Urge to smoke over 52 weeks of abstinence

Ussher, Michael; Beard, Emma; Abikoye, Gboyega E.; Hájek, Peter; West, Robert A.

doi:10.1007/s00213-012-2886-7

Cited by 27 publications

(14 citation statements)

References 30 publications

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“…We collected the following data on characteristics of participants at baseline (presented in Table 1): pregnancy trimester (first, second, third); socio-demographic characteristics (age; marital status; having children already, ethnicity, education level and current educational status); socioeconomic status (SES), with ‘lower’ identified as those in long-term employment, or working in manual and routine settings; smoking characteristics (cigarettes smoked per day, age of smoking initiation, nicotine dependence measured by the Heaviness of Smoking Index (HSI) (Kozlowski et al, 1994)), and the Fagerström Test for Nicotine Dependence (Heatherton et al, 1991), time spent with urges to smoke and their strength in the past 24 h (Ussher et al, 2013), as well as confidence in quitting (on a scale from 1 to 7); Mood and physical symptoms scale (MPSS; West and Hajek, 2004); and finally, history of quit attempts (cessation support accessed previously, length of the longest quit attempt). We also automatically collected data on the initial level of engagement with the study website (number of recruitment pages viewed and time spent on the website before providing consent).…”

Section: Methodsmentioning

confidence: 99%

Pilot randomized controlled trial of an internet-based smoking cessation intervention for pregnant smokers (‘MumsQuit’)

Herbeć

Brown

Tombor

et al. 2014

Drug and Alcohol Dependence

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BackgroundInternet-based Smoking Cessation Interventions could help pregnant women quit smoking, especially those who do not wish to, or cannot, access face-to-face or telephone support. This study aimed to preliminarily evaluate the effectiveness and usage of a fully automated smoking cessation website targeted to pregnancy, ‘MumsQuit’, and obtain an initial effect-size estimate for a full scale trial.MethodsWe recruited 200 UK-based pregnant adult smokers online to a two-arm double-blind pilot RCT assessing the effectiveness of MumsQuit compared with an information-only website. MumsQuit was adapted from a generic internet smoking cessation intervention, ‘StopAdvisor’. The primary outcome was self-reported continuous 4-week abstinence assessed at 8 weeks post-baseline. Secondary outcomes were automatically collected data on intervention usage.ResultsParticipants smoked 15 cigarettes per day on average, 73% were in the first trimester of their pregnancy, 48% were from lower socioeconomic backgrounds, and 43% had never used evidence-based cessation support. The point estimate of odds ratio for the primary outcome was 1.5 (95% CI = 0.8–2.9; 28% vs. 21%). Compared with control participants, those in the MumsQuit group logged in more often (3.5 vs. 1.3, p < 0.001), viewed more pages (67.4 vs. 5.7, p < 0.001) and spent more time browsing the website (21.3 min vs. 1.0 min, p < 0.001).ConclusionsMumsQuit is an engaging and potentially helpful form of support for pregnant women who seek cessation support online, and merits further development and evaluation in a full-scale RCT.

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Section: Methodsmentioning

confidence: 99%

Pilot randomized controlled trial of an internet-based smoking cessation intervention for pregnant smokers (‘MumsQuit’)

Herbeć

Brown

Tombor

et al. 2014

Drug and Alcohol Dependence

Self Cite

View full text Add to dashboard Cite

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“…Quit day smoking cue reactivity (secondary outcome)-Smoking cue reactivity was obtained on the week 4 quit day and was measured using two single-item Likert format scales that assessed strength of smoking urge [37,43] and the 10-item brief questionnaire of smoking urges [44]. Participants completed four sequential cue reactivity trials on their quit day, and difference scores (trial 4 urge-trial 1 urge) were calculated to assess changes in strength of urge across the four trials.…”

Section: Methodsmentioning

confidence: 99%

A telephone-based intervention to promote physical activity during smoking cessation: a randomized controlled proof-of-concept study

Nair

Patterson

Rodriguez

et al. 2016

Behav. Med. Pract. Policy Res.

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Smoking and physical inactivity contribute to disproportionate disease burden among underserved adults. Telephone-based interventions (quitlines) are becoming the standard care for addressing smoking. There is increasing interest to determine whether quitlines can be utilized to administer interventions for other unhealthy behaviors. This study aims to examine the proof-ofconcept and potential efficacy of a telephone-based behavioral counseling intervention to boost daily low-tomoderate physical activity among low-income, physically inactive smokers. Participants (N = 101) were randomized to receive 4 weeks of counseling prior to their smoking quit day that included either standard smoking cessation counseling (control) or the Step-up to Quit (SUTQ) intervention. SUTQ promoted daily walking to foster physical activity as a primary smoking urge management strategy and facilitate incremental increases in daily steps with the goal of achieving 7500 steps/day by the quit day in week 4. Exploratory structural equation modeling tested SUTQ effects on six measures of low-tomoderate physical activity (primary outcome) and smoking cue reactivity (secondary outcome) simultaneously in a single multivariate model with controlling variables. The sample was 51 % female and 77 % AfricanAmerican, with a mean age of 42.1 years (SD = 10.9). Compared to the control condition, SUTQ intervention was associated with greater physical activity at week 4 (b = 0.51, z = 1.71, p = 0.08), with between-group differences sustained at follow-up. At week 4, the SUTQ group had higher 7-day mean steps/day (M = 7,207.25, SD = 4,276.03) than controls (M = 3,947.03, SD = 3,655.03) (t = 3.35; p < .01); and had more participants reach the >7500 steps/day goal (49% vs. 11 %, c2 = 10.78; p < .01), a difference that was sustained at 1-month follow-up (X2 = 9.04, p < .01) Effects of SUTQ treatment on cue reactivity were in the hypothesized direction but not significant (b = −0.29; z = −1.09, p = 0.27). To our knowledge, this is the first study to promote physical activity using telephone counseling in an underserved population of smokers known to have greater challenges with physical activity adoption and smoking cessation. The SUTQ approach suggests that integration of physical activity advice and support within the context of smoking cessation treatment has the potential to promote physical activity among smokers intending to quit. KeywordsPhysical activity, Smoking cue reactivity, Telephonebased counseling, Low-income smokers BACKGROUND Telephone-based smoking cessation services, or quitlines, have become important components of comprehensive tobacco control and cessation

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“…To apply this to smoking would assume that abstinent smokers do not return to a state equivalent to never smokers. Experimental (Hughes, Rose, & Callas, 2000) and survey data (Schlam, Piper, Cook, Fiore, & Baker, 2012;Ussher, Beard, Abikoye, Hajek, & West, 2012;Hughes, 2010) suggest that some long-term former smokers continue to be at risk for smoking due to continued craving or increased response to a dose of nicotine. Recent findings that tobacco users may average 20 or more lifetime quit attempts (Borland, Partos, Yong, Cummings, & Hyland, 2012) underscore this risk.…”

Section: Cessation Vs Treatment and Recoverymentioning

confidence: 96%

New terminology for the treatment of tobacco dependence: a proposal for debate

2013

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Tobacco dependence is characterised as a chronic, relapsing disorder that typically requires multiple quit attempts before successful, long-term abstinence is achieved (Steinberg, Foulds, Richardson, Burke, & Shah, 2006). Best practice, evidence-based treatment includes multiple-session counselling and pharmacotherapy, or the combination of both (Fiore et al., 2008). The field has moved past the notion that tobacco dependence is simply a bad habit, a vice, or a moral deficiency that can be overcome by willpower or education alone (Mars & Ling, 2008). However, the language used in discussing treatment has not always been consistent with this evidence. Some words and phrases used lend themselves to varied meanings, and could lead to significant misunderstanding not only among professionals in the field, but also among the general public (O'Brien, 2010; Davis, 1992; Perkins, 1999; Hughes, 2013). In this paper, we discuss some commonly used, problematic terminology, and suggest more appropriate terms (Table 1).

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Urge to smoke over 52 weeks of abstinence

Cited by 27 publications

References 30 publications

Pilot randomized controlled trial of an internet-based smoking cessation intervention for pregnant smokers (‘MumsQuit’)

Pilot randomized controlled trial of an internet-based smoking cessation intervention for pregnant smokers (‘MumsQuit’)

A telephone-based intervention to promote physical activity during smoking cessation: a randomized controlled proof-of-concept study

New terminology for the treatment of tobacco dependence: a proposal for debate

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