><topic>Tobacco smoking</topic><topic>Tobacco use</topic><topic>Tobacco, tobacco smoking</topic><topic>Toxicology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stockings, Emily A</creatorcontrib><creatorcontrib>Bowman, Jenny A</creatorcontrib><creatorcontrib>Prochaska, Judith J</creatorcontrib><creatorcontrib>Baker, Amanda L</creatorcontrib><creatorcontrib>Clancy, Richard</creatorcontrib><creatorcontrib>Knight, Jenny</creatorcontrib><creatorcontrib>Wye, Paula M</creatorcontrib><creatorcontrib>Terry, Margarett</creatorcontrib><creatorcontrib>Wiggers, John H</creatorcontrib><collection>Index New Zealand (A&I)</collection><collection>Index New Zealand</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Australian & New Zealand Journal of Psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stockings, Emily A</au><au>Bowman, Jenny A</au><au>Prochaska, Judith J</au><au>Baker, Amanda L</au><au>Clancy, Richard</au><au>Knight, Jenny</au><au>Wye, Paula M</au><au>Terry, Margarett</au><au>Wiggers, John H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The impact of a smoke-free psychiatric hospitalization on patient smoking outcomes: a systematic review</atitle><jtitle>Australian & New Zealand Journal of Psychiatry</jtitle><addtitle>Aust N Z J Psychiatry</addtitle><date>2014-07-01</date><risdate>2014</risdate><volume>48</volume><issue>7</issue><spage>617</spage><epage>633</epage><pages>617-633</pages><issn>0004-8674</issn><eissn>1440-1614</eissn><coden>ANZPBQ</coden><abstract>Objective:
Smoke-free policies have been introduced in inpatient psychiatric facilities in most developed nations. Such a period of supported abstinence during hospitalization may impact smoking behaviours post discharge, yet little quantitative evidence exists. The aim of this review was to provide the first synthesis of the research evidence examining the impact of a smoke-free psychiatric hospitalization on patients’ smoking-related behaviours, motivation, and beliefs.
Methods:
We conducted a systematic review of electronic databases PubMed, MEDLINE, PsycINFO, and EMBASE from inception to June 2013. Studies were included if they were conducted in an inpatient psychiatric facility with a smoke-free policy and if they examined any change in patients’ smoking-related behaviours, motivation, or beliefs either during admission, post discharge, or both. Risk of bias was assessed using the Cochrane Collaboration Risk of Bias Tool.
Results:
Fourteen studies were included in the review. Of the four studies that assessed change in smoking from admission to post discharge, two indicated a significant decline in cigarette consumption up to 3 months post discharge. Positive changes in motivation to quit and beliefs about quitting ability were identified in two studies. One study reported an increase in the rate of quit attempts and one reported a decline in nicotine dependence levels.
Conclusions:
A smoke-free psychiatric hospitalization may have a positive impact on patients’ smoking-related behaviours, motivation, and beliefs, both during admission and up to 3 months post discharge. Further controlled studies with more rigorous designs are required to confirm this potential.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>24819934</pmid><doi>10.1177/0004867414533835</doi><tpages>17</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0004-8674 |
| ispartof | Australian & New Zealand Journal of Psychiatry, 2014-07, Vol.48 (7), p.617-633 |
| issn | 0004-8674 1440-1614 |
| language | eng |
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| subjects | Addictive behaviors Adult and adolescent clinical studies Biological and medical sciences General aspects Government policy Hospitalization Hospitals, Psychiatric - organization & administration Hospitals, Psychiatric - statistics & numerical data Humans Medical sciences Mental Disorders - complications Mental Disorders - therapy Nonsmoking areas Patients Prevention Psychiatric hospitals Psychiatry Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Smoke-Free Policy Smoking - epidemiology Smoking - psychology Smoking Prevention Tobacco smoking Tobacco use Tobacco, tobacco smoking Toxicology |
| title | The impact of a smoke-free psychiatric hospitalization on patient smoking outcomes: a systematic review |
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