TY - JOUR
AU - M. F. Brunette
AU - J. G. Bourassa
AU - J. C. Ferron
AU - K. A. Aschbrenner
AU - M. M. Santos
AU - M. A. Gowarty
AU - S. I. Pratt
A1 - 
AB - People with serious mental illness (SMI) are more likely to smoke and less likely to quit than the general population. More effective and accessible cessation treatments are needed to promote health and prevent disease in this disparity population. To this end, we optimized a multicomponent health promotion intervention tailored for people with SMI, Breathe Well, Live Well, and conducted a quasi-experimental program evaluation to assess program feasibility and effectiveness compared with a usual care comparison condition consisting of "The 3 As." Community mental health center staff trained as health coaches delivered eight telehealth Breathe Well, Live Well sessions over 4 months to individuals. Breathe Well, Live Well content included cognitive behavioral therapy (CBT)-based counseling, pharmacotherapy support, incentivized app use (National Cancer Institute's quitSTART), and social support person coaching. Participants were 170 integrated mental health and primary care service recipients with SMI who smoked daily; 53 Breathe Well, Live Well and 117 comparison participants were enrolled during February 2020 through July 2022. Effectiveness was measured via biologically verified abstinence; feasibility was measured via Breathe Well, Live Well intervention engagement. Participants of Breathe Well, Live Well were about three times more likely to be abstinent at follow-up compared with comparison participants. Among those still smoking, Breathe Well, Live Well participants were about five times more likely to have decreased their daily cigarette consumption by at least half. Intervention engagement was strong for pharmacotherapy, counseling, and incentivized quitSTART app use, indicating that these components were feasible to deliver by community mental health center staff.
AD - Dartmouth Health, Lebanon, NH, USA.; Geisel School of Medicine at Dartmouth, Hanover, NH, USA.; New Hampshire Department of Health and Human Services, Concord, NH, USA.
AN - 40575927
BT - Health Promot Pract
C5 - Opioids & Substance Use; Healthcare Disparities
DA - Jun 27
DO - 10.1177/15248399251348169
DP - NLM
ET - 20250627
JF - Health Promot Pract
LA - eng
N2 - People with serious mental illness (SMI) are more likely to smoke and less likely to quit than the general population. More effective and accessible cessation treatments are needed to promote health and prevent disease in this disparity population. To this end, we optimized a multicomponent health promotion intervention tailored for people with SMI, Breathe Well, Live Well, and conducted a quasi-experimental program evaluation to assess program feasibility and effectiveness compared with a usual care comparison condition consisting of "The 3 As." Community mental health center staff trained as health coaches delivered eight telehealth Breathe Well, Live Well sessions over 4 months to individuals. Breathe Well, Live Well content included cognitive behavioral therapy (CBT)-based counseling, pharmacotherapy support, incentivized app use (National Cancer Institute's quitSTART), and social support person coaching. Participants were 170 integrated mental health and primary care service recipients with SMI who smoked daily; 53 Breathe Well, Live Well and 117 comparison participants were enrolled during February 2020 through July 2022. Effectiveness was measured via biologically verified abstinence; feasibility was measured via Breathe Well, Live Well intervention engagement. Participants of Breathe Well, Live Well were about three times more likely to be abstinent at follow-up compared with comparison participants. Among those still smoking, Breathe Well, Live Well participants were about five times more likely to have decreased their daily cigarette consumption by at least half. Intervention engagement was strong for pharmacotherapy, counseling, and incentivized quitSTART app use, indicating that these components were feasible to deliver by community mental health center staff.
PY - 2025
SN - 1524-8399 (Print); 1524-8399
SP - 15248399251348169
ST - Program Evaluation for a Novel Multicomponent Smoking Cessation Intervention for Smokers With Serious Mental Illness
T1 - Program Evaluation for a Novel Multicomponent Smoking Cessation Intervention for Smokers With Serious Mental Illness
T2 - Health Promot Pract
TI - Program Evaluation for a Novel Multicomponent Smoking Cessation Intervention for Smokers With Serious Mental Illness
U1 - Opioids & Substance Use; Healthcare Disparities
U3 - 10.1177/15248399251348169
VO - 1524-8399 (Print); 1524-8399
Y1 - 2025
ER -