Evidence map›Paper›PMID 40713742›Full record

Trial reportSubstance abuse treatment, prevention, and policy2025

Clearing the smoke: experiences of patients and professionals during a one-year smoking cessation intervention in ambulatory mental healthcare - a qualitative study.

Müge H Küçükaksu, Lola Jansen, Trynke Hoekstra, Sanne Helmig, Marcel C Adriaanse, Berno van Meijel

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Substance abuse treatment, prevention, and policy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Müge H KüçükaksuDepartment of Health Sciences and Amsterdam Public Health research institute, Vrije Universiteit Amsterdam, Amsterdam, Netherlands. m.kucukaksu@vu.nl.
Lola JansenDepartment of Health Sciences and Amsterdam Public Health research institute, Vrije Universiteit Amsterdam, Amsterdam, Netherlands.
Trynke HoekstraDepartment of Health Sciences and Amsterdam Public Health research institute, Vrije Universiteit Amsterdam, Amsterdam, Netherlands.
Sanne HelmigDepartment of Health Sciences and Amsterdam Public Health research institute, Vrije Universiteit Amsterdam, Amsterdam, Netherlands.
Marcel C AdriaanseDepartment of Health Sciences and Amsterdam Public Health research institute, Vrije Universiteit Amsterdam, Amsterdam, Netherlands.
Berno van MeijelDepartment of Psychiatry, Amsterdam UMC and Amsterdam Public Health research institute, Amsterdam, Netherlands.

Funding

Stichting tot Steun Vereniging tot Christelijke Verzorging van Geestes- en Zenuwzieken 258
6 · The paper itself

Abstract

backgroundTo further develop effective smoking cessation interventions within mental healthcare for people with severe mental illness (SMI), it is essential to gain insights into patients' experiences with smoking (cessation), and professionals' experiences with guiding patients in overcoming tobacco addiction.

methodsWe conducted 26 semi-structured interviews with 16 patients and 10 mental healthcare professionals (MHPs), as part of a one-year smoking cessation intervention. A purposive sampling strategy was applied to select the interviewees. All interviews were transcribed verbatim and thematically analysed using MAXQDA software. This study was embedded in a randomised controlled trial conducted in ambulatory mental healthcare in the Netherlands.

resultsPatients reported to smoke to cope with psychological distress and psychiatric symptoms, and to alleviate potential side effects of antipsychotic medication. For some patients low self-esteem and a lack of confidence in one's own capacity to quit smoking were obstacles to a quit attempt. Therefore, for those patients these were crucial aspects to address. Patients and MHPs valued the exercises based on cognitive behavioural therapy (CBT). During group sessions, establishing personalised relapse prevention strategies was regarded as effective preparation for a quit attempt. The group setting was welcomed, however, adjustments to individual needs and preferences are required to personalise the intervention.

conclusionsFindings highlight the need for personalised care in treating tobacco addiction among people with severe mental illness. The KISMET intervention may serve as a useful framework for tailored cessation support, informed by the diverse experiences presented in this study.

Indexed as

Mental DisordersSmoking CessationAdultAmbulatory CareCognitive Behavioral TherapyFemaleHumansMaleMental Health ServicesMiddle AgedNetherlandsQualitative ResearchAmbulatory mental healthcareSevere mental illnessSmoking cessationThematic analysesTobacco addiction

Identifiers

PMID40713742
PMCPMC12291415

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.