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Nicotine Tob Res. 2015 Aug;17(8):996-1001. doi: 10.1093/ntr/ntv062.

Homeless Clients Benefit From Smoking Cessation Treatment Delivered by a Homeless Persons' Program.

Author information

1
Quit Victoria, Cancer Council Victoria, Melbourne, Australia; Centre for Health Policy, School of Population and Global Health, University of Melbourne, Melbourne, Australia cathy.segan@cancervic.org.au.
2
Quit Victoria, Cancer Council Victoria, Melbourne, Australia;

Abstract

INTRODUCTION:

Few homeless programs offer smoking cessation treatment. This study examined the feasibility, acceptability, and effectiveness of a smoking cessation treatment model delivered by staff of a homeless persons' program.

METHODS:

Fourteen nurses from Melbourne's Royal District Nursing Service Homeless Persons' Program recruited 49 clients into a 12-week program offering weekly nurse-delivered smoking cessation appointments with intermittent carbon monoxide measurements, doctor-prescribed free nicotine patch, bupropion or varenicline, and Quitline phone support. Surveys were completed at program enrolment, end of program (EoP, 3 months) and 6 months post-enrolment.

RESULTS:

Clients attended on average 6.7 nurse-delivered appointments. Most used pharmacotherapy (69%, n = 34) and Quitline (61%, n = 30, average 8.4 calls among users). Using all-cases analyses 29% had made a quit attempt by EoP; 24-hour point prevalence abstinence rates were 6% at EoP and 4% at 6 months (no participants achieved sustained cessation), and 29% reported 50% consumption reduction at 6 months, the latter positively associated with increased Quitline use. Tobacco consumption and money spent on tobacco halved by EoP with similar levels maintained at 6 months. Discarded butt smoking reduced. Using within-subjects analyses, all participants reported either the same or less symptoms of anxiety at EoP compared to baseline and 92% reported the same or less depressive symptoms.

CONCLUSIONS:

Integrating nurse support with readily accessible cessation interventions (government subsidized pharmacotherapy plus Quitline) was feasible and acceptable. While quit rates were low, treatment benefits included harm-reduction (reduced consumption and butt smoking), significant financial savings, and psychological benefits (improved or stable mood).

PMID:
26180225
DOI:
10.1093/ntr/ntv062
[Indexed for MEDLINE]

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