Increasing Cessation Motivation and Treatment Engagement Among Smokers in Pain

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

76 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-05-10

Study Completion Date

2016-07-31

Brief Summary

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The goal of this study is to develop and pilot test a brief intervention to increase motivation to quit and smoking cessation treatment engagement among smokers with chronic pain.

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Detailed Description

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Pain and tobacco smoking are both critical national health problems, and there is mounting evidence that smokers in pain may represent an important and large subgroup who experience unique barriers and greater difficulty quitting. Smoking has been identified as a risk factor in the onset and exacerbation of chronic pain, and smokers experience greater levels of pain intensity and disability, relative to non-smokers. Initial evidence indicates that quitting smoking may improve pain outcomes (e.g., lower pain intensity) and supports the notion that smoking cessation may be an essential behavior change for smokers in pain. However, the vast majority of smokers are not yet ready to engage a serious quit attempt, and evidence-based treatments for smoking cessation remain dramatically underutilized. Therefore, the goal of this study is to develop and pilot test a brief intervention that will address smoking in the context of pain in order to increase motivation to quit smoking and engagement of available smoking cessation treatment. Participants will be randomized to either the adapted brief motivational intervention or an intervention consistent with standard clinical practice

Conditions

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Chronic Pain Smoking Smoking Cessation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

SINGLE

Participants

Study Groups

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Tailored intervention

Brief Motivational Smoking Intervention

Group Type EXPERIMENTAL

Tailored intervention

Intervention Type BEHAVIORAL

Brief motivational smoking intervention tailored to address smoking in the context of pain. Included a novel pain-smoking psycho education component, personalized feedback component, and elicitation of participant's pain-related goals to develop discrepancy between continued smoking and desired pain outcomes.

Control

Intervention consistent with standard clinical practice (Control)

Group Type EXPERIMENTAL

Ask-Advise-Refer

Intervention Type BEHAVIORAL

The Ask-Advise-Refer intervention is commonly used in standard clinical practice.

Interventions

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Tailored intervention

Brief motivational smoking intervention tailored to address smoking in the context of pain. Included a novel pain-smoking psycho education component, personalized feedback component, and elicitation of participant's pain-related goals to develop discrepancy between continued smoking and desired pain outcomes.

Intervention Type BEHAVIORAL

Ask-Advise-Refer

The Ask-Advise-Refer intervention is commonly used in standard clinical practice.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Current daily cigarette smoking (at least 10/day)
* Current moderate-very sever chronic pain with a numerical pain rating of at least 4/10
* At least 18 years of age

Exclusion Criteria

* Current active attempt to quit smoking
* Enrollment in smoking cessation treatment or use of a smoking cessation medication
* Less than 18 years of age

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No