Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Health Warnings in Patients with Psychosis

Does use of pictures or videos make a difference?

Young people with psychotic disorders respond positively to health warnings, according to a study involving 148 participants with recent onset psychosis (ROP) (n=69) and healthy controls (n=79).

Patients were interviewed regarding tobacco use, health literacy, and smoking knowledge at baseline. They then viewed 10 pictorial messages and 8 videos, and were interviewed again 4 weeks later.

Among the results:

• 49.3% of those with ROP were smokers, vs 10.1% in the control group; the ROP group had less health literacy and knowledge of smoking’s effects on health.

• Picture and video warnings were equally effective for both groups.

• Those with ROP were more likely to see warnings as effective vs those in the control group; likewise, nonsmokers were more likely than smokers to view the warnings as effective.

An assessment of 33 smokers at follow-up showed that:

• 5 identified as nonsmokers.

• 15 made a quit attempt.

• 6 said that the warnings influenced their smoking.

Citation: Coletti D, Brunette M, John M, et al. Responses to tobacco smoking-related health messages in young people with recent-onset schizophrenia. Schizophr Bull. 2015;41(6):1256-1265.