Research Article

Integrating the “Quit and Stay Quit Monday” Model into Smoking Cessation Services for Smokers with Mental Health Conditions: A Pilot Randomized Controlled Trial

Table 4

Intervention satisfaction and engagement among intervention group participants who responded to the follow-up survey.

Variable (%)Positive themes regarding intervention content (example quotes)Negative themes regarding intervention delivery (example quotes)

Recalled speaking with a counselor19 (79.2%)“The encouragement when I messed up. She encouraged me that it’s not the end of world and just start over.”
“Empathy and sensitivity. She had a great range of tools from behavioral changes to keeping records.”
“I think the fact that the person was going to call and I think that the conversation about cigarettes make you think differently. To have a conversation makes me want to be accountable.”
“I needed two more sessions. The sessions needed to be longer. After two days past Monday, I picked up another cigarette. When I put Monday as my set date, I did not get a chance to come back to her. I needed two more weeks of counseling and support.”
Helpfulness of counseling
 Very6 (31.6%)
 Somewhat11 (57.9)
 Not at all2 (10.5%)

Recalled receiving QSQM emails13 (54.2%)“It lets you refresh yourself each time. With relapse and feeling badly, [the emails] were like ‘let us get back on the horse and do it again.’”
“Reminded me that it is not always a one-time thing as far as quitting. You may have to take a process.”
“It was reinforcing on days when I was feeling low and want to give up. I would read the emails and it would bring me back.”
“I would read it and skim through it, but it wasn’t effective communication for me.”
“Too many emails and constant reminder to smoke.”
Helpfulness of emails
 Very4 (30.8%)
 Somewhat5 (38.5%)
 Not at all4 (30.8%)
Frequency of emails
 About right9 (69.2%)
 Too many2 (15.4%)
 Too few2 (15.4%)
Long-term enrollment in emails
 Still receiving emails13 (100.0%)
 Unsubscribed from emails early0 (0.0%)

Recalled receiving text messages14 (58.3%)“The messages were reassuring and supportive and provided a good point of view.”
“It was a good alternative and helped me remain positive. I never had this option before and it just gives you something positive like how to channel something, simple things but it really helps reinforce it.”
“It helps you not judge yourself and take things one day at a time. It was helpful to remind me to keep trying to quit.”
“The texts would remind me to start smoking. If you are in the moment of not smoking or thinking about it, it reminded me to smoke.”
“Just that they are text messages—information was great but it would’ve been better if it was a person.”
“Didn’t work with a change of quit date.”
Helpfulness of texts
 Very6 (42.9%)
 Somewhat3 (21.4%)
 Not at all5 (35.7%)
Frequency of texts
 About right10 (66.7%)
 Too many2 (13.3%)
 Too few3 (20.0%)
Completion of texting program
 Completed texting program8 (57.1%)
 Unsubscribed from texts early6 (42.9%)