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.
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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
Devon Noonan
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
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 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.

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