Abstract
Current evidence suggests it may be difficult for patients with chronic pain to quit smoking and, based on previous formative work, a 7-session individual and group-based cognitive behavioral (CB) intervention was developed. The primary aim of this randomized controlled pilot trial was to test the hypothesis that abstinence at month 6 would be greater among patients with chronic pain who received the CB intervention compared to a control condition. Upon admission to a 3-week interdisciplinary pain treatment (IPT) program, patients were randomized to receive the CB intervention (n= 30) or the control condition (n= 30). The 7-day point prevalence of self-reported smoking status was assessed at week 3 (upon completion of the 3-week IPT program) and at month 6 in an intent-to-treat analysis. At week 3, 30% (n= 9) of patients in the CB condition were abstinent from smoking compared to 10% (n= 3) in the control group (P= .104). At month 6, 20% (n= 6) of patients who received the CB intervention were abstinent compared to none in the control group (P= .024). At week 3, a significant group by time interaction effect was found where the CB patients experienced greater improvements in self-efficacy from baseline compared to the control group (P= .002). A greater proportion of patients randomized to the CB group completed the IPT program (P= .052). The findings of this pilot trial suggest that integration of a CB-based smoking abstinence intervention into ongoing pain therapy may be an effective treatment for smokers with chronic pain.
Original language | English (US) |
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Pages (from-to) | 593-599 |
Number of pages | 7 |
Journal | Addictive Behaviors |
Volume | 39 |
Issue number | 3 |
DOIs | |
State | Published - Mar 2014 |
Keywords
- Chronic pain
- Cognitive behavioral
- Randomized controlled trial
- Smoking abstinence
ASJC Scopus subject areas
- Medicine (miscellaneous)
- Clinical Psychology
- Toxicology
- Psychiatry and Mental health