RT Journal Article T1 Smoking cessation opportunities in severe mental illness (tobacco intensive motivational and estimate risk - TIMER-): study protocol for a randomized controlled trial A1 Jaén-Moreno, María José A1 Feu, Nuria A1 Redondo-Écija, Justa A1 Montiel, Francisco Javier A1 Gómez, Cristina A1 Del Pozo, Gloria I A1 Alcalá, Jose Ángel A1 Gutiérrez-Rojas, Luis A1 Balanzá-Martinez, Vicente A1 Chauca, Geli Marie A1 Carrión, Laura A1 Osuna, Maria Isabel A1 Sánchez, María Dolores A1 Caro, Inmaculada A1 Ayora, Miriam A1 Valdivia, Francisca A1 López, María Soledad A1 Poyato, Jose Manuel A1 Sarramea, Fernando K1 Schizophrenia K1 Bipolar disorder K1 Tobacco cessation K1 Chronic obstructive pulmonary disease K1 Screening K1 Mobile technology K1 Wireless technology K1 Esquizofrenia K1 Trastorno bipolar K1 Cese del uso del tabaco K1 Enfermedad pulmonar obstructiva crónica K1 Tecnología inalámbrica AB Background: There is an increased risk of premature death in people with severe mental illness (SMI). Respiratory disorders and cardiovascular disease are leading causes of increased mortality rates in these patients, and tobacco consumption remains the most preventable risk factor involved. Developing new tools to motivate patients towards cessation of smoking is a high priority. Information on the motivational value of giving the lung age and prevention opportunities is unknown in this high-risk population.Methods/design: This article describes in detail a protocol developed to evaluate an intensive motivational tool, based on the individual risks of pulmonary damage and prevention opportunities. It is designed as a randomized, 12-month, follow-up, multicenter study. A minimum of 204 smokers will be included, aged 40 years and older, all of whom are patients diagnosed with either schizophrenia or bipolar disorder (BD). Chronic obstructive pulmonary disease (COPD) will be evaluated using spirometry, and the diagnosis will then be validated by a pneumologist and the lung age estimated. Based on this value, a motivational message about prevention will be issued for the intervention group, which will be reinforced by individualized text messages over a period of 3 months. The efficacy of the method and the pulmonary damage variables will be evaluated: smoking cessation at the end of follow-up will be confirmed by cooximetry, and the COPD diagnosis and the severity of the staging for disease will be assessed.Discussion: In the context of community care, screening and early detection of lung damage could potentially be used, together with mobile technology, in order to produce a prevention message, which may provide patients with SMI with a better chance of quitting smoking. PB BioMed Central YR 2019 FD 2019-01-14 LK http://hdl.handle.net/10668/3133 UL http://hdl.handle.net/10668/3133 LA en NO Jaén-Moreno MJ, Feu N, Redondo-Écija J, Montiel FJ, Gómez C, Del Pozo CI, et al. Smoking cessation opportunities in severe mental illness (tobacco intensive motivational and estimate risk — TIMER—): study protocol for a randomized controlled trial. Trials. 2019;20(1):47. DS RISalud RD Apr 8, 2025