Investigating the acceptability, feasibility and implementation of e-cigarettes as a viable tobacco harm reduction intervention for smokers with mental health conditions
University College London (University of London), 2021
Online
Hochschulschrift
Zugriff:
Over the past decade, smoking prevalence has steadily declined among the general population in England, yet remains disproportionately higher among the population of individuals with mental health conditions. E-cigarettes have become the most popular smoking cessation aids in England, and studies have suggested that they may support smokers with mental health conditions to quit. This thesis details a series of studies that aimed to explore the feasibility, acceptability and implementation of using e-cigarettes as a tobacco harm reduction (THR) intervention for smokers with mental health conditions. Study 1 was a cross-sectional quantitative study (n=40,295) which used data from the Health Survey for England (HSE). This study found that smokers and ex-smokers with mental health conditions were more likely to use e-cigarettes compared with individuals without mental health conditions. Study 2 (analysis 1) was a qualitative focus group study (n=36) which found that Mental Health Professionals (MHPs) experience challenges in addressing smoking with patients in mental health settings; lacking the capability (psychological), opportunity (physical and social) and motivation (automatic and reflective) to successfully address smoking with patients. Study 3 was a cross-sectional quantitative study (n=6,531) which used data from the Smoking Toolkit Study (STS). This study found that the majority of smokers in England held inaccurate harm perceptions of e-cigarettes and highlighted that this did not differ between smokers with and without mental health conditions. Study 2 (analysis 2) was a qualitative focus group study (n=39) which found that MHPs generally adopt a risk-averse approach when judging the safety and suitability of e-cigarettes, influenced by: perceived obscurity surrounding e-cigarettes and tobacco harm reduction; high exposure to adverse and unreliable information regarding e-cigarettes; and perceived analogies between e-cigarettes and conventional cigarettes. Study 4 was a qualitative interview study (n=14) which identified barriers and facilitators that impact smokers with mental health conditions' perceptions and ability to engage in THR and e-cigarette use; enablement (psychological, physical, social and financial), health-related ambivalence, and patient agency. Together, these findings informed the development of a pilot RCT protocol which aims to explore the feasibility, acceptability and implementation of using e-cigarettes as a THR intervention for smokers with mental health conditions.
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Investigating the acceptability, feasibility and implementation of e-cigarettes as a viable tobacco harm reduction intervention for smokers with mental health conditions
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Autor/in / Beteiligte Person: | Smith, Charlie Albert |
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Veröffentlichung: | University College London (University of London), 2021 |
Medientyp: | Hochschulschrift |
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