Smoking Cessation for Pregnant Smokers: Development and Pilot Test of an Emotion Regulation Treatment Supplement to Standard Smoking Cessation for Negative Affect Smokers
| Autor: | Kim S. Slosman, Stephen A. Maisto, Paul R. Stasiewicz, Melanie Ruszczyk, Paulette Giarratano, Rina D. Eiden, Joseph F. Lucke, Clara M. Bradizza, Thomas H. Brandon, Yue Zhuo |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment media_common.quotation_subject Emotions Population Psychological intervention Pilot Projects Self-Control law.invention Young Adult 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Pregnancy law Internal medicine Humans Medicine 030212 general & internal medicine Young adult Cotinine education Poverty Original Investigation media_common Motivation education.field_of_study 030505 public health Cognitive Behavioral Therapy business.industry Smoking Public Health Environmental and Occupational Health Tobacco Use Disorder Patient Acceptance of Health Care Abstinence Cognitive behavioral therapy Affect Cognitive therapy Feasibility Studies Smoking cessation Female Smoking Cessation Pregnant Women 0305 other medical science business |
| Zdroj: | Nicotine & Tobacco Research. 19:578-584 |
| ISSN: | 1469-994X 1462-2203 |
| DOI: | 10.1093/ntr/ntw398 |
| Popis: | Introduction Negative affect has been identified as a factor influencing continued smoking during pregnancy. In this study, a multi-component emotion regulation intervention was developed to address negative emotional smoking triggers and pilot-tested among low-income pregnant smokers. Treatment feasibility and acceptability, cotinine-verified rates of smoking cessation, and self-report of mean cigarettes smoked were assessed. Methods Pregnant smokers who self-reported smoking in response to negative affect (N = 70) were randomly assigned to receive one of two 8-session interventions: (1) emotion regulation treatment combined with standard cognitive-behavioral smoking cessation (ERT + CBT) or (2) a health and lifestyle plus standard smoking cessation active control (HLS + CBT). Outcomes for the 4-month period following the quit date are reported. Results Treatment attendance and subjective ratings provide evidence for the feasibility and acceptability of the ERT + CBT intervention. Compared with the HLS + CBT control condition, the ERT + CBT condition demonstrated higher abstinence rates at 2 months (ERT + CBT = 23% vs. HLS + CBT = 0%, OR = 13.51; 95% CI = 0.70-261.59) and 4 months (ERT = 18% vs. HLS = 5%; OR = 2.98; 95% CI = 0.39-22.72) post-quit. Mean number of cigarettes per day was significantly lower in ERT + CBT at 2 months (ERT + CBT = 2.73 (3.35) vs. HLS + CBT = 5.84 (6.24); p = .05) but not at 4 months (ERT + CBT = 2.15 (3.17) vs. HLS + CBT = 5.18 (2.88); p = .06) post-quit. Conclusions The development and initial test of the ERT + CBT intervention supports its feasibility and acceptability in this difficult-to-treat population. Further development and testing in a Stage II randomized clinical trial are warranted. Implications Negative affect has been identified as a motivator for continued smoking during pregnancy. To date, smoking cessation interventions for pregnant smokers have not specifically addressed the role of negative affect as a smoking trigger. This treatment development pilot study provides support for the feasibility and acceptability of a multi-component ERT + CBT for low-income pregnant smokers who self-report smoking in response to negative affect. Study findings support further testing in a fully-powered Stage II efficacy trial powered to assess mediators and moderators of treatment effects. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|