Journal of Smoking Cessation最新文献

{"title":"Modeling Health Event Impact on Smoking Cessation.","authors":"Edwin D Boudreaux, Erin O'Hea, Bo Wang, Eugene Quinn, Aaron L Bergman, Beth C Bock, Bruce M Becker","doi":"10.1155/2022/2923656","DOIUrl":"10.1155/2022/2923656","url":null,"abstract":"<p><strong>Background: </strong>This study examined how cognitive and affective constructs related to an acute health event predict smoking relapse following an acute cardiac health event.</p><p><strong>Methods: </strong>Participants were recruited from emergency departments and completed cognitive and emotional measures at enrollment and ecological momentary assessments (EMA) for 84 days postvisit.</p><p><strong>Results: </strong>Of 394 participants, only 35 (8.9%) remained abstinent 84 days postvisit. Time to relapse was positively associated with age, actual illness severity, self-efficacy, and quit intentions.</p><p><strong>Conclusions: </strong>Older, seriously ill patients with strong confidence and intentions to quit smoking remain abstinent longer after discharge, but most still relapse within three months.</p>","PeriodicalId":39350,"journal":{"name":"Journal of Smoking Cessation","volume":"2022 1","pages":"2923656"},"PeriodicalIF":1.3,"publicationDate":"2022-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8898873/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43492452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of the <i>Tips from Former Smokers®</i> Campaign on Reducing Cigarette Smoking Relapse.","authors":"Kevin Davis,&nbsp;Rebecca Murphy-Hoefer,&nbsp;Lauren Dutra,&nbsp;Brian King,&nbsp;Brian Bradfield,&nbsp;Robert Rodes,&nbsp;Diane Beistle","doi":"10.1155/2022/3435462","DOIUrl":"https://doi.org/10.1155/2022/3435462","url":null,"abstract":"<p><p>Evidence-based mass-reach health communication campaigns can increase tobacco cessation, use of cessation resources such as quitlines, and change tobacco-related social norms. These interventions have been associated with a lower likelihood of cigarette smoking relapse in studies conducted internationally; however, no studies have assessed this outcome for a national campaign in the United States. This study examined the relationship between <i>Tips from Former Smokers®</i> (<i>Tips®</i>) campaign exposure and the odds of cigarette smoking relapse among adults who formerly smoked. Using data from the 2014 to 2019 <i>Tips</i> longitudinal campaign surveys, we estimated first episode of relapse (versus remaining a former smoker) as a function of <i>Tips</i> gross rating points (GRPs, a measure of media exposure). Higher levels of <i>Tips</i> GRPs were associated with lower odds of relapse (aOR = 0.63, 95% CI: 0.50-0.78). These results suggest that the <i>Tips</i> campaign may reduce smoking relapse, in addition to the established effect of increasing smoking cessation. Former smokers can be considered a secondary target audience for smoking cessation mass media campaigns, and mass media campaigns could be considered a component of smoking relapse prevention efforts.</p>","PeriodicalId":39350,"journal":{"name":"Journal of Smoking Cessation","volume":"2022 ","pages":"3435462"},"PeriodicalIF":0.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9708364/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10438340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Estimated Failure to Report Unsuccessful Quit Attempts by Type of Cessation Aid: A Population Survey of Smokers in England.","authors":"Olga Perski,&nbsp;Robert West,&nbsp;Jamie Brown","doi":"10.1155/2022/5572480","DOIUrl":"https://doi.org/10.1155/2022/5572480","url":null,"abstract":"<p><strong>Introduction: </strong>It has been estimated that smokers tend to fail to report unsuccessful quit attempts that lasted a short time and occurred a longer time ago. However, it is unclear whether the failure to report unsuccessful quit attempts varies by the type of cessation aid used.</p><p><strong>Methods: </strong>A total of 5,892 smokers aged 16+ years who had made 1+ quit attempts in the past year were surveyed between January 2014 and December 2020 as part of the Smoking Toolkit Study. Respondents indicated when their most recent quit attempt started, how long it lasted, and which cessation aid(s) were used (e.g., unaided, varenicline, and behavioural support). The percentage failure to report for each cessation aid and 95% bootstrap confidence intervals (CIs) were estimated with an established method. Test for equality of proportions was performed to examine whether quit attempts lasting between one day and one week and that started >6 months ago failed to be reported at a different rate depending on the cessation aid used.</p><p><strong>Results: </strong>We estimated that after three months, 97% (95% CI = 96%-98%) of unaided quit attempts lasting less than one day, 80% (95% CI = 79%-81%) of those lasting between one day and one week, and 60% (95% CI = 59%-61%) of those lasting between one week and one month fail to be reported. Compared with unaided attempts, the estimated percentage failure to report quit attempts that lasted between one day and one week and that started >6 months ago was significantly lower for attempts involving behavioural support (92% of unaided attempts vs. 75% of attempts involving behavioural support, <i>χ</i> ²(1) = 9.29, <i>p</i> = 0.002). No other significant differences were detected.</p><p><strong>Conclusions: </strong>Smokers in England appear to fail to report a substantial proportion of unsuccessful quit attempts. This failure appears particularly prominent for attempts that last a short time or occurred longer ago and appears lower for attempts involving behavioural support compared with unaided attempts.</p>","PeriodicalId":39350,"journal":{"name":"Journal of Smoking Cessation","volume":"2022 ","pages":"5572480"},"PeriodicalIF":0.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9762728/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10443693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge, Attitudes, and Beliefs about Relapse Prevention Research Involving Bupropion among Current and Former Pregnant Individuals Who Smoke.","authors":"Melissa Adkins-Hempel,&nbsp;Sandra J Japuntich,&nbsp;Janet Thomas,&nbsp;Pearl Fang,&nbsp;Katherine Harrison,&nbsp;Rebecca L Emery Tavernier,&nbsp;Jonathan P Winickoff,&nbsp;Michael Kotlyar,&nbsp;Sharon Allen","doi":"10.1155/2022/1925071","DOIUrl":"https://doi.org/10.1155/2022/1925071","url":null,"abstract":"<p><strong>Introduction: </strong>While many individuals quit smoking during pregnancy, most relapse within one year postpartum. Research into methods to decrease smoking relapse postpartum has been hampered by difficulties with recruitment.</p><p><strong>Method: </strong>We conducted individual interviews with pregnant women (<i>N</i> = 22) who were interested in quitting smoking while pregnant about their attitudes regarding smoking and quitting during pregnancy, clinical trial participation, and smoking cessation medication use.</p><p><strong>Results: </strong>Participants were aware of the risks of smoking while pregnant. Many wanted to quit smoking before delivery. Few used empirically supported treatments to quit. While research was viewed positively, interest in taking on new commitments postpartum and taking a medication to prevent relapse was low. Medication concerns were evident among most participants, especially among those planning to breastfeed. Further, several women noted medication was unnecessary, as they did not believe they would relapse postpartum. Financial incentives, childcare, and fewer and/or remote visits were identified as facilitators to participating in research. However, these factors did not outweigh women's concerns about medication use and time commitments.</p><p><strong>Conclusions: </strong>Women are aware that quitting smoking during pregnancy and remaining smoke-free postpartum are important. However, beliefs that personal relapse risk is low and that medications are dangerous reduced enthusiasm for taking medication for postpartum relapse prevention. Future medication trials should educate women about the high likelihood of relapse, prepare to answer detailed questions about risks of cessation medications, and connect with participants' clinicians. For new mothers, studies conducted remotely with few scheduled appointments would reduce barriers to participation.</p>","PeriodicalId":39350,"journal":{"name":"Journal of Smoking Cessation","volume":"2022 ","pages":"1925071"},"PeriodicalIF":0.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9788884/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10506291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing Markers of Reproducibility and Transparency in Smoking Behaviour Change Intervention Evaluations.","authors":"Emma Norris, Yiwei He, Rachel Loh, Robert West, Susan Michie","doi":"10.1155/2021/6694386","DOIUrl":"10.1155/2021/6694386","url":null,"abstract":"<p><strong>Introduction: </strong>Activities promoting research reproducibility and transparency are crucial for generating trustworthy evidence. Evaluation of smoking interventions is one area where vested interests may motivate reduced reproducibility and transparency.</p><p><strong>Aims: </strong>Assess markers of transparency and reproducibility in smoking behaviour change intervention evaluation reports.</p><p><strong>Methods: </strong>One hundred evaluation reports of smoking behaviour change intervention randomised controlled trials published in 2018-2019 were identified. Reproducibility markers of pre-registration; protocol sharing; data, material, and analysis script sharing; replication of a previous study; and open access publication were coded in identified reports. Transparency markers of funding and conflict of interest declarations were also coded. Coding was performed by two researchers, with inter-rater reliability calculated using Krippendorff's alpha.</p><p><strong>Results: </strong>Seventy-one percent of reports were open access, and 73% were pre-registered. However, there are only 13% provided accessible materials, 7% accessible data, and 1% accessible analysis scripts. No reports were replication studies. Ninety-four percent of reports provided a funding source statement, and eighty-eight percent of reports provided a conflict of interest statement.</p><p><strong>Conclusions: </strong>Open data, materials, analysis, and replications are rare in smoking behaviour change interventions, whereas funding source and conflict of interest declarations are common. Future smoking research should be more reproducible to enable knowledge accumulation. This study was pre-registered: https://osf.io/yqj5p.</p>","PeriodicalId":39350,"journal":{"name":"Journal of Smoking Cessation","volume":"2021 ","pages":"6694386"},"PeriodicalIF":0.9,"publicationDate":"2021-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8279208/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10400274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Behavioral and Genetic Factors Associated with Successful Long-Term Cessation in Persons with HIV Who Smoke Cigarettes.","authors":"Jonathan Shuter,&nbsp;H Dean Hosgood,&nbsp;Ryung S Kim,&nbsp;Kenny Ye,&nbsp;Cristina Montagna,&nbsp;Jidong Shan,&nbsp;Andrea H Weinberger","doi":"10.1155/2021/1894160","DOIUrl":"https://doi.org/10.1155/2021/1894160","url":null,"abstract":"<p><strong>Background: </strong>Persons with HIV (PWH) smoke cigarettes at much higher rates than the general population in the US, and smoking is now the leading cause of death in US PWH. Efforts to control the tobacco use epidemic in PWH have met with limited success, and the factors associated with successful cessation are not well delineated. There is a particular dearth of knowledge regarding PWH ex-smokers who have successfully quit smoking cigarettes for the long term.</p><p><strong>Methods: </strong>We pooled data from three separate sources of PWH smokers and ex-smokers (reporting complete abstinence for ≥ one year with biochemical verification at the time of data collection) from New York City, collected sociodemographic and behavioral information from them in structured interviews, and obtained their DNA samples. Univariate and rigorous multivariate analytic strategies were employed to determine the sociobehavioral and genetic factors that distinguished PWH smokers from ex-smokers.</p><p><strong>Results: </strong>We compared 142 current/recent smokers to 52 biochemically confirmed ex-smokers. The mean age of the participants was 53.3 ± 9.9 years, 49.5% were female, and 76.3% were Black/African American. Successful quitters had significantly lower anxiety scores and were less likely to report hazardous alcohol use or to use marijuana or cocaine. On multivariate analysis utilizing a conservative analytic approach, of 156 single nucleotide variants (SNV) within 12 a priori candidate genes, only the 37148248 T->C variant of gene <i>SLC25A21</i> on chromosome 14 was associated with long-term cessation.</p><p><strong>Conclusions: </strong>In this study, we report behavioral variables associated with long-term abstinence in PWH ex-smokers, and we also report the first genetic correlation of successful cessation in a PWH population yet described.</p>","PeriodicalId":39350,"journal":{"name":"Journal of Smoking Cessation","volume":"2021 ","pages":"1894160"},"PeriodicalIF":0.9,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8683200/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9828741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Who are we missing with EHR-Based Smoking Cessation Treatments? A Descriptive Study of Patients who Smoke and Do Not Regularly Visit Primary Care Clinics.","authors":"Margaret Nolan,&nbsp;Deejay Zwaga,&nbsp;Danielle McCarthy,&nbsp;Christian Kastman,&nbsp;Timothy Baker,&nbsp;Mark Zehner,&nbsp;Stevens Smith,&nbsp;Michael Fiore","doi":"10.1017/jsc.2020.21","DOIUrl":"https://doi.org/10.1017/jsc.2020.21","url":null,"abstract":"<p><strong>Introduction: </strong>Most tobacco treatment efforts target healthcare settings, since about 75% of smokers in the United States visit a primary care provider annually. Yet, 25% of patients may be missed by such targeting.</p><p><strong>Aims: </strong>To describe patients who smoke but infrequently visit primary care -- their characteristics, rates of successful telephone contact, and acceptance of tobacco treatment.</p><p><strong>Methods: </strong>Tobacco Cessation Outreach Specialists (TCOS) \"cold-called\" those without a primary care visit in the past year, offering tobacco dependence treatment. Age, sex, insurance status, race, ethnicity, EHR patient-portal status and outreach outcomes were reported.</p><p><strong>Results: </strong>Of 3,407 patients identified as smokers in a health system registry, 565 (16.6%) had not seen any primary care provider in the past year. Among 271 of those called, 143 (53%) were successfully reached and 33 (23%) set a quit date. Those without visits tended to be younger, male, some-day versus every-day smokers (42 vs. 44 yrs., p = 0.004; 48% vs. 40% female, p=0.0002, and 21% vs. 27% some-day, p=0.003), and less active on the EHR patient portal (33% vs. 40%, p =0.001).</p><p><strong>Conclusions: </strong>A substantial proportion of patients who smoke are missed by traditional tobacco treatment interventions that require a primary care visit, yet many are receptive to quit smoking treatment offers.</p>","PeriodicalId":39350,"journal":{"name":"Journal of Smoking Cessation","volume":"15 4","pages":"175-180"},"PeriodicalIF":0.9,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/jsc.2020.21","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40440105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pregnant Aboriginal women self-assess health risks from smoking and efficacy to quit over time using an adapted Risk Behaviour Diagnosis (RBD) Scale","authors":"G. Gould, Simon Chiu, C. Oldmeadow, Y. Bar-Zeev, Michelle Bovill","doi":"10.1017/jsc.2020.27","DOIUrl":"https://doi.org/10.1017/jsc.2020.27","url":null,"abstract":"During pregnancy, the imperative to stop smoking becomes urgent due to health risks for mother and baby.Explore responses to a smoking-related, pregnancy-focused Risk Behaviour Diagnosis (RBD) Scale over time with Aboriginal1 pregnant women.Six Aboriginal Medical Services in three states recruited 22 eligible women: ⩽28 weeks' gestation, ⩾16 years old, smoked tobacco, pregnant with an Aboriginal baby. Surveys were completed at baseline (n = 22), 4-weeks (n = 16) and 12-weeks (n = 17). RBD Scale outcome measures included: perceived threat (susceptibility and severity), perceived efficacy (response and self-efficacy), fear control (avoidance), danger control (intentions to quit) and protection responses (protecting babies).At baseline, the total mean threat scores at 4.2 (95% CI: 3.9–4.4) were higher than total mean efficacy scores at 3.9 (95% CI: 3.6–4.1). Over time there was a non-significant reduction in total mean threat and efficacy; fear control increased; danger control and protection responses remained stable. Reduction of threat and efficacy perceptions, with raised fear control responses, may indicate a blunting effect (a coping style which involves avoidance of risks).In 22 Aboriginal pregnant women, risk perception changed over time. A larger study is warranted to understand how Aboriginal women perceive smoking risks as the pregnancy progresses so that health messages are delivered accordingly.","PeriodicalId":39350,"journal":{"name":"Journal of Smoking Cessation","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2020-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/jsc.2020.27","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42988085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19 and smoking: an association requiring urgent attention","authors":"Vinoth Kumar Kalidoss, S. Singh Bakshi","doi":"10.1017/JSC.2020.26","DOIUrl":"https://doi.org/10.1017/JSC.2020.26","url":null,"abstract":"To the editor, The COVID-19 pandemic has emerged as the greatest challenge to the healthcare system worldwide. The pathogenesis involves the infection and replication of the virus in the epithelial cells of the respiratory system leading to severe acute respiratory syndrome and death. As on 25th April 2020 more than 187,000 deaths have been reported worldwide and the number of people infected stands at 2,724,809 (World Health Organization, 2020). Smoking is directly linked to the development of chronic pulmonary disease and smokers are vulnerable to many respiratory viruses. Besides, smoking is a risk factor for the development of many conditions such as cancer and cardiovascular disease, the presence of these conditions increases the morbidity and mortality in patients with COVID-19 (Emami, Javanmardi, Pirbonyeh, & Akbari, 2020). Some studies have already indicated that smoking has proven to worsen the prognosis and outcome in COVID-19 infections (Vardavas & Nikitara, 2020). The underlying mechanism may the reduced mucosal immunity and increased permeability of respiratory epithelial cells following chronic inflammation due to smoking. Another possible mechanism may be the increase in the expression of angiotensinconverting enzyme 2 receptor, which is also a binding receptor for the COVID-19 virus (Brake et al., 2020). The enforcement of lockdowns, uncertainties about income, news regarding the pandemic and prolonged isolation measures will increase the psychological stress on patients which may, in turn, lead to an increase in the smoking habit (Patwardhan, 2020). Also ongoing de-addiction programs may also suffer a setback. This scenario calls for an urgent increase in the anti-tobacco campaign. We as healthcare professionals must counsel smokers and prevent the emergence of new smokers. A clear message should be sent to patients that although these are stressful times, smoking is not a solution. Proper guidance to patients who smoke regarding the delirious effects of smoking especially concerning the COVID-19 pandemic should be imparted. They should be educated in terms of prevention of both active and passive smoking and given counseling on the availability of de-addiction services, coping with mechanisms for withdrawal symptoms which include balanced diet, regular physical activity, adequate sleep and nicotine replacements such as nicotine gums. Patients can be directed to a host of education material and motivational videos available on the internet. In addition, telemedicine services can be used by patients to communicate with their treating physicians and virtual group support sessions organized for psychological support and motivation. Opportunistic advice to patients on relapse prevention and to watch for increased smoking tendencies can be given. Training sessions can be organized for healthcare professionals in terms of the WHO 5A’s model for tobacco cessation incorporating components such as ask, advice, assess, assist and arrange. ","PeriodicalId":39350,"journal":{"name":"Journal of Smoking Cessation","volume":"1 1","pages":"1 - 1"},"PeriodicalIF":0.9,"publicationDate":"2020-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/JSC.2020.26","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45379347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An integrated behavioural intervention combined with varenicline for heavy-drinking smokers: a randomized pilot study.","authors":"Lisa M Fucito,&nbsp;Ran Wu,&nbsp;Stephanie S O'Malley,&nbsp;Tess H Hanrahan,&nbsp;Jolomi T Ikomi,&nbsp;Srinivas Muvvala,&nbsp;Kathleen M Carroll,&nbsp;Ralitza Gueorguieva","doi":"10.1017/jsc.2020.13","DOIUrl":"https://doi.org/10.1017/jsc.2020.13","url":null,"abstract":"<p><strong>Objectives: </strong>Combined smoking and heavy drinking is a significant health burden. Varenicline, an efficacious tobacco pharmacotherapy that also shows promise for drinking, has yielded mixed results among heavy-drinking smokers. This pilot study investigated integrated tobacco and alcohol counselling plus varenicline for this vulnerable group.</p><p><strong>Design: </strong>Twelve-week parallel, randomized controlled pilot trial of two behavioural interventions in combination with open-label varenicline. Participants were randomized using computer-generated tables, stratified by sex.</p><p><strong>Setting: </strong>Outpatient academic medical centre research clinic.</p><p><strong>Participants: </strong>Volunteers who reported smoking and heavy drinking and sought tobacco or alcohol treatment (<i>N</i> = 26). Intervention. (1) Integrated tobacco + alcohol counselling (INT; <i>n</i> = 13) or (2) counselling focused on their presenting concern (i.e., tobacco or alcohol) (SINGLE; <i>n</i> = 13), plus varenicline (2 mg) for 12 weeks.</p><p><strong>Main outcomes: </strong>Feasibility/acceptability, smoking quit rates and heavy drinking.</p><p><strong>Results: </strong>INT feasibility/acceptability was high among men but not women. More participants quit smoking in INT than SINGLE. This outcome was only in men, not significant, but had a medium effect size. Both conditions yielded significant drinking reductions.</p><p><strong>Conclusion: </strong>Integrated tobacco and alcohol behavioural counselling plus varenicline may be feasible and promote smoking cessation among men who smoke and drink heavily, but a larger sample is needed to replicate this finding.</p>","PeriodicalId":39350,"journal":{"name":"Journal of Smoking Cessation","volume":"15 3","pages":"119-127"},"PeriodicalIF":0.9,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/jsc.2020.13","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38704331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}