Erika Litvin Bloom1,2, Susan E Ramsey1,2, Ana M Abrantes3,4, Laura Hunt2, Rena R Wing3,5, Christopher W Kahler6, Janine Molino7,2, Richard A Brown8. 1. Departments of Psychiatry and Human Behavior and Medicine, Alpert Medical School of Brown University, Providence, RI. 2. Rhode Island Hospital, Providence, RI. 3. Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI. 4. Butler Hospital, Providence, RI. 5. The Miriam Hospital, Providence, RI. 6. Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI. 7. Department of Orthopaedics, Alpert Medical School of Brown University, Providence, RI. 8. University of Texas at Austin School of Nursing, Austin, TX.
Abstract
INTRODUCTION: The majority of women who smoke cigarettes report that concern about weight gain is a barrier to quitting. We developed an intervention incorporating distress tolerance, appetite awareness, and mindful eating skills to target concerns about post-cessation weight gain and emotional eating (DT-W). In the current study, we conducted a pilot randomized controlled trial of DT-W versus a smoking health education (HE) intervention. METHODS:Participants (N = 69adult female, weight-concerned smokers) were recruited in cohorts of 4-11. Cohorts were randomized to DT-W or HE. DT-W and HE were matched on format (single individual session followed by eight group sessions), inclusion of cognitive behavioral therapy for smoking cessation (CBT) content, and pharmacotherapy (nicotine patches). Follow-up assessments occurred at 1-, 3-, and 6-months post-treatment. RESULTS: The recruitment goal was met; 61 of the 69 participants attended at least one group session. There were no significant differences between DT-W and HE in the number of group sessions attended (DT-W adjusted M = 5.09, HE adjusted M = 5.03, p = .92), ratings of treatment effectiveness or usefulness of skills, or retention at 6-month follow-up (79% in DT-W vs. 78% in HE) (ps > .05), but comprehension ratings were lower in DT-W than in HE (p = .02). CONCLUSIONS: Overall, these results suggest that the study procedures and interventions were feasible and acceptable, but changes to the DT-W intervention content to improve comprehension should be considered prior to conducting a fully powered trial. IMPLICATIONS: A distress tolerance-based treatment targeting fear of weight gain after smoking cessation and post-cessation emotional eating was feasible and acceptable relative to a smoking HE comparison condition, but changes should be considered before conducting a larger trial. Continued innovation in treatment development for weight-concerned smokers is needed.
RCT Entities:
INTRODUCTION: The majority of women who smoke cigarettes report that concern about weight gain is a barrier to quitting. We developed an intervention incorporating distress tolerance, appetite awareness, and mindful eating skills to target concerns about post-cessation weight gain and emotional eating (DT-W). In the current study, we conducted a pilot randomized controlled trial of DT-W versus a smoking health education (HE) intervention. METHODS:Participants (N = 69 adult female, weight-concerned smokers) were recruited in cohorts of 4-11. Cohorts were randomized to DT-W or HE. DT-W and HE were matched on format (single individual session followed by eight group sessions), inclusion of cognitive behavioral therapy for smoking cessation (CBT) content, and pharmacotherapy (nicotine patches). Follow-up assessments occurred at 1-, 3-, and 6-months post-treatment. RESULTS: The recruitment goal was met; 61 of the 69 participants attended at least one group session. There were no significant differences between DT-W and HE in the number of group sessions attended (DT-W adjusted M = 5.09, HE adjusted M = 5.03, p = .92), ratings of treatment effectiveness or usefulness of skills, or retention at 6-month follow-up (79% in DT-W vs. 78% in HE) (ps > .05), but comprehension ratings were lower in DT-W than in HE (p = .02). CONCLUSIONS: Overall, these results suggest that the study procedures and interventions were feasible and acceptable, but changes to the DT-W intervention content to improve comprehension should be considered prior to conducting a fully powered trial. IMPLICATIONS: A distress tolerance-based treatment targeting fear of weight gain after smoking cessation and post-cessation emotional eating was feasible and acceptable relative to a smoking HE comparison condition, but changes should be considered before conducting a larger trial. Continued innovation in treatment development for weight-concerned smokers is needed.
Authors: Frank W Bond; Steven C Hayes; Ruth A Baer; Kenneth M Carpenter; Nigel Guenole; Holly K Orcutt; Tom Waltz; Robert D Zettle Journal: Behav Ther Date: 2011-05-25
Authors: J C Cappelleri; A G Bushmakin; R A Gerber; N K Leidy; C C Sexton; M R Lowe; J Karlsson Journal: Int J Obes (Lond) Date: 2009-04-28 Impact factor: 5.095
Authors: Jason Lillis; Heather M Niemeier; J Graham Thomas; Jessica Unick; Kathryn M Ross; Tricia M Leahey; Kathleen E Kendra; Leah Dorfman; Rena R Wing Journal: Obesity (Silver Spring) Date: 2016-11-02 Impact factor: 5.002
Authors: Joshua L Karelitz; Erin A McClure; Caitlin Wolford-Clevenger; Lauren R Pacek; Karen L Cropsey Journal: Drug Alcohol Depend Date: 2021-02-03 Impact factor: 4.492
Authors: Erika Litvin Bloom; Andy Bogart; Tamara Dubowitz; Rebecca L Collins; Bonnie Ghosh-Dastidar; Tiffany L Gary-Webb; Wendy Troxel Journal: Ann Behav Med Date: 2022-01-01