这个主题知道什么?:众所周知,Quitlines可以有效地帮助人们戒烟,包括那些有精神健康状况的人。解决该人群中的吸烟问题尤为重要,因为吸烟率从40%到75%不等。然而,在戒烟线工作的专业人士经常面临障碍,由于他们有限的培训和资源,以有效地支持这些吸烟者戒烟,特别是如果他们不是心理健康专业人员。因此,应制定培训计划,以提高他们向这一弱势群体提供戒烟支持的知识和技能。论文对现有知识有何贡献?:“061QUIT-MENTAL研究”评估了基于电话的主动干预对患有严重心理健康障碍的吸烟者戒烟的疗效。通过加泰罗尼亚的戒烟服务进行,西班牙,该研究的重点是培训非精神卫生专业护士和其他卫生专业人员,以提供循证干预措施,促进精神卫生障碍患者戒烟.这项研究的目的是评估护士的知识和准备治疗吸烟者的心理健康状况的变化,同时也捕捉到他们对提供戒烟干预措施的促进者和障碍的见解和看法。护士的培训和见解是进行这项研究不可或缺的一部分,并为此类干预措施的未来可持续性提供了有价值的信息。这一点尤其重要,因为戒烟线具有在社区一级为这些患者提供戒烟支持的潜力。实践的意义是什么?:虽然培训计划成功地提高了非心理健康专业护士的知识和动机技能,以帮助患有心理健康障碍的患者戒烟,他们在通过电话进行干预时遇到了障碍。这些困难主要是由于在接触参与者和提供协议中详述的干预措施方面的挑战。该研究强调需要减少提供者照顾这些患者的障碍,特别是如果他们是非心理健康专业人员。通过尽量减少与照顾精神病患者相关的污名化,并促进与专家的协调,可以采用创新方法来减轻该人群中与烟草有关的疾病的负担。摘要:导论首次实施计划的人的观点对于了解其影响并确保其长期可行性至关重要。061QUIT-MENTAL研究是一项务实的随机对照试验,评估了由非精神病专业护士对心理健康患者进行的基于电话的主动干预。目的我们评估了护士在接受培训前后对该人群的戒烟干预措施的知识,以及他们在实施干预措施后的见解。方法混合方法研究:(1)事后评价评估自我报告知识,自我效能感和戒烟意见。(2)与主要护士进行深入访谈,以确定他们对接受培训对提供研究干预的影响的看法。结果培训提高了护士心理和药理资源的知识,以帮助这些患者,以及他们增加戒烟动机的能力。然而,护士报告说,在为精神健康障碍患者提供基于人群的干预措施方面存在困难.这些挑战主要来自参与者难以接触到,表现出很低的戒烟动机,努力理解指示或遵循建议,和护士感到不确定他们有能力帮助患有精神疾病的人戒烟,尽管他们接受了训练。讨论尽管有旨在促进干预措施实施的培训和方案,护士在为精神健康障碍患者提供基于人群的干预措施方面面临困难.对实践的影响针对精神健康障碍人群的未来戒烟计划应努力减少提供者照顾这些患者的障碍,特别是如果他们是非心理健康专业人员。通过尽量减少与照顾精神病患者相关的污名化,并促进与专家的协调,可以采用创新方法来减轻该人群中与烟草有关的疾病的负担。
WHAT IS KNOWN ON THE SUBJECT?: Quitlines are known to be effective in helping people quit smoking, including those with mental health conditions. It is particularly important to address smoking in this population as the prevalence of smoking ranges from 40% to 75%. However, professionals working in quitlines often face barriers due to their limited training and resources to effectively support these smokers quit, especially if they are not mental health professionals. Therefore, training programmes should be developed to enhance their knowledge and skills in providing smoking cessation support to this vulnerable population. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: The \'061 QUIT-MENTAL
study\' evaluated the efficacy of a proactive telephone-based intervention for smoking cessation among smokers with severe mental health disorders. Conducted through a quitline service in Catalonia, Spain, the
study focused on training non-mental health specialized nurses and other health professionals to provide evidence-based interventions for promoting smoking cessation among individuals with mental health disorders. The objective of this
study is to assess the changes in nurses\' knowledge and readiness to treat smokers with mental health conditions, while also capturing their insights and perceptions regarding the facilitators and barriers to providing smoking cessation interventions. The training and insights of the nurses were integral to conducting this research and providing valuable information for the future sustainability of such interventions. This is particularly important as quitlines hold the potential to offer cessation support to these patients at the community level. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: While the training programme was successful in improving non-mental health specialized nurses\' knowledge and motivation skills to help patients with mental health disorders quit smoking, they encountered obstacles in delivering this intervention over the phone. These difficulties were mainly due to challenges in reaching participants and delivering the intervention as detailed in the protocol. The study highlights the need of reducing barriers for providers in attending to these patients, particularly if they are non-mental health specialized professionals. By minimizing the stigmatization associated with caring for mentally ill individuals and promoting coordination with specialists, innovative approaches may be introduced to alleviate the burden of tobacco-related diseases among this population. ABSTRACT: Introduction The viewpoint of those who implement a programme for the first time is crucial for understanding its impact and ensuring its long-term viability. The 061 QUIT-MENTAL
study was a pragmatic randomized controlled
trial evaluating a proactive telephone-based intervention addressed to mental health patients conducted by non-psychiatric specialized nurses. Aim We assessed nurses\' knowledge of smoking cessation interventions addressed to this population before and after receiving training and their insights after delivering the intervention. Method Mixed methods
study: (1) Pre-post evaluation to assess self-reported knowledge, self-efficacy and opinions about smoking cessation. (2) In-depth interviews with key nurses to ascertain their perceptions regarding the impact of the training received in delivering the study intervention. Results The training enhanced nurses\' knowledge of psychological and pharmacological resources to aid these patients, as well as their ability to increase their motivation to quit. However, nurses reported difficulties in delivering population-based interventions to individuals with mental health disorders. These challenges primarily arose from participants being hard to reach, exhibiting low motivation to quit, struggling to comprehend instructions or follow recommendations, and nurses feeling unsure about their capacity to assist individuals with mental illnesses in quitting, despite the training they received. Discussion Despite the training and protocol designed to facilitate the delivery of the intervention, nurses faced difficulties in providing population-based interventions to individuals with mental health disorders. Implications for Practice Future quitline programmes aimed at the population with mental health disorders should strive to reduce barriers for providers in attending to these patients, particularly if they are non-mental health specialized professionals. By minimizing the stigmatization associated with caring for mentally ill individuals and promoting coordination with specialists, innovative approaches may be introduced to alleviate the burden of tobacco-related diseases among this population.