Trial Outcomes & Findings for Behavioral Activation for Smoking Cessation and the Prevention of Post-Cessation Weight Gain (NCT NCT02906787)

NCT ID: NCT02906787

Last Updated: 2024-05-29

Results Overview

Smoking abstinence (primary outcome) will be assessed and biochemically verified at the End of Treatment Visit (week 8), at 12 and 26 weeks after the target quit date. The primary smoking outcome variable will be 7-day point prevalence abstinence (no smoking, not even a puff, for at least 7 days prior to the assessment) biochemically verified by CO \< 5 ppm at End of Treatment (week 8), and by saliva cotinine \< 15ng/ml at the 12- and 26-week follow-up.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

288 participants

Primary outcome timeframe

Through Study Completion (End of Treatment Visit, 12-Week Follow-Up Visit, and 26-Week Follow-Up Visit)

Results posted on

2024-05-29

Participant Flow

Participant milestones

Participant milestones
Measure
BAS+
Participants will attend 8 counseling sessions and receive a behavioral activation intervention to smoking cessation and to post-cessation weight gain (BAS+). BAS+: The goal of the BAS+ is to maintain a level of overall reward after cessation by structuring and enhancing opportunities for reinforcement to: (1) ensure that not smoking is as reinforcing as smoking; and (2) prevent an over-reliance on food as a substitute reinforcer for smoking so that PCWG does not precipitate smoking relapse.
Standard SC
Participants will attend 8 counseling sessions and receive standard smoking cessation counseling (SC). SC: Overeating and weight gain are common concerns reported during smoking cessation treatment. Per convention, SC will address these concerns through standard recommendations to consume low-calorie snack foods, drink water, eat nutritious meals, and exercise, but will not include skills to shape the use of these suggestions.
Overall Study
STARTED
142
146
Overall Study
EOT
106
112
Overall Study
3-month Follow-up
106
114
Overall Study
Enrolled in Neuroimaging Sub-study
31
28
Overall Study
Neuroimaging Sub-study: Completed Scan 1
30
26
Overall Study
Neuroimaging Sub-study: Completed Scan 2
25
20
Overall Study
Neuroimaging Sub-study: Completed EOT
25
20
Overall Study
Neuroimaging Sub-study: Completed 12-Week Follow-up
25
20
Overall Study
Completed Neuroimaging Sub-study
25
20
Overall Study
COMPLETED
106
114
Overall Study
NOT COMPLETED
36
32

Reasons for withdrawal

Reasons for withdrawal
Measure
BAS+
Participants will attend 8 counseling sessions and receive a behavioral activation intervention to smoking cessation and to post-cessation weight gain (BAS+). BAS+: The goal of the BAS+ is to maintain a level of overall reward after cessation by structuring and enhancing opportunities for reinforcement to: (1) ensure that not smoking is as reinforcing as smoking; and (2) prevent an over-reliance on food as a substitute reinforcer for smoking so that PCWG does not precipitate smoking relapse.
Standard SC
Participants will attend 8 counseling sessions and receive standard smoking cessation counseling (SC). SC: Overeating and weight gain are common concerns reported during smoking cessation treatment. Per convention, SC will address these concerns through standard recommendations to consume low-calorie snack foods, drink water, eat nutritious meals, and exercise, but will not include skills to shape the use of these suggestions.
Overall Study
Withdrawal by Subject
12
10
Overall Study
Missed
24
22

Baseline Characteristics

Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
BAS+
n=142 Participants
Participants will attend 8 counseling sessions and receive a behavioral activation intervention to smoking cessation and to post-cessation weight gain (BAS+). BAS+: The goal of the BAS+ is to maintain a level of overall reward after cessation by structuring and enhancing opportunities for reinforcement to: (1) ensure that not smoking is as reinforcing as smoking; and (2) prevent an over-reliance on food as a substitute reinforcer for smoking so that PCWG does not precipitate smoking relapse.
Standard SC
n=146 Participants
Participants will attend 8 counseling sessions and receive standard smoking cessation counseling (SC). SC: Overeating and weight gain are common concerns reported during smoking cessation treatment. Per convention, SC will address these concerns through standard recommendations to consume low-calorie snack foods, drink water, eat nutritious meals, and exercise, but will not include skills to shape the use of these suggestions.
Total
n=288 Participants
Total of all reporting groups
Age, Continuous
Main Study Participants
46.01 years
STANDARD_DEVIATION 12.30 • n=142 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
45.97 years
STANDARD_DEVIATION 12.01 • n=146 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
45.99 years
STANDARD_DEVIATION 12.13 • n=288 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
Age, Continuous
Sub-Study Participants
45.56 years
STANDARD_DEVIATION 12.66 • n=25 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
42.32 years
STANDARD_DEVIATION 10.49 • n=19 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
44.11 years
STANDARD_DEVIATION 11.75 • n=44 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
Sex: Female, Male
Main Study Participants · Female
57 Participants
n=142 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
62 Participants
n=146 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
119 Participants
n=288 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
Sex: Female, Male
Main Study Participants · Male
85 Participants
n=142 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
84 Participants
n=146 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
169 Participants
n=288 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
Sex: Female, Male
Sub-Study Participants · Female
10 Participants
n=25 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
7 Participants
n=19 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
17 Participants
n=44 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
Sex: Female, Male
Sub-Study Participants · Male
15 Participants
n=25 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
12 Participants
n=19 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
27 Participants
n=44 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
Race/Ethnicity, Customized
Main Study Participants · Black/African American
85 Participants
n=142 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
86 Participants
n=146 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
171 Participants
n=288 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
Race/Ethnicity, Customized
Main Study Participants · White
51 Participants
n=142 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
50 Participants
n=146 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
101 Participants
n=288 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
Race/Ethnicity, Customized
Main Study Participants · Unknown or not reported
6 Participants
n=142 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
10 Participants
n=146 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
16 Participants
n=288 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
Race/Ethnicity, Customized
Sub-Study Participants · Black/African American
11 Participants
n=25 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
8 Participants
n=19 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
19 Participants
n=44 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
Race/Ethnicity, Customized
Sub-Study Participants · White
14 Participants
n=25 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
8 Participants
n=19 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
22 Participants
n=44 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
Race/Ethnicity, Customized
Sub-Study Participants · Unknown or not reported
0 Participants
n=25 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
3 Participants
n=19 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
3 Participants
n=44 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
Education
Main Study Participants · HS Graduate or less
51 Participants
n=142 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
54 Participants
n=146 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
105 Participants
n=288 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
Education
Main Study Participants · Some College
55 Participants
n=142 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
54 Participants
n=146 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
109 Participants
n=288 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
Education
Main Study Participants · College Graduate
36 Participants
n=142 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
38 Participants
n=146 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
74 Participants
n=288 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
Education
Sub-Study Participants · HS Graduate or less
8 Participants
n=25 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
4 Participants
n=19 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
12 Participants
n=44 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
Education
Sub-Study Participants · Some College
6 Participants
n=25 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
10 Participants
n=19 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
16 Participants
n=44 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
Education
Sub-Study Participants · College Graduate
11 Participants
n=25 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
5 Participants
n=19 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
16 Participants
n=44 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
Income
Main Study Participants · < $20,000
54 Participants
n=142 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
45 Participants
n=146 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
99 Participants
n=288 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
Income
Main Study Participants · $20,000 - $50,000
57 Participants
n=142 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
73 Participants
n=146 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
130 Participants
n=288 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
Income
Main Study Participants · > $50,000
31 Participants
n=142 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
28 Participants
n=146 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
59 Participants
n=288 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
Income
Sub-Study Participants · < $20,000
8 Participants
n=25 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
8 Participants
n=19 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
16 Participants
n=44 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
Income
Sub-Study Participants · $20,000 - $50,000
8 Participants
n=25 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
6 Participants
n=19 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
14 Participants
n=44 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
Income
Sub-Study Participants · > $50,000
9 Participants
n=25 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
5 Participants
n=19 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
14 Participants
n=44 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
Cigarettes per day
Main Study Participants
14.18 cigarettes per day
STANDARD_DEVIATION 6.36 • n=142 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
14.33 cigarettes per day
STANDARD_DEVIATION 7.61 • n=146 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
14.25 cigarettes per day
STANDARD_DEVIATION 7.01 • n=288 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
Cigarettes per day
Sub-Study Participants
13.33 cigarettes per day
STANDARD_DEVIATION 5.42 • n=25 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
11.44 cigarettes per day
STANDARD_DEVIATION 3.67 • n=19 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
12.51 cigarettes per day
STANDARD_DEVIATION 4.75 • n=44 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
Weight
191.71 lbs
STANDARD_DEVIATION 50.73 • n=142 Participants
191.43 lbs
STANDARD_DEVIATION 47.97 • n=146 Participants
191.57 lbs
STANDARD_DEVIATION 49.26 • n=288 Participants
Total kcals
Main Study Participants
2304.47 kcals
STANDARD_DEVIATION 1022.95 • n=142 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
2319.30 kcals
STANDARD_DEVIATION 781.62 • n=146 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
2311.97 kcals
STANDARD_DEVIATION 907.43 • n=288 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
Total kcals
Sub-Study Participants
2596.66 kcals
STANDARD_DEVIATION 1261.55 • n=25 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
2506.78 kcals
STANDARD_DEVIATION 779.87 • n=19 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
2563.79 kcals
STANDARD_DEVIATION 1072.38 • n=44 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
Body mass index
29.53 kg/m^2
STANDARD_DEVIATION 7.38 • n=142 Participants
29.35 kg/m^2
STANDARD_DEVIATION 6.92 • n=146 Participants
29.44 kg/m^2
STANDARD_DEVIATION 7.13 • n=288 Participants
Nicotine dependence
Main Study Participants
4.75 units on a scale
STANDARD_DEVIATION 1.97 • n=142 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
4.97 units on a scale
STANDARD_DEVIATION 1.79 • n=146 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
4.86 units on a scale
STANDARD_DEVIATION 1.88 • n=288 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
Nicotine dependence
Sub-Study Participants
4.12 units on a scale
STANDARD_DEVIATION 1.92 • n=25 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
4.68 units on a scale
STANDARD_DEVIATION 1.92 • n=19 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
4.36 units on a scale
STANDARD_DEVIATION 2.40 • n=44 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
Substitute reinforcers
Main Study Participants
41.31 Score on a scale
STANDARD_DEVIATION 27.25 • n=142 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
40.43 Score on a scale
STANDARD_DEVIATION 32.80 • n=146 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
40.86 Score on a scale
STANDARD_DEVIATION 30.14 • n=288 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
Substitute reinforcers
Sub-Study Participants
39.68 Score on a scale
STANDARD_DEVIATION 30.82 • n=25 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
55.53 Score on a scale
STANDARD_DEVIATION 42.33 • n=19 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
46.57 Score on a scale
STANDARD_DEVIATION 35.80 • n=44 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
Weight concerns
Main Study Participants
4.72 score on a scale
STANDARD_DEVIATION 2.24 • n=142 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
4.98 score on a scale
STANDARD_DEVIATION 2.13 • n=146 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
4.85 score on a scale
STANDARD_DEVIATION 2.18 • n=288 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
Weight concerns
Sub-Study Participants
4.70 score on a scale
STANDARD_DEVIATION 2.07 • n=25 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
4.70 score on a scale
STANDARD_DEVIATION 2.2 • n=19 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
4.70 score on a scale
STANDARD_DEVIATION 2.10 • n=44 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
Depression Symptoms: Sub-Study
11.40 units on a scale
STANDARD_DEVIATION 9.12 • n=25 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
13.74 units on a scale
STANDARD_DEVIATION 7.96 • n=19 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
12.41 units on a scale
STANDARD_DEVIATION 8.58 • n=44 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
Relative Reinforcement: Sub Study
6.19 trials
STANDARD_DEVIATION 11.71 • n=25 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
13.4 trials
STANDARD_DEVIATION 19.3 • n=19 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
9.34 trials
STANDARD_DEVIATION 15.95 • n=44 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
Complementary Reinforcers: Sub-Study
54.20 units on a scale
STANDARD_DEVIATION 28.17 • n=25 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
31.53 units on a scale
STANDARD_DEVIATION 31.15 • n=19 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
44.39 units on a scale
STANDARD_DEVIATION 29.16 • n=44 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
Disinhibition: Sub-Study
8.96 units on a scale
STANDARD_DEVIATION 3.45 • n=25 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
10.79 units on a scale
STANDARD_DEVIATION 4.14 • n=19 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.
9.75 units on a scale
STANDARD_DEVIATION 3.78 • n=44 Participants • Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.

PRIMARY outcome

Timeframe: Through Study Completion (End of Treatment Visit, 12-Week Follow-Up Visit, and 26-Week Follow-Up Visit)

Smoking abstinence (primary outcome) will be assessed and biochemically verified at the End of Treatment Visit (week 8), at 12 and 26 weeks after the target quit date. The primary smoking outcome variable will be 7-day point prevalence abstinence (no smoking, not even a puff, for at least 7 days prior to the assessment) biochemically verified by CO \< 5 ppm at End of Treatment (week 8), and by saliva cotinine \< 15ng/ml at the 12- and 26-week follow-up.

Outcome measures

Outcome measures
Measure
Standard Counseling
n=146 Participants
Participants will attend 8 counseling sessions and receive standard smoking cessation counseling (SC). SC: Overeating and weight gain are common concerns reported during smoking cessation treatment. Per convention, SC will address these concerns through standard recommendations to consume low-calorie snack foods, drink water, eat nutritious meals, and exercise, but will not include skills to shape the use of these suggestions.
Behavioral Activation
n=142 Participants
Participants will attend 8 counseling sessions and receive a behavioral activation intervention to smoking cessation and to post-cessation weight gain (BAS+). BAS+: The goal of the BAS+ is to maintain a level of overall reward after cessation by structuring and enhancing opportunities for reinforcement to: (1) ensure that not smoking is as reinforcing as smoking; and (2) prevent an over-reliance on food as a substitute reinforcer for smoking so that PCWG does not precipitate smoking relapse.
Smoking Cessation
25 Participants
33 Participants

PRIMARY outcome

Timeframe: Through Study Completion (Intake Visit, Baseline Visit, Pre-Quit Visit , Target Quit Date Visit, Mid-Tx. 1 Visit, Mid-Tx 2 Visit, Mid-Tx 3 Visit, Mid-Tx 4 Visit , End of Treatment, 12-Week Follow-Up Visit, and 26-Week Follow-Up Visit)

Weight will be measured by a physician's scale (pounds) at the beginning of every in-person visit through study completion. Participants will be wearing light clothing without shoes. Pre-cessation weight will be computed as the average of weights at the Intake and Baseline Visits prior to any change in smoking behavior. Weight change from Baseline to the 26-week follow-up will serve as a primary weight outcome variable.

Outcome measures

Outcome measures
Measure
Standard Counseling
n=146 Participants
Participants will attend 8 counseling sessions and receive standard smoking cessation counseling (SC). SC: Overeating and weight gain are common concerns reported during smoking cessation treatment. Per convention, SC will address these concerns through standard recommendations to consume low-calorie snack foods, drink water, eat nutritious meals, and exercise, but will not include skills to shape the use of these suggestions.
Behavioral Activation
n=142 Participants
Participants will attend 8 counseling sessions and receive a behavioral activation intervention to smoking cessation and to post-cessation weight gain (BAS+). BAS+: The goal of the BAS+ is to maintain a level of overall reward after cessation by structuring and enhancing opportunities for reinforcement to: (1) ensure that not smoking is as reinforcing as smoking; and (2) prevent an over-reliance on food as a substitute reinforcer for smoking so that PCWG does not precipitate smoking relapse.
Weight Change
2.71 Pounds
Standard Deviation 12.46
2.00 Pounds
Standard Deviation 10.64

PRIMARY outcome

Timeframe: 12-Week Follow-Up Visit

Population: Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.

Smoking abstinence was assessed and biochemically verified at the 12-week Follow-Up Visit (12 weeks post target quit date). Seven-day point prevalence abstinence (no smoking, not even a puff for the last 7 days prior to the assessment) was biochemically verified by a carbon monoxide (CO) reading \<8 parts per million.

Outcome measures

Outcome measures
Measure
Standard Counseling
n=19 Participants
Participants will attend 8 counseling sessions and receive standard smoking cessation counseling (SC). SC: Overeating and weight gain are common concerns reported during smoking cessation treatment. Per convention, SC will address these concerns through standard recommendations to consume low-calorie snack foods, drink water, eat nutritious meals, and exercise, but will not include skills to shape the use of these suggestions.
Behavioral Activation
n=25 Participants
Participants will attend 8 counseling sessions and receive a behavioral activation intervention to smoking cessation and to post-cessation weight gain (BAS+). BAS+: The goal of the BAS+ is to maintain a level of overall reward after cessation by structuring and enhancing opportunities for reinforcement to: (1) ensure that not smoking is as reinforcing as smoking; and (2) prevent an over-reliance on food as a substitute reinforcer for smoking so that PCWG does not precipitate smoking relapse.
Sub-Study: Seven-day Point Prevalence Abstinence (Carbon Monoxide) at 12 Weeks Post Target Quit Date
9 Participants
10 Participants

SECONDARY outcome

Timeframe: Through Study Completion (Baseline Visit, Mid-Tx 3 Visit, End of Treatment Visit, 12-Week Follow-Up Visit, and 26-Week Follow-Up Visit)

Population: Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.

Food intake (secondary outcome) will be assessed via 3 telephone-administered, 24-hour dietary recalls during the week after (or near) the Baseline Visit, Mid-Treatment 3 Visit (week 4), End of Treatment Visit (week 8) and the 12-week and 26-week follow-up Visits (n=15). A trained member of the research staff will use a multi-pass method with an interactive computerized software program, the Automated Self-Administered 24-hour Recall (ASA24®), to determine total kcal/day (outcome variable).

Outcome measures

Outcome measures
Measure
Standard Counseling
n=146 Participants
Participants will attend 8 counseling sessions and receive standard smoking cessation counseling (SC). SC: Overeating and weight gain are common concerns reported during smoking cessation treatment. Per convention, SC will address these concerns through standard recommendations to consume low-calorie snack foods, drink water, eat nutritious meals, and exercise, but will not include skills to shape the use of these suggestions.
Behavioral Activation
n=142 Participants
Participants will attend 8 counseling sessions and receive a behavioral activation intervention to smoking cessation and to post-cessation weight gain (BAS+). BAS+: The goal of the BAS+ is to maintain a level of overall reward after cessation by structuring and enhancing opportunities for reinforcement to: (1) ensure that not smoking is as reinforcing as smoking; and (2) prevent an over-reliance on food as a substitute reinforcer for smoking so that PCWG does not precipitate smoking relapse.
Food Intake
Main Study Participants
-156.3 kcals/day
Standard Deviation 769.44
-128.2 kcals/day
Standard Deviation 943.62
Food Intake
Sub-Study Participants
-201.85 kcals/day
Standard Deviation 553.74
121.78 kcals/day
Standard Deviation 1322.42

SECONDARY outcome

Timeframe: Pre-Treatment fMRI Scan (~week 2), End of Treatment MRI Scan (~week 8)

Population: Sub-study: Main study participants that meet certain MRI related study criteria may also elect to complete a series of computer tasks inside a standard, closed MRI scanner to examine changes in brain activity associated with the smoking cessation counseling that participants receive in the main study. They will be asked to complete 2, one-hour fMRI scans: 1 before completing their first counseling session and 1 during the final 7 days of the scheduled 8-week nicotine patch treatment period.

T2\*-weighted Blood Oxygen-Level-Dependent (BOLD) images will be acquired using a wholebrain, single-shot gradient-echo (GE) echo-planar imaging (EPI) sequence. BOLD images were captured (and subsequently analyzed) while participants complete a Food Cue-Induced Craving, Relative Reinforcing Value of Food, and Working Memory task inside the MRI Scanner.

Outcome measures

Outcome measures
Measure
Standard Counseling
n=19 Participants
Participants will attend 8 counseling sessions and receive standard smoking cessation counseling (SC). SC: Overeating and weight gain are common concerns reported during smoking cessation treatment. Per convention, SC will address these concerns through standard recommendations to consume low-calorie snack foods, drink water, eat nutritious meals, and exercise, but will not include skills to shape the use of these suggestions.
Behavioral Activation
n=25 Participants
Participants will attend 8 counseling sessions and receive a behavioral activation intervention to smoking cessation and to post-cessation weight gain (BAS+). BAS+: The goal of the BAS+ is to maintain a level of overall reward after cessation by structuring and enhancing opportunities for reinforcement to: (1) ensure that not smoking is as reinforcing as smoking; and (2) prevent an over-reliance on food as a substitute reinforcer for smoking so that PCWG does not precipitate smoking relapse.
Sub-Study: fMRI BOLD Signal Change
0.3318 percentage of signal change
Standard Deviation 0.22944
-0.0003 percentage of signal change
Standard Deviation 0.2230

Adverse Events

Behavioral Activation

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Standard Counseling

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Sub-Study: Behavioral Activation

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Sub-Study: Standard Counseling

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Janet Audrain-McGovern, Ph.D. Director, Addictions, Department of Psychiatry

Perelman School of Medicine, University of Pennsylvania

Phone: (215) 746-7145

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place