Brief Pain and Smoking Cessation Intervention in Adults With Chronic Pain

Mayo Clinic

Status: Completed

Conditions: Smoking Cessation

Treatments: Behavioral: Psychoeducation; Behavioral: Brief smoking control arm

Study type: Interventional

Funder types: Other

Identifiers

NCT03616743

14-000475

Details and patient eligibility

About

A brief smoking cessation intervention was developed to address smoking in the context of chronic pain to increase the intention to engage in smoking cessation treatment.

Full description

The primary aim of this randomized controlled trial was to investigate the effects of a brief pain and smoking (BPS) cessation intervention on the willingness to consider quitting smoking in adults with chronic pain seeking treatment in a pain specialty outpatient clinic. The investigators hypothesized that participants randomized to the BPS intervention, relative to a brief non-tailored control smoking (BCS) intervention, would be more likely to self-report willingness to consider quitting smoking. Secondary aims included examining the effects of group allocation on the (1) interest in learning about smoking cessation programs; (2) willingness to consider scheduling a smoking cessation program; (3) scheduling a smoking cessation program; and (4) change scores of the Thoughts About Abstinence Scale (TAAS).

Enrollment: 100 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• age ≥18 years
• chronic pain of greater than 3 months duration
• smoke at least 10 cigarettes daily

Exclusion criteria

• cancer-related pain
• current participation in a smoking abstinence program
• current self-guided attempt to reduce or abstain from smoking
• use of other forms of tobacco including pipe, cigar or chew
• history of schizophrenia or other chronic psychotic disorder
• history of a dementing illness

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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100 participants in 2 patient groups

Brief pain and smoking arm

Experimental group

Description:

The experimental arm incorporated a novel psychoeducational component that addressed associations between cigarette smoking and chronic pain

Treatment:

Behavioral: Psychoeducation

Brief smoking control arm

Active Comparator group

Description:

The brief smoking control arm was comprised of the "5A's" of smoking cessation.

Treatment:

Behavioral: Brief smoking control arm