Integrated Smoking Cessation for Smokers With Serious Mental Illness: Protocol for a Convergent Mixed Methods...

Area of Science:

• Implementation Science
• Public Health
• Clinical Psychology

Background:

• Tobacco smoking significantly increases morbidity and mortality in individuals with serious mental illness (SMI).
• A pragmatic clinical trial tested academic detailing and community health worker support for smoking cessation in 1100 individuals with SMI.
• Scaling interventions requires identifying barriers, facilitators, subgroups, and setting-specific factors.

Purpose of the Study:

• To evaluate a pragmatic clinical trial using mixed methods.
• Identify barriers and facilitators to intervention implementation.
• Examine physician differences and anticipated stakeholder barriers.

Main Methods:

• Qualitative interviews with health workers, participants, providers, and stakeholders.
• Utilized the Consolidated Framework for Implementation Research for data collection and analysis.
• Joint display analyses to integrate quantitative and qualitative findings.

Main Results:

• The pragmatic trial analysis is underway.
• This mixed methods evaluation will provide insights into implementation.
• Results will inform dissemination, scaling, and expansion of the intervention.

Conclusions:

• Implementation evaluation results will guide dissemination strategies.
• Identify solutions for potential barriers to smoking cessation interventions in SMI populations.
• Inform future scale-up of effective smoking cessation programs.