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Gepubliceerd in:
06-05-2023
Development of a targeted behavioral treatment for smoking cessation among individuals with Chronic Obstructive Pulmonary Disease
Auteurs: Amanda R. Mathew, Elizabeth F. Avery, Chelsea Cox, Patrick Nwanah, Ravi Kalhan, Brian Hitsman, Lynda H. Powell
Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 6/2023
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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.
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Metagegevens
- Titel
- Development of a targeted behavioral treatment for smoking cessation among individuals with Chronic Obstructive Pulmonary Disease
- Auteurs
-
Amanda R. Mathew
Elizabeth F. Avery
Chelsea Cox
Patrick Nwanah
Ravi Kalhan
Brian Hitsman
Lynda H. Powell
- Publicatiedatum
- 06-05-2023
- Uitgeverij
- Springer US
- Gepubliceerd in
-
Journal of Behavioral Medicine
/ Uitgave 6/2023
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521 - DOI
- https://doi.org/10.1007/s10865-023-00411-z
