Increasing Cessation Motivation and Treatment Engagement Among Smokers in Pain: A Pilot Randomized Controlled Trial

Emily L. Zale, W. Michael Hooten, Stephen A. Maisto, Martin J. De Vita, Joseph W. Ditre

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

Tobacco smokers with co-occurring pain report greater difficulty quitting, face unique cessation challenges, and may benefit from targeted smoking interventions. We developed and tested a brief motivational intervention aimed at increasing knowledge of pain-smoking interrelations, motivation to quit, and cessation treatment engagement among smokers in pain. Nontreatment seeking daily cigarette smokers with chronic pain (N = 76, 57.9% women, 52.6% White) were randomized to the targeted or ask, advise, refer (AAR) intervention. The targeted intervention included personalized feedback and pain-smoking psychoeducation to help participants develop discrepancy between continued smoking and desired pain outcomes. At postintervention, the targeted intervention (vs. AAR) increased knowledge of pain-smoking interrelations and several indices of motivation to quit smoking (ps =.01). Participants who received the targeted intervention were also more likely to accept information about and report intention to engage evidence-based cessation treatments (ps =.05). Increased knowledge of pain-smoking interrelations mediated postintervention effects on motivation to quit and willingness to learn about treatments. At 1-month follow up, gains in knowledge of pain-smoking interrelations were maintained (p =.009). Participants who received the targeted intervention were more likely to report having subsequently engaged cessation treatment (p =.019), but this was not mediated by increased knowledge of pain-smoking interrelations. Smokers with chronic pain may benefit from targeted interventions that address smoking in the context of pain.

Original languageEnglish (US)
Pages (from-to)593-604
Number of pages12
JournalExperimental and Clinical Psychopharmacology
Volume29
Issue number6
DOIs
StatePublished - 2021

Keywords

  • Motivation
  • Pain
  • Smoking
  • Targeted intervention
  • Tobacco

ASJC Scopus subject areas

  • Pharmacology
  • Psychiatry and Mental health
  • Pharmacology (medical)

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