Evidence map›Paper›PMID 30212438›Full record

Trial reportJournal of acquired immune deficiency syndromes (1999)2018

Integrated Treatment for Smoking Cessation, Anxiety, and Depressed Mood in People Living With HIV: A Randomized Controlled Trial.

Conall OʼCleirigh, Michael J Zvolensky, Jasper A J Smits, Allison K Labbe, Jessica N Coleman, Julianne G Wilner, Amelia M Stanton, Adam Gonzalez, Lorra Garey, Kristen S Regenauer and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of acquired immune deficiency syndromes (1999), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 5 pooled it
–field-weighted citation impact
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

33 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Interventions for tobacco use cessation in people living with HIV.The Cochrane database of systematic reviews · 2024
    Pooled it
  4. Pooled it
  5. Pooled it
  6. Prize-Based Incentives for Smoking Cessation Among People With HIV: A Sequential Multiple Assignment Randomized Trial.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
    Trial
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  8. Trial
  9. Trial
  10. Trial
  11. Article
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  14. Review
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  18. Article
  19. COPD in People with HIV: Epidemiology, Pathogenesis, Management, and Prevention Strategies.International journal of chronic obstructive pulmonary disease · 2023
    Review
  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

11 authors.

Conall OʼCleirighDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA.
Michael J ZvolenskyDepartment of Psychology, University of Houston, Houston, TX.
Jasper A J SmitsDepartment of Psychology, University of Texas at Austin, Austin, TX.
Allison K LabbeDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA.
Jessica N ColemanDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA.
Julianne G WilnerDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA.
Amelia M StantonDepartment of Psychology, University of Texas at Austin, Austin, TX.
Adam GonzalezDepartment of Psychiatry, SUNY Stony Brook School of Medicine, Stony Brook, NY.
Lorra GareyDepartment of Psychology, University of Houston, Houston, TX.
Kristen S RegenauerDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA.
David RosenfieldDepartment of Psychology, Southern Methodist University, Dallas, TX.

Funding

Effectivenss of an Integrated Treatment to Address Smoking Cessation and Anxiety/Depression in People Living with HIVR01DA047933 · NIDA · MASSACHUSETTS GENERAL HOSPITAL · PI O'CLEIRIGH, CONALL MICHAEL, SMITS, JASPER · 2019 to 2023
$4.8M
Integrated Treatment for Smoking Cessation & Anxiety in People with HIVR34DA031038 · NIDA · MASSACHUSETTS GENERAL HOSPITAL · PI O'CLEIRIGH, CONALL MICHAEL, ROSENFIELD, DAVID I · 2011 to 2013
$799k
NIDA NIH HHS R01 DA047933NIDA NIH HHS R34 DA031038
6 · The paper itself

Abstract

objectiveAmong people living with HIV, cigarette smoking rates are higher than among the general population, and anxiety, depression, and their disorders are common and associated with smoking and poorer outcomes during cessation. This study evaluated the efficacy of an integrated smoking cessation intervention, developed to target anxiety, depression, and smoking cessation concurrently among people living with HIV.

methodSmokers living with HIV who reported at least moderate motivation to quit smoking were randomized into a novel 9-week integrated intervention (QUIT), consisting of 1 psychoeducation (prerandomization) session and 9 weekly 1-hour sessions of cognitive behavioral therapy for smoking cessation and anxiety/depression plus nicotine replacement therapy, or a 9-week enhanced standard smoking intervention (ETAU), consisting of 1 psychoeducation session (prerandomization) and 4 brief weekly check-in sessions plus nicotine replacement therapy. All were instructed to make a quit attempt at week 6.

resultsSeventy-two participants were enrolled, and 53 were randomized. 41/53 participants completed the active treatment phase of the study. 7-day point-prevalence abstinence, verified with expired carbon monoxide, was significantly higher among those in the integrated intervention than those in the enhanced standard intervention both end-of-treatment {[MQUIT = 59%, METAU = 9%; b = 5.60, 95% confidence interval: (2.64 to 8.56), t(332) = 3.72, P < 0.001]} and 6-months post-quit date {[MQUIT = 46%, METAU = 5%; b = 7.69, 95% confidence interval: (4.60 to 10.78), t(332) = 4.90, P < 0.001]}. Consideration of patterns of missingness did not alter the significance of these findings.

conclusionsThe integrated intervention was associated with substantially higher short-term and long-term abstinence rates than the enhanced standard intervention. These data provide promising initial evidence supporting the benefits of an integrated anxiety-depression/smoking cessation program specifically tailored for people living with HIV.

Indexed as

AdultAnxietyDepressionFemaleHIV InfectionsHumansMaleMiddle AgedSmoking Cessation

Identifiers

PMID30212438
PMCPMC10041790

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.