Jaén-Moreno, María JoséFeu, NuriaRedondo-Écija, JustaMontiel, Francisco JavierGómez, CristinaDel Pozo, Gloria IAlcalá, Jose ÁngelGutiérrez-Rojas, LuisBalanzá-Martinez, VicenteChauca, Geli MarieCarrión, LauraOsuna, Maria IsabelSánchez, María DoloresCaro, InmaculadaAyora, MiriamValdivia, FranciscaLópez, María SoledadPoyato, Jose ManuelSarramea, Fernando2020-06-082020-06-082019-01-14Jaén-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.http://hdl.handle.net/10668/3133Background: 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.enSchizophreniaBipolar disorderTobacco cessationChronic obstructive pulmonary diseaseScreeningMobile technologyWireless technologyEsquizofreniaTrastorno bipolarCese del uso del tabacoEnfermedad pulmonar obstructiva crónicaTecnología inalámbricaMedical Subject Headings::Psychiatry and Psychology::Mental Disorders::Mood Disorders::Affective Disorders, Psychotic::Bipolar DisorderMedical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Behavior::Health BehaviorMedical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::HumansMedical Subject Headings::Anatomy::Respiratory System::LungMedical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::MotivationMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Evaluation Studies as Topic::Clinical Trials as Topic::Multicenter Studies as TopicMedical Subject Headings::Anthropology, Education, Sociology and Social Phenomena::Education::Education, Nonprofessional::Health Education::Patient Education as TopicMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Cohort Studies::Longitudinal Studies::Prospective StudiesMedical Subject Headings::Diseases::Respiratory Tract Diseases::Lung Diseases::Lung Diseases, Obstructive::Pulmonary Disease, Chronic ObstructiveMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Evaluation Studies as Topic::Clinical Trials as Topic::Controlled Clinical Trials as Topic::Randomized Controlled Trials as TopicMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Data Collection::Health Surveys::Health Status Indicators::Patient Acuity::Severity of Illness IndexMedical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Behavior::Tobacco Use::SmokingMedical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Behavior::Tobacco Use::Tobacco Use Cessation::Smoking CessationMedical Subject Headings::Geographical Locations::Geographic Locations::Europe::SpainMedical Subject Headings::Information Science::Information Science::Communications Media::Telecommunications::Telephone::Cellular Phone::Text MessagingMedical Subject Headings::Phenomena and Processes::Physical Phenomena::Time::Time FactorsMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Prognosis::Treatment OutcomeMedical Subject Headings::Psychiatry and Psychology::Mental Disorders::Schizophrenia and Disorders with Psychotic Features::SchizophreniaMedical Subject Headings::Psychiatry and Psychology::Behavioral Disciplines and Activities::Schizophrenic Psychologyresearch article30642365open access10.1186/s13063-018-3139-91745-6215PMC6332915