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. 2017 Aug;53(6):695-702.
doi: 10.1007/s10597-016-0065-8. Epub 2016 Nov 30.

Smoking Cessation and Electronic Cigarettes in Community Mental Health Centers: Patient and Provider Perspectives

Li-Shiun Chen  1   2 , Timothy Baker  3 , Ross C Brownson  4   5 , Robert M Carney  6 , Douglas Jorenby  3 , Sarah Hartz  6 , Nina Smock  6 , Mark Johnson  6   7 , Douglas Ziedonis  8 , Laura J Bierut  6
Affiliations

Smoking Cessation and Electronic Cigarettes in Community Mental Health Centers: Patient and Provider Perspectives

Li-Shiun Chen et al. Community Ment Health J. 2017 Aug.

Abstract

Little is known about patients' electronic cigarette use, interest in and use of smoking cessation treatments, and providers' attitude towards such treatment. We assessed patients (N = 231) and providers (45 psychiatrists, 97 case workers) in four Community Mental Health Centers. Interestingly, 50% of smokers reported interest in using electronic cigarettes to quit smoking, and 22% reported current use. While 82% of smokers reported wanting to quit or reduce smoking, 91% of psychiatrists and 84% of case workers reported that patients were not interested in quitting as the lead barrier, limiting the provision of cessation interventions. Providers' assumption of low patient interest in treatment may account for the low rate of smoking cessation treatment. In contrast, patients report interest and active use of electronic cigarettes to quit smoking. This study highlights the need for interventions targeting different phases of smoking cessation in these patients suffering disproportionately from tobacco dependence.

Keywords: Electronic cigarettes; Implementation; Mental illness; Smoking cessation.

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Conflict of interest statement

Compliance with Ethical Standards: Conflict of interest Dr. Bierut is listed as inventor on issued U.S. Patent 8,080,371, “Markers for Addiction” covering the use of certain SNPs in determining the diagnosis, prognosis, and treatment of addiction. Dr. Carney or a member of his family owns stock in Pfizer, Inc. All other authors declare no potential conflict of interest.

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