Cue-based treatment for light smokers: A proof of concept pilot.
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INTRODUCTION:Light smoking (smoking ≤ 10 cigarettes per day or on some days) has become increasingly prevalent in the US and increases morbidity and mortality. Many light smokers do not experience significant nicotine withdrawal but instead smoke in response to cues. Minimal evidence exists supporting interventions to help light smokers quit smoking. METHODS:We present results from a proof-of-concept pilot study designed to evaluate the feasibility and acceptability of a cue-based smoking cessation intervention targeted to light daily and intermittent smokers. Participants were randomized to one of two arms: Arm 1) standard smoking cessation treatment or Arm 2) standard smoking cessation treatment + enhanced cue-based treatment that included interactive texting to extend cue exposure treatment to real-world settings and cue management counseling.Outcomes included feasibility (number of participants who were recruited and who completed the intervention), acceptability (intervention ratings), and preliminary efficacy (7-day point prevalence abstinence). RESULTS:We randomized 24 English and Spanish-speaking light smokers, 13 to the treatment arm and 11 to the control arm. Across both arms, 77% attended all counseling sessions, 90% rated these sessions as very useful and 100% said that they would recommend the intervention to a friend. 15% in the treatment arm had biochemically-validated smoking abstinence compared to 0% in the standard counseling arm. CONCLUSIONS:Results from this proof-of-concept study demonstrated that a cue-based intervention is feasible and acceptable among light smokers and suggests the need for a fully powered study to assess this approach. TRIAL REGISTRATION:This study is registered at www.clinicaltrials.gov NCT03416621.
Published Version (Please cite this version)10.1016/j.addbeh.2020.106717
Publication InfoPollak, Kathryn I; Oliver, Jason A; Pieper, Carl; Davis, James M; Gao, Xiaomei; Noonan, Devon; ... Fish, Laura J (2020). Cue-based treatment for light smokers: A proof of concept pilot. Addictive behaviors. pp. 106717. 10.1016/j.addbeh.2020.106717. Retrieved from https://hdl.handle.net/10161/21666.
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Associate Professor of Medicine
Dr. James Davis is a practicing physician of Internal Medicine, and serves as the Medical Director for Duke Center for Smoking Cessation, Director of the Duke Smoking Cessation Program and Co-Director of the Duke-UNC Tobacco Treatment Specialist Credentialing Program. His research focuses on development of new pharmaceutical treatments for smoking cessation. He is principal investigator on several trials including a study on “adaptive” smoking cessation and several trials
Assistant Professor in Family Medicine and Community Health
Associate Professor in the School of Nursing
Dr. Devon Noonan joined the School of Nursing faculty in 2013. She is a registered nurse and family nurse practitioner with over eight years of clinical practice in community health, occupational health, and pediatric/adolescent health settings. She received her BSN at Boston College, her MS in Nursing at Georgetown University, and her MPH and PhD at the University of Virginia. Dr. Noonan’s research contributions have focused on understanding health behaviors and developing heal
Professor in Population Health Sciences
Dr. Pollak is a social psychologist who designs and tests behavioral interventions to promote smoking cessation, reduce health disparities, and improve clinician-patient communication. She also is one of the heads of the Palliative Care Research Cooperative that supports multi-site palliative care trials. Finally, Dr. Pollak serves as a Communication Coach where she teaches clinicians effective communication techniques.Area of expertise: Health Behavior
Alphabetical list of authors with Scholars@Duke profiles.