Personalized Feedback for Distress Intolerant Smokers

University of Houston

Status: Completed

Conditions: Tobacco Dependence; Smoking, Cigarette; Smoking, Tobacco; Depression; Anxiety Disorders; Psychological Distress

Treatments: Behavioral: PFI for Smoking & Distress Tolerance; Behavioral: PFI for Smoking Only

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT03918031

1F31DA046127-01 (U.S. NIH Grant/Contract)

STUDY00000686

Details and patient eligibility

About

This project will develop and refine a computer-delivered integrated Personalized Feedback Intervention (PFI) that directly addresses smoking and distress tolerance. The PFI will focus on feedback about smoking behavior, distress tolerance, and adaptive coping strategies.

Full description

The primary goal of the research study is to investigate the efficacy of a brief, personalized computer-delivered transdiagnostic intervention (PFI) that addresses smoking and distress tolerance to reduce smoking, increase quit attempts, reduce perceived barriers to cessation, increase distress tolerance, reduce anxiety/depressive symptoms, and increase adaptive coping skills compared to a personalized feedback on smoking only control. To address this aim, the investigators will implement a randomized controlled trial that will employ a longitudinal experimental design and involve four stages: (a) phone-screener (pre-screener); (b) baseline appointment consisting of a pre-intervention assessment (eligibility), random assignment to a one-session computer-delivered intervention (Active PFI versus Control PFI with no personalized feedback on distress tolerance), and a post-intervention assessment; (c) 2-week follow-up; (d) 1-month follow-up. Assessments will include a multi-method approach, including biological, behavioral, and self-report methods.

Enrollment: 115 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Low distress tolerance defined as a DTS mean score of 2.56 or lower
• Daily smoking for at least one year (minimum 5 cigarettes per day and biochemically confirmed via Carbon Monoxide [CO] analysis at least 5 ppm)

Exclusion criteria

• Currently engaging in treatment for an alcohol/drug problem including smoking cessation
• Active Suicidality
• Psychosis
• Legal status that will interfere with participating
• Not being fluent in English

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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115 participants in 2 patient groups

PFI for Smoking & Distress Tolerance

Active Comparator group

Description:

A brief, one-session computer-delivered personalized feedback intervention (PFI) that addresses smoking and distress tolerance.

Treatment:

Behavioral: PFI for Smoking & Distress Tolerance

PFI for Smoking Only

Active Comparator group

Description:

A brief, one-session computer-delivered personalized feedback intervention (PFI) that addresses smoking only (no distress tolerance component).

Treatment:

Behavioral: PFI for Smoking Only