Contingency management and cognitive behavior therapy for smoking cessation among veterans with posttraumatic stress disorder: Design and methodology of a randomized clinical trial.

Autor: Wells SY; Durham VA Healthcare System, Durham, NC, USA; VISN 6 Mid-Atlantic MIRECC, Durham, NC, USA., LoSavio ST; Durham VA Healthcare System, Durham, NC, USA; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA., Patel TA; Durham VA Healthcare System, Durham, NC, USA., Evans MK; Durham VA Healthcare System, Durham, NC, USA; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA., Beckham JC; Durham VA Healthcare System, Durham, NC, USA; VISN 6 Mid-Atlantic MIRECC, Durham, NC, USA; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA., Calhoun P; Durham VA Healthcare System, Durham, NC, USA; VISN 6 Mid-Atlantic MIRECC, Durham, NC, USA; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA., Dedert EA; Durham VA Healthcare System, Durham, NC, USA; VISN 6 Mid-Atlantic MIRECC, Durham, NC, USA; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA; Department of Veterans Affairs Office of Mental Health and Suicide Prevention, Washington, DC, USA. Electronic address: Eric.Dedert@va.gov.
Jazyk: angličtina
Zdroj: Contemporary clinical trials [Contemp Clin Trials] 2022 Aug; Vol. 119, pp. 106839. Date of Electronic Publication: 2022 Jun 26.
DOI: 10.1016/j.cct.2022.106839
Abstrakt: Background: Smoking is a prevalent concern among Veterans, especially those with posttraumatic stress disorder (PTSD). Despite the availability of interventions for smoking cessation, these treatments have not been as effective among Veteran populations, particularly Veterans with PTSD. The present study seeks to describe the methods of a randomized clinical trial examining the efficacy of CPT-SMART, a multidimensional treatment combining cognitive processing therapy (CPT) for PTSD, smoking cessation counseling, pharmacotherapy, and contingency management (CM) compared to a yoked comparison group.
Methods: One hundred twenty Veterans with PTSD who smoke cigarettes will be enrolled. All participants will receive CPT in addition to counseling and pharmacotherapy for smoking cessation. Participants will be randomized to the CPT-SMART condition, which includes monetary reinforcement that is contingent on bioverification of smoking abstinence (i.e., contingency management), or a yoked comparison with monetary reinforcement matched to the participant to whom they are yoked. The primary outcome is bioverified smoking abstinence at the 6-month follow-up appointment.
Conclusion: If shown efficacious, a combined PTSD and smoking treatment plus incentive-based approach for smoking could be implemented into specialty PTSD programs. The positive public health impact of reducing smoking among Veterans with PTSD could be enormous as it would prevent significant smoking-related morbidity and mortality.
(Copyright © 2022. Published by Elsevier Inc.)
Databáze: MEDLINE
Externí odkaz: