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Cue-based treatment for light smokers: A proof of concept pilot.
Abstract
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.
Type
Journal articlePermalink
https://hdl.handle.net/10161/21666Published Version (Please cite this version)
10.1016/j.addbeh.2020.106717Publication Info
Pollak, 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.This is constructed from limited available data and may be imprecise. To cite this
article, please review & use the official citation provided by the journal.
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Show full item recordScholars@Duke
James Davis
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
Laura Jane Fish
Assistant Professor in Family Medicine and Community Health
Isa Granados
Student
Isa Granados is a PhD Student at the Department of Population Health Sciences in the
Duke University School of Medicine. Isa graduated from Duke University School of Medicine in
2021 where she received a Master of Science in Population Health Sciences. Isa graduated
from the University of North Carolina at Chapel Hill in 2017 where she double majored
in Psychology and Global Studies and minored in History. Isa is interested in improving
health outcomes among children and adults with obesity
Devon Noonan
Dorothy L. Powell Term Chair of Nursing
Dr. Noonan is a nurse scientist, certified addictions nurse and an Associate Professor
in the Duke School of Nursing. She received her BSN at Boston College, her MS in Nursing
at Georgetown University, her MPH and PhD at the University of Virginia and completed
a Post-Doctoral Fellowship at the University of Michigan. Dr. Noonan’s research is
focused on using community-engaged approaches to develop innovative health behavior
change interventions, including digital interventions, with the g
Jason A Oliver
Adjunct Assistant Professor in the Department of Psychiatry and Behavioral Sciences
Dr. Oliver is a clinical psychologist by training and is currently pursuing licensure
in North Carolina. He received his graduate degree from the University of South Florida
and completed his doctoral internship at Yale University School of Medicine. His research
focuses on understanding of addictive behaviors, with a particular emphasis on tobacco
use. His research program is heavily translational and includes both basic and clinical
components. He has experience conducting human laboratory res
Carl F. Pieper
Professor of Biostatistics & Bioinformatics
Analytic Interests. 1) Issues in the Design of Medical Experiments: I explore the
use of reliability/generalizability models in experimental design. In addition to
incorporation of reliability, I study powering longitudinal trials with multiple outcomes
and substantial missing data using Mixed models. 2) Issues in the Analysis of Repeated
Measures Designs & Longitudinal Data: Use of Hierarchical Linear Models (HLM) or Mixed
Models in modeling trajectories of multipl
Kathryn IIonka Pollak
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 Multiple Principal Investigators 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<br
Alphabetical list of authors with Scholars@Duke profiles.

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