A cognitive behavioral smoking abstinence intervention for adults with chronic pain: A randomized controlled pilot trial

Abstract

Current evidence suggests it may be difficult for patients with chronic pain to quit smoking and, based on previous formative work, a 7-session individual and group-based cognitive behavioral (CB) intervention was developed. The primary aim of this randomized controlled pilot trial was to test the hypothesis that abstinence at month 6 would be greater among patients with chronic pain who received the CB intervention compared to a control condition. Upon admission to a 3-week interdisciplinary pain treatment (IPT) program, patients were randomized to receive the CB intervention (n = 30) or the control condition (n = 30). The 7-day point prevalence of self-reported smoking status was assessed at week 3 (upon completion of the 3-week IPT program) and at month 6 in an intent-to-treat analysis. At week 3, 30% (n=9) of patients in the CB condition were abstinent from smoking compared to 10% (n=3) in the control group (P=.104). At month 6, 20% (n=6) of patients who received the CB intervention were abstinent compared to none in the control group (P=.024). At week 3, a significant group by time interaction effect was found where the CB patients experienced greater improvements in self-efficacy from baseline compared to the control group (P=.002). A greater proportion of patients randomized to the CB group completed the IPT program (P=.052). The findings of this pilot trial suggest that integration of a CB-based smoking abstinence intervention into ongoing pain therapy may be an effective treatment for smokers with chronic pain.

Smoking Status and Opioid-related Problems and Concerns Among Men and Women on Chronic Opioid Therapy

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Prevalence of smoking in adults with spinal cord stimulators: a systematic review and meta-analysis

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The Perception of Female Smokers with Fibromyalgia on the Effects of Smoking on Fibromyalgia Symptoms

“…Smokers enrolled in a 3‐week pain rehabilitation program were unsuccessful at quitting following a brief smoking cessation intervention despite making substantial improvements in pain‐related outcome measures . However, smokers with chronic pain who underwent a cognitive behavior smoking cessation intervention which addressed smoking‐related pain coping strategies were more successful in quitting than other smokers with chronic pain who underwent a traditional smoking cessation intervention . Whether smokers with fibromyalgia would achieve success with a similarly tailored smoking cessation intervention warrants investigation.…”