Evidence map›Paper›PMID 37148395›Full record

Trial reportJournal of behavioral medicine2023

Development of a targeted behavioral treatment for smoking cessation among individuals with Chronic Obstructive Pulmonary Disease.

Amanda R Mathew, Elizabeth F Avery, Chelsea Cox, Patrick Nwanah, Ravi Kalhan, Brian Hitsman, Lynda H Powell

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of behavioral medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Review
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

7 authors.

Amanda R MathewRush University Medical Center, Chicago, IL, USA. Amanda_mathew@rush.edu.ORCID 0000-0003-3240-5697
Elizabeth F AveryRush University Medical Center, Chicago, IL, USA.
Chelsea CoxUniversity of Illinois at Chicago, Chicago, IL, USA.
Patrick NwanahRush University Medical Center, Chicago, IL, USA.
Ravi KalhanNorthwestern University Feinberg School of Medicine, 1700 W. Van Buren St, Ste. 470, 60612, Chicago, IL, USA.
Brian HitsmanNorthwestern University Feinberg School of Medicine, 1700 W. Van Buren St, Ste. 470, 60612, Chicago, IL, USA.
Lynda H PowellRush University Medical Center, Chicago, IL, USA.

Funding

Addressing Psychological Risk Factors Underlying Smoking Persistence in COPD PatientsK23HL138165 · NHLBI · RUSH UNIVERSITY MEDICAL CENTER · PI MATHEW, AMANDA R · 2017 to 2021
$777k
NHLBI NIH HHS HL-138165NHLBI NIH HHS K23 HL138165
6 · The paper itself

Abstract

objectiveSmoking cessation for individuals with Chronic Obstructive Pulmonary Disease (COPD) is medically critical, but smoking for coping motives is a common barrier.

methodIn this evaluation of three treatment components (Mindfulness, Practice Quitting, and Countering Emotional Behaviors), we conducted two studies guided by the ORBIT model. Study 1 was a single-case design experiment (N = 18); Study 2 was a pilot feasibility study (N = 30). In both studies, participants were randomized to receive one of the three treatment modules. Study 1 examined implementation targets, changes in smoking for coping motives, and changes in smoking rate. Study 2 examined overall feasibility and participant-rated acceptability, and changes in smoking rate.

resultsStudy 1: Treatment implementation targets were met by 3/5 Mindfulness participants, 2/4 Practice Quitting participants, and 0/6 Countering Emotional Behaviors participants. The Practice Quitting condition led to 100% of participants meeting the clinically significant threshold in smoking for coping motives. Incidence of quit attempts ranged from 0-50%, and smoking rate was reduced by 50% overall. Study 2: Recruitment and retention met feasibility targets, with 97% of participants completing all four treatment sessions. Participants reported high treatment satisfaction by qualitative responses and rating scales (M = 4.8/ 5.0). Incidence of quit attempts ranged from 25-58%, and smoking rate was reduced by 56% overall.

conclusionsThese two small-N studies provide complementary findings on internal validity and implementation of the novel intervention. While Study 1 provided initial support for plausibility of clinically significant change, Study 2 provided data on key feasibility parameters. IMPLICATIONS: Smoking cessation for individuals with COPD is medically critical. We conducted an early-phase evaluation of a novel behavioral treatment focused on reducing smoking for coping motives. Results provided initial support for plausibility of clinically significant change and feasibility of the intervention.

Indexed as

Pulmonary Disease, Chronic ObstructiveSmoking CessationBehavior TherapyHumansSmokingTobacco Use Cessation Devicesbehavioral treatmentCOPDnicotinesmoking cessationTobacco

Identifiers

PMID37148395
PMCPMC10804287

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Registered trials

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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.