Shoesmith, Emily;
Huddlestone, Lisa;
Pervin, Jodi;
Shahab, Lion;
Coventry, Peter;
Coleman, Tim;
Lorencatto, Fabiana;
... Ratschen, Elena; + view all
(2022)
Promoting and maintaining changes in smoking behaviour for patients following discharge from a smokefree mental health inpatient stay: Development of a complex intervention using the Behaviour Change Wheel.
Nicotine & Tobacco Research
10.1093/ntr/ntac242.
(In press).
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Abstract
BACKGROUND AND AIMS: Evidence suggests that smokers can successfully quit, remain abstinent or reduce smoking during a smokefree mental health inpatient stay, provided behavioural/pharmacological support are offered. However, few evidence-based strategies to prevent the return to pre-hospital smoking behaviours post-discharge exist. We report the development of an intervention designed to support smoking-related behaviour change following discharge from a smokefree mental health stay. METHOD: We followed the Behaviour Change Wheel (BCW) intervention development process. The target behaviour was supporting patients to change their smoking behaviours following discharge from a smokefree mental health stay. Using systematic reviews, we identified the barriers/enablers, classified according to the Theoretical Domains Framework (TDF). Potential intervention functions to address key influences were identified by consulting the BCW and Behaviour Change Technique (BCT) taxonomy. Another systematic review identified effectiveness of BCTs in this context. Stakeholder consultations were conducted to prioritise/refine intervention content. RESULTS: Barriers/enablers to supporting smoking cessation were identified within the domains of environmental context and resources (lack of staff time); knowledge (ill-informed interactions about smoking); social influences, and intentions (lack of intention to deliver support). Potential strategies to address these influences included goal setting, problem solving, feedback, social support, and information on health consequences. A strategy for operationalising these techniques into intervention components was agreed: pre-discharge evaluation sessions, personalised resource folder, tailored behavioural and text message support post-discharge, and a peer interaction group, delivered by a trained mental health worker. CONCLUSIONS: The intervention includes targeted resources to support smoking-related behaviour change in patients following discharge from a smokefree mental health setting. IMPLICATIONS: Using the BCW and TDF supported a theoretically and empirically informed process to define and develop a tailored intervention that acknowledges barriers and enablers to supporting smoking cessation in mental health settings. The result is a novel complex theory- and evidence-based intervention that will be formally tested in a randomised controlled feasibility study.
| Type: | Article |
|---|---|
| Title: | Promoting and maintaining changes in smoking behaviour for patients following discharge from a smokefree mental health inpatient stay: Development of a complex intervention using the Behaviour Change Wheel |
| Location: | England |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1093/ntr/ntac242 |
| Publisher version: | https://doi.org/10.1093/ntr/ntac242 |
| Language: | English |
| Additional information: | This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third-party material in this article are included in the Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/ |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10158116 |
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