Mark B Sobell1, Alan L Peterson2, Linda Carter Sobell3, Antoinette Brundige4, Christopher M Hunter5, Christine M Hunter6, Jeffrey L Goodie7, Sangeeta Agrawal8, Ann S Hrysko-Mullen9, William C Isler9. 1. College of Psychology, Nova Southeastern University, Fort Lauderdale, FL, USA. Electronic address: sobellm@nova.edu. 2. Department of Psychiatry, University of Texas Health Science Center at San Antonio, USA; South Texas Veterans Health Care System, San Antonio, TX, USA; Department of Psychology, University of Texas at San Antonio, USA. 3. College of Psychology, Nova Southeastern University, Fort Lauderdale, FL, USA. 4. Department of Psychiatry, University of Texas Health Science Center at San Antonio, USA. 5. Defense Health Agency, Clinical Support Division, Patient-Centered Medical Home Branch, Falls Church, VA, USA. 6. National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD, USA. 7. Uniformed Services University of the Health Sciences, Bethesda, MD, USA. 8. Gallup Consulting, 1001 Gallup Drive, Omaha, NE, USA. 9. Wilford Hall Ambulatory Surgical Center, Joint Base San Antonio-Lackland, San Antonio, TX, USA.
Abstract
INTRODUCTION: Smoking cessation-related weight gain can have significant negative health and career consequences for military personnel. Alcohol reduction combined with smoking cessation may decrease weight gain and relapse. METHOD: A randomized clinical trial of military beneficiaries compared a standard smoking cessation (i.e., brief informational) intervention (N=159), with a brief motivational smoking cessation intervention that emphasized reduced drinking to lessen caloric intake and minimize weight gain (N=158). RESULTS: Participants who received the motivational intervention were significantly more likely to quit smoking at the 3-month follow-up (p=0.02), but the differences were not maintained at 6 (p=0.18) or 12months (p=0.16). Neither weight change nor alcohol reduction distinguished the 2 groups. Smoking cessation rates at 12months (motivational group=32.91%, informational group=25.79%) were comparable to previous studies, but successful cessation was not mediated by reduced drinking. CONCLUSIONS:Alcohol reduction combined with smoking cessation did not result in decreased weight gain or improved outcomes.
RCT Entities:
INTRODUCTION: Smoking cessation-related weight gain can have significant negative health and career consequences for military personnel. Alcohol reduction combined with smoking cessation may decrease weight gain and relapse. METHOD: A randomized clinical trial of military beneficiaries compared a standard smoking cessation (i.e., brief informational) intervention (N=159), with a brief motivational smoking cessation intervention that emphasized reduced drinking to lessen caloric intake and minimize weight gain (N=158). RESULTS:Participants who received the motivational intervention were significantly more likely to quit smoking at the 3-month follow-up (p=0.02), but the differences were not maintained at 6 (p=0.18) or 12months (p=0.16). Neither weight change nor alcohol reduction distinguished the 2 groups. Smoking cessation rates at 12months (motivational group=32.91%, informational group=25.79%) were comparable to previous studies, but successful cessation was not mediated by reduced drinking. CONCLUSIONS:Alcohol reduction combined with smoking cessation did not result in decreased weight gain or improved outcomes.
Authors: Wanjun Liu; Runze Li; Marc A Zimmerman; Maureen A Walton; Rebecca M Cunningham; Anne Buu Journal: Addict Behav Date: 2018-12-21 Impact factor: 3.913