A cognitive behavioral smoking abstinence intervention for adults with chronic pain: a randomized controlled pilot trial.
A cognitive behavioral smoking abstinence intervention for adults with chronic pain: a randomized controlled pilot trial.
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DOI：
10.1016/j.addbeh.2013.11.010
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发表时间：
2014-03
影响因子：
4.4
通讯作者：
Warner DO
中科院分区：
文献类型：
--
作者：
Hooten WM;Townsend CO;Hays JT;Ebnet KL;Gauvin TR;Gehin JM;Laures HJ;Patten CA;Warner DO
目前的证据表明，慢性疼痛患者可能难以戒烟，并且基于先前的基础研究工作，开发了一种为期7次的个体和小组认知行为（CB）干预措施。这项随机对照试点试验的主要目的是检验以下假设：与对照组相比，接受CB干预的慢性疼痛患者在第6个月时的戒烟率更高。在进入为期3周的跨学科疼痛治疗（IPT）项目时，患者被随机分配接受CB干预（n = 30）或对照组（n = 30）。在第3周（3周IPT项目完成时）和第6个月，通过意向性分析评估自我报告的吸烟状况的7天时点患病率。在第3周，CB组30%（n = 9）的患者戒烟，而对照组为10%（n = 3）（P = 0.104）。在第6个月，接受CB干预的患者中有20%（n = 6）戒烟，而对照组无人戒烟（P = 0.024）。在第3周，发现存在显著的组间×时间交互作用，与对照组相比，CB组患者从基线水平开始在自我效能方面有更大的改善（P = 0.002）。随机分配到CB组的患者完成IPT项目的比例更高（P = 0.052）。这项试点试验的结果表明，将基于CB的戒烟干预措施纳入正在进行的疼痛治疗中，可能是对患有慢性疼痛的吸烟者的一种有效治疗方法。
Current evidence suggests it may be difficult for patients with chronic pain to quit smoking and, based on previous formative work, a 7-session individual and group-based cognitive behavioral (CB) intervention was developed. The primary aim of this randomized controlled pilot trial was to test the hypothesis that abstinence at month 6 would be greater among patients with chronic pain who received the CB intervention compared to a control condition. Upon admission to a 3-week interdisciplinary pain treatment (IPT) program, patients were randomized to receive the CB intervention (n = 30) or the control condition (n = 30). The 7-day point prevalence of self-reported smoking status was assessed at week 3 (upon completion of the 3-week IPT program) and at month 6 in an intent-to-treat analysis. At week 3, 30% (n=9) of patients in the CB condition were abstinent from smoking compared to 10% (n=3) in the control group (P=.104). At month 6, 20% (n=6) of patients who received the CB intervention were abstinent compared to none in the control group (P=.024). At week 3, a significant group by time interaction effect was found where the CB patients experienced greater improvements in self-efficacy from baseline compared to the control group (P=.002). A greater proportion of patients randomized to the CB group completed the IPT program (P=.052). The findings of this pilot trial suggest that integration of a CB-based smoking abstinence intervention into ongoing pain therapy may be an effective treatment for smokers with chronic pain.
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影响因子：
3.1
作者：
Fishbain, David A.;Lewis, John E.;Steele Rosomoff, Rennee
通讯作者：
Steele Rosomoff, Rennee
影响因子：
7.4
作者：
Hooten, W. Michael;Shi, Yu;Warner, David O.
通讯作者：
Warner, David O.
影响因子：
3.1
作者：
Hooten, W. Michael;Townsend, Cynthia O.;Warner, David O.
通讯作者：
Warner, David O.
影响因子：
3
作者：
Hellsing, AL;Bryngelsson, IL
通讯作者：
Bryngelsson, IL
DOI：
10.2190/n9f1-1r9g-6edw-9bfl
发表时间：
2005-01-01
影响因子：
2
作者：
Hooten, WM;Wolter, TD;Hays, JT
通讯作者：
Hays, JT