Increasing Cessation Motivation and Treatment Engagement Among Smokers in Pain

Syracuse University

Status: Completed

Conditions: Chronic Pain; Smoking; Smoking Cessation

Treatments: Behavioral: Tailored intervention; Behavioral: Ask-Advise-Refer

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT03996902

F31DA039628 (U.S. NIH Grant/Contract)

SyracuseU

Details and patient eligibility

About

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.

Full description

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

Enrollment: 76 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Basic Science

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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76 participants in 2 patient groups

Tailored intervention

Experimental group

Description:

Brief Motivational Smoking Intervention

Treatment:

Behavioral: Tailored intervention

Control

Experimental group

Description:

Intervention consistent with standard clinical practice (Control)

Treatment:

Behavioral: Ask-Advise-Refer