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- Title
Development of a targeted behavioral treatment for smoking cessation among individuals with Chronic Obstructive Pulmonary Disease.
- Authors
Mathew, Amanda R.; Avery, Elizabeth F.; Cox, Chelsea; Nwanah, Patrick; Kalhan, Ravi; Hitsman, Brian; Powell, Lynda H.
- Abstract
Objective: Smoking cessation for individuals with Chronic Obstructive Pulmonary Disease (COPD) is medically critical, but smoking for coping motives is a common barrier. Method: In this evaluation of three treatment components (Mindfulness, Practice Quitting, and Countering Emotional Behaviors), we conducted two studies guided by the ORBIT model. Study 1 was a single-case design experiment (N = 18); Study 2 was a pilot feasibility study (N = 30). In both studies, participants were randomized to receive one of the three treatment modules. Study 1 examined implementation targets, changes in smoking for coping motives, and changes in smoking rate. Study 2 examined overall feasibility and participant-rated acceptability, and changes in smoking rate. Results: Study 1: Treatment implementation targets were met by 3/5 Mindfulness participants, 2/4 Practice Quitting participants, and 0/6 Countering Emotional Behaviors participants. The Practice Quitting condition led to 100% of participants meeting the clinically significant threshold in smoking for coping motives. Incidence of quit attempts ranged from 0–50%, and smoking rate was reduced by 50% overall. Study 2: Recruitment and retention met feasibility targets, with 97% of participants completing all four treatment sessions. Participants reported high treatment satisfaction by qualitative responses and rating scales (M = 4.8/ 5.0). Incidence of quit attempts ranged from 25–58%, and smoking rate was reduced by 56% overall. Conclusions: These two small-N studies provide complementary findings on internal validity and implementation of the novel intervention. While Study 1 provided initial support for plausibility of clinically significant change, Study 2 provided data on key feasibility parameters. Implications: Smoking cessation for individuals with COPD is medically critical. We conducted an early-phase evaluation of a novel behavioral treatment focused on reducing smoking for coping motives. Results provided initial support for plausibility of clinically significant change and feasibility of the intervention.
- Subjects
MINDFULNESS; PILOT projects; SMOKING cessation; HUMAN research subjects; PATIENT participation; MOTIVATION (Psychology); PATIENT selection; PATIENT satisfaction; AVOIDANCE (Psychology); RANDOMIZED controlled trials; OBSTRUCTIVE lung diseases; DESCRIPTIVE statistics; RESEARCH funding; PSYCHOLOGICAL adaptation; STATISTICAL sampling
- Publication
Journal of Behavioral Medicine, 2023, Vol 46, Issue 6, p1010
- ISSN
0160-7715
- Publication type
Article
- DOI
10.1007/s10865-023-00411-z