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IntEgrating Smoking Cessation treAtment into usual online psychological care for people with common mEntal illness: protocol for an online randomised feasibility and pilot study (ESCAPE Digital)

IntEgrating Smoking Cessation treAtment into usual online psychological care for people with common mEntal illness: protocol for an online randomised feasibility and pilot study (ESCAPE Digital)
IntEgrating Smoking Cessation treAtment into usual online psychological care for people with common mEntal illness: protocol for an online randomised feasibility and pilot study (ESCAPE Digital)
Background: in the UK, smoking prevalence in people with depression (34%) and anxiety (29%) is more than double that of the general population (13%). People who stop smoking improve their mental health with comparable effect sizes found for antidepressants. In England, online psychological therapy is a standard treatment for depression and anxiety. Online therapy is an acceptable setting for smoking cessation support; however, integrated smoking and mental health support is not available. This novel study aims to assess the acceptability and feasibility of an online smoking cessation intervention, and trial procedures, offered alongside online mental health treatment as it offers increased reach to people with common mental health difficulties who smoke.

Methods: a two-armed; Intervention (Integrated SilverCloud smoking cessation support) and control group (SilverCloud usual care), pragmatic, randomised controlled feasibility trial. We aim to recruit 500 adult smokers eligible for online mental health treatment. Follow-up will be conducted at 3-months and 6-months. We will assess the acceptability and feasibility of the trial procedures (i.e., recruitment, data completeness, self-reported acceptability and satisfaction) and the intervention (i.e., self-reported quit attempt, engagement with the smoking cessation and mental health programs, smoking cessation medicine and e-cigarette use, self-reported acceptability and satisfaction) and pilot clinical outcomes (i.e., biologically validated smoking abstinence, anxiety, depression, quality of health).

Conclusion: if the Trial is successful, a randomised controlled effectiveness trial will follow to examine whether integrated smoking cessation and mental health treatment increases smoking abstinence and improves depression and anxiety compared to usual care.
1551-7144
Blackwell, Anna
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Daryan, Shadi
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Roy, Deborah
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Duffy, Daniel
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Hisler, Garrett
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Sawyer, Katherine
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Ainsworth, Ben
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Richards, Derek
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Hiscock, Douglas
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Papadakis, Sophia
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Munafo, M.R.
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Jacobsen, Pamela
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Aveyard, Paul
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Taylor, Gemma
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Blackwell, Anna
a0a4a87a-0b06-420b-85d1-35f9d9ed8f88
Daryan, Shadi
a984ce8b-f640-4869-be6f-70582011d69c
Roy, Deborah
38787770-e4cd-487c-bef0-08f256425d80
Duffy, Daniel
fc364766-253d-40b8-b072-9affd6f1bdf1
Hisler, Garrett
16fd7edc-836c-495f-9af2-d96d6acfd8fd
Sawyer, Katherine
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Ainsworth, Ben
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Richards, Derek
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Hiscock, Douglas
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Papadakis, Sophia
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Munafo, M.R.
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Jacobsen, Pamela
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Aveyard, Paul
cb22de2b-29bc-4886-8a00-6e68aea59509
Taylor, Gemma
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Blackwell, Anna, Daryan, Shadi, Roy, Deborah, Duffy, Daniel, Hisler, Garrett, Sawyer, Katherine, Ainsworth, Ben, Richards, Derek, Hiscock, Douglas, Papadakis, Sophia, Munafo, M.R., Jacobsen, Pamela, Aveyard, Paul and Taylor, Gemma (2024) IntEgrating Smoking Cessation treAtment into usual online psychological care for people with common mEntal illness: protocol for an online randomised feasibility and pilot study (ESCAPE Digital). Contemporary Clinical Trials. (In Press)

Record type: Article

Abstract

Background: in the UK, smoking prevalence in people with depression (34%) and anxiety (29%) is more than double that of the general population (13%). People who stop smoking improve their mental health with comparable effect sizes found for antidepressants. In England, online psychological therapy is a standard treatment for depression and anxiety. Online therapy is an acceptable setting for smoking cessation support; however, integrated smoking and mental health support is not available. This novel study aims to assess the acceptability and feasibility of an online smoking cessation intervention, and trial procedures, offered alongside online mental health treatment as it offers increased reach to people with common mental health difficulties who smoke.

Methods: a two-armed; Intervention (Integrated SilverCloud smoking cessation support) and control group (SilverCloud usual care), pragmatic, randomised controlled feasibility trial. We aim to recruit 500 adult smokers eligible for online mental health treatment. Follow-up will be conducted at 3-months and 6-months. We will assess the acceptability and feasibility of the trial procedures (i.e., recruitment, data completeness, self-reported acceptability and satisfaction) and the intervention (i.e., self-reported quit attempt, engagement with the smoking cessation and mental health programs, smoking cessation medicine and e-cigarette use, self-reported acceptability and satisfaction) and pilot clinical outcomes (i.e., biologically validated smoking abstinence, anxiety, depression, quality of health).

Conclusion: if the Trial is successful, a randomised controlled effectiveness trial will follow to examine whether integrated smoking cessation and mental health treatment increases smoking abstinence and improves depression and anxiety compared to usual care.

Text
24.02.24 ESCAPE_Digital_Clean manuscript - Accepted Manuscript
Restricted to Repository staff only until 12 April 2025.
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Accepted/In Press date: 12 April 2024

Identifiers

Local EPrints ID: 489224
URI: http://eprints.soton.ac.uk/id/eprint/489224
ISSN: 1551-7144
PURE UUID: 7aa45576-4a4d-4698-a4bf-f45cbc758c62
ORCID for Ben Ainsworth: ORCID iD orcid.org/0000-0002-5098-1092

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Date deposited: 18 Apr 2024 16:35
Last modified: 20 Apr 2024 01:47

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Contributors

Author: Anna Blackwell
Author: Shadi Daryan
Author: Deborah Roy
Author: Daniel Duffy
Author: Garrett Hisler
Author: Katherine Sawyer
Author: Ben Ainsworth ORCID iD
Author: Derek Richards
Author: Douglas Hiscock
Author: Sophia Papadakis
Author: M.R. Munafo
Author: Pamela Jacobsen
Author: Paul Aveyard
Author: Gemma Taylor

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