Implementation of stop smoking support by mental healthcare professionals: cross-sectional analysis of why nothing much happens

Abstract Smoking is highly prevalent and persistent among people with mental illness, but implementation of smoking cessation care by mental healthcare professionals (MHCPs) is lagging behind. This study took a broad approach to understanding implementation of stop smoking support (SSS) by MHCPs (N ...

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Main Author: Eline Meijer
Format: Article
Language:English
Published: Springer 2025-01-01
Series:Discover Mental Health
Subjects:
Online Access:https://doi.org/10.1007/s44192-025-00135-3
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author Eline Meijer
author_facet Eline Meijer
author_sort Eline Meijer
collection DOAJ
description Abstract Smoking is highly prevalent and persistent among people with mental illness, but implementation of smoking cessation care by mental healthcare professionals (MHCPs) is lagging behind. This study took a broad approach to understanding implementation of stop smoking support (SSS) by MHCPs (N = 220 for main analyses), incorporating background characteristics, psychosocial factors, client factors, and organizational/environmental factors. Variable selection was based on previous work and the Consolidated Framework for Implementation Research. Cross-sectional survey data were collected online in the Netherlands from 2021 to 2022, and analyzed using logistic regression and regression tree analyses. Participants were 81 nurses, 74 psychologists, 40 psychiatrists, 12 child psychologists and 13 other MHCPs; aged 42 on average, 24% male, 14% currently smoked and 32% quit smoking. Results show that most MHCPs do not ask about smoking, do not advise or motivate clients to quit smoking, and do not refer clients motivated to quit to SSS. In order to improve this situation, proactive efforts should be undertaken to target MHCPs’ perceptions of clients’ responsibility and quit success, preferably through strategies that reach MHCPs regardless of their affinity with SSS, taking MHCPs’ profession and own smoking status into account.
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spelling doaj-art-1756c36b48e14330824e9c96e3e6f3ba2025-01-26T12:17:25ZengSpringerDiscover Mental Health2731-43832025-01-015111710.1007/s44192-025-00135-3Implementation of stop smoking support by mental healthcare professionals: cross-sectional analysis of why nothing much happensEline Meijer0Public Health and Primary Care, Leiden University Medical CenterAbstract Smoking is highly prevalent and persistent among people with mental illness, but implementation of smoking cessation care by mental healthcare professionals (MHCPs) is lagging behind. This study took a broad approach to understanding implementation of stop smoking support (SSS) by MHCPs (N = 220 for main analyses), incorporating background characteristics, psychosocial factors, client factors, and organizational/environmental factors. Variable selection was based on previous work and the Consolidated Framework for Implementation Research. Cross-sectional survey data were collected online in the Netherlands from 2021 to 2022, and analyzed using logistic regression and regression tree analyses. Participants were 81 nurses, 74 psychologists, 40 psychiatrists, 12 child psychologists and 13 other MHCPs; aged 42 on average, 24% male, 14% currently smoked and 32% quit smoking. Results show that most MHCPs do not ask about smoking, do not advise or motivate clients to quit smoking, and do not refer clients motivated to quit to SSS. In order to improve this situation, proactive efforts should be undertaken to target MHCPs’ perceptions of clients’ responsibility and quit success, preferably through strategies that reach MHCPs regardless of their affinity with SSS, taking MHCPs’ profession and own smoking status into account.https://doi.org/10.1007/s44192-025-00135-3SmokingMental illnessImplementationStop smoking supportMental healthcare professionals
spellingShingle Eline Meijer
Implementation of stop smoking support by mental healthcare professionals: cross-sectional analysis of why nothing much happens
Discover Mental Health
Smoking
Mental illness
Implementation
Stop smoking support
Mental healthcare professionals
title Implementation of stop smoking support by mental healthcare professionals: cross-sectional analysis of why nothing much happens
title_full Implementation of stop smoking support by mental healthcare professionals: cross-sectional analysis of why nothing much happens
title_fullStr Implementation of stop smoking support by mental healthcare professionals: cross-sectional analysis of why nothing much happens
title_full_unstemmed Implementation of stop smoking support by mental healthcare professionals: cross-sectional analysis of why nothing much happens
title_short Implementation of stop smoking support by mental healthcare professionals: cross-sectional analysis of why nothing much happens
title_sort implementation of stop smoking support by mental healthcare professionals cross sectional analysis of why nothing much happens
topic Smoking
Mental illness
Implementation
Stop smoking support
Mental healthcare professionals
url https://doi.org/10.1007/s44192-025-00135-3
work_keys_str_mv AT elinemeijer implementationofstopsmokingsupportbymentalhealthcareprofessionalscrosssectionalanalysisofwhynothingmuchhappens