Evidence map›Paper›PMID 25531536›Full record

Trial reportAddictive behaviors2015

Intolerance for withdrawal discomfort and motivation predict voucher-based smoking treatment outcomes for smokers with substance use disorders.

Damaris J Rohsenow, Jennifer W Tidey, Christopher W Kahler, Rosemarie A Martin, Suzanne M Colby, Alan D Sirota

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Addictive behaviors, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
1.9field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 30 citations in OpenAlex.

  1. Trial
  2. Anxiety Sensitivity and Distress Tolerance in Smokers: Relations With Tobacco Dependence, Withdrawal, and Quitting Success†.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2020
    Trial
  3. Trial
  4. Trial
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  7. Trial
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Motivational interviewing for smoking cessation.The Cochrane database of systematic reviews · 2019
    Review
  18. Distress Intolerance and Smoking Topography in the Context of a Biological Challenge.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2019
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Damaris J RohsenowProvidence Veterans Affairs Medical Center, Providence, RI, USA; Center for Alcohol and Addiction Studies, Brown University, Providence, RI, USA. Electronic address: Damaris_Rohsenow@brown.edu.
Jennifer W TideyCenter for Alcohol and Addiction Studies, Brown University, Providence, RI, USA.
Christopher W KahlerCenter for Alcohol and Addiction Studies, Brown University, Providence, RI, USA.
Rosemarie A MartinCenter for Alcohol and Addiction Studies, Brown University, Providence, RI, USA.
Suzanne M ColbyCenter for Alcohol and Addiction Studies, Brown University, Providence, RI, USA.
Alan D SirotaProvidence Veterans Affairs Medical Center, Providence, RI, USA; Center for Alcohol and Addiction Studies, Brown University, Providence, RI, USA.
Brown University · USProvidence VA Medical Center · US

Funding

Vermont Center on Behavior and HealthP20GM103644 · NIGMS · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI KHADANGA, SHERRIE · 2013 to 2022
$21.3M
MOTIVATING SUBSTANCE ABUSERS TO QUIT SMOKINGR01DA013616 · NIDA · BROWN UNIVERSITY · PI ROHSENOW, DAMARIS J. · 2001 to 2005
$3.2M
NIDA NIH HHS R01 DA013616NIDA NIH HHS R01DA013616NIGMS NIH HHS P20 GM103644
6 · The paper itself

Abstract

Identifying predictors of abstinence with voucher-based treatment is important for improving its efficacy. Smokers with substance use disorders have very low smoking cessation rates so identifying predictors of smoking treatment response is particularly important for these difficult-to-treat smokers. Intolerance for Smoking Abstinence Discomfort (IDQ-S), motivation to quit smoking, nicotine dependence severity (FTND), and cigarettes per day were examined as predictors of smoking abstinence during and after voucher-based smoking treatment with motivational counseling. We also investigated the relationship between IDQ-S and motivation to quit smoking. Smokers in residential substance treatment (n=184) were provided 14days of vouchers for complete smoking abstinence (CV) after a 5-day smoking reduction lead-in period or vouchers not contingent on abstinence. Carbon monoxide readings indicated about 25% of days abstinent during the 14days of vouchers for abstinence in the CV group; only 3-4% of all participants were abstinent at follow-ups. The IDQ-S Withdrawal Intolerance scale and FTND each significantly predicted fewer abstinent days during voucher treatment; FTND was nonsignificant when controlling for variance shared with withdrawal intolerance. The one significant predictor of 1-month abstinence was pretreatment motivation to quit smoking, becoming marginal (p<.06) when controlling for FTND. Lower withdrawal intolerance significantly predicted 3month abstinence when controlling for FTND. Higher withdrawal intolerance pretreatment correlated with less motivation to quit smoking. Implications for voucher-based treatment include the importance of focusing on reducing these expectancies of anticipated smoking withdrawal discomfort, increasing tolerance for abstinence discomfort, and increasing motivation.

Indexed as

MotivationAdolescentAdultCarbon MonoxideCounselingFemaleHumansMaleMiddle AgedPatient CompliancePsychotherapy, BriefRecurrenceSmokingSmoking CessationSubstance-Related DisordersSubstance Withdrawal SyndromeCarbon MonoxideContingency managementContingent vouchersIntolerance for discomfortMotivation to quit smokingNicotine dependencePoint-prevalence abstinence

Identifiers

PMID25531536
PMCPMC4304939
OpenAlexW1975890963

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.