TY - JOUR
T1 - Predicting Intention to Use Nicotine Replacement Therapy in People Attending Residential Treatment for Substance Dependence
AU - Kelly, Peter J.
AU - Townsend, Camilla J.
AU - Osborne, Briony A.
AU - Baker, Amanda L.
AU - Deane, Frank P.
AU - Keane, Carol
AU - Ingram, Isabella
AU - Lunn, Joanne
N1 - Funding Information:
Joanne Lunn is employed by We Help Ourselves (WHOS). Peter J. Kelly and Frank P. Deane have received research consultancies from WHOS to support the completion of this work. Peter J. Kelly was completing a Cancer Institute NSW Early Career Research Fellowship during the completion of the study.
Publisher Copyright:
© 2019, © 2019 Taylor & Francis Group, LLC.
Copyright:
Copyright 2019 Elsevier B.V., All rights reserved.
PY - 2018/4/3
Y1 - 2018/4/3
N2 - Objective: Nicotine replacement therapy (NRT) is recommended as a frontline smoking cessation tool for people attending mental health and substance dependence treatment services. Previous research suggests that NRT is underutilized in these settings. To improve the use of NRT among people attending residential treatment for substance use disorders, it is important that the factors influencing smokers’ decisions to use NRT are understood. The study aimed to examine (1) smoking cessation strategies used by participants in previous quit attempts, (2) participants’ attitudes toward NRT (i.e., safety concerns and perceived efficacy), and (3) the predictors of participants’ intention to use NRT to support future quit attempts.Methods: Participants completed a cross-sectional survey that examined their smoking behaviors, previous experiences using smoking cessation strategies, attitudes and beliefs regarding NRT, and intention to use NRT as part of future quit attempts (N = 218). All participants were attending residential treatment for substance use disorders provided by We Help Ourselves, a large provider of specialist alcohol and other drug treatment in Australia.Results: The majority of respondents (98%) reported that they had smoked regularly in their lifetime, and 89% were current smokers. Forty-five percent of the current smokers reported that they had previously used NRT to support a quit attempt, with 54% reporting that they intended to use NRT to support a future quit attempt. Intentions to use NRT were not related to the participants’ mental health status or the participants’ perceptions regarding the safety or potential drawbacks associated with using NRT. However, participants were more likely to report that they would use NRT to support future quit attempts if they were female, had previously used NRT, and perceived NRT to be effective. Conclusions: Improving the use of evidence-based smoking cessation strategies within substance use treatment continues to be a priority. To enhance the use of NRT among consumers attending mental health and addiction treatment services, NRT should be universally offered. Future research should consider strategies that help to improve participants’ positive perceptions regarding the efficacy of NRT.
AB - Objective: Nicotine replacement therapy (NRT) is recommended as a frontline smoking cessation tool for people attending mental health and substance dependence treatment services. Previous research suggests that NRT is underutilized in these settings. To improve the use of NRT among people attending residential treatment for substance use disorders, it is important that the factors influencing smokers’ decisions to use NRT are understood. The study aimed to examine (1) smoking cessation strategies used by participants in previous quit attempts, (2) participants’ attitudes toward NRT (i.e., safety concerns and perceived efficacy), and (3) the predictors of participants’ intention to use NRT to support future quit attempts.Methods: Participants completed a cross-sectional survey that examined their smoking behaviors, previous experiences using smoking cessation strategies, attitudes and beliefs regarding NRT, and intention to use NRT as part of future quit attempts (N = 218). All participants were attending residential treatment for substance use disorders provided by We Help Ourselves, a large provider of specialist alcohol and other drug treatment in Australia.Results: The majority of respondents (98%) reported that they had smoked regularly in their lifetime, and 89% were current smokers. Forty-five percent of the current smokers reported that they had previously used NRT to support a quit attempt, with 54% reporting that they intended to use NRT to support a future quit attempt. Intentions to use NRT were not related to the participants’ mental health status or the participants’ perceptions regarding the safety or potential drawbacks associated with using NRT. However, participants were more likely to report that they would use NRT to support future quit attempts if they were female, had previously used NRT, and perceived NRT to be effective. Conclusions: Improving the use of evidence-based smoking cessation strategies within substance use treatment continues to be a priority. To enhance the use of NRT among consumers attending mental health and addiction treatment services, NRT should be universally offered. Future research should consider strategies that help to improve participants’ positive perceptions regarding the efficacy of NRT.
KW - alcohol and substance dependence
KW - dual diagnosis
KW - nicotine replacement therapy
KW - residential rehabilitation
KW - Smoking
UR - http://www.scopus.com/inward/record.url?scp=85063612991&partnerID=8YFLogxK
U2 - 10.1080/15504263.2018.1442951
DO - 10.1080/15504263.2018.1442951
M3 - Article
C2 - 29488836
AN - SCOPUS:85063612991
VL - 14
SP - 120
EP - 129
JO - Journal of Dual Diagnosis
JF - Journal of Dual Diagnosis
SN - 0885-4734
IS - 2
ER -