title: Offer of a weight management program to overweight and obese weight-concerned smokers improves tobacco dependence treatment outcomes.
abstract: Weight concern is a common and significant barrier to abstinence for many smokers. This quasi-experimental pilot study used multivariate logistic regression to examine the effects of offering a weight management treatment program on tobacco dependence treatment outcomes. Age, gender, ethnicity, educational level, nicotine dependence level, body mass index, and concern about weight gain were entered as factors/covariates to account for differences between groups. Offering a weight management program increased attendance at the first scheduled contact (88.1% vs. 71.6%; OR = 2.93; p = .029) and increased 6-month abstinence (21.4% vs. 10.1%; OR = 2.42; p = .052). With factors and covariates included in the multivariate models to account for group differences, those offered weight management were five times more likely to attend their first session (OR = 5.10; 95% CI 1.53-16.98; p = .008) and three times more likely to be abstinent 6 months after tobacco treatment (OR = 2.98; 95% CI = 1.09-8.17; p = .033). Proactively informing weight-concerned, overweight/obese smokers about the availability of a weight management program as an incentive for completing treatment for tobacco dependence may improve tobacco treatment outcomes.
authors.affiliation: Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, USA.
authors.forename: ShaRhonda J
authors.initials: SJ
authors.lastname: Love
authors.forename: Christine E
authors.initials: CE
authors.lastname: Sheffer
authors.forename: Zoran
authors.initials: Z
authors.lastname: Bursac
authors.forename: T Elaine
authors.initials: TE
authors.lastname: Prewitt
authors.forename: Rebecca A
authors.initials: RA
authors.lastname: Krukowski
authors.forename: Delia Smith
authors.initials: DS
authors.lastname: West
mesh_terms: D000328:Adult; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D006297:Health Services Accessibility; D015277:Hotlines; D006801:Humans; D008297:Male; D009765:Obesity / Q000523:psychology* / Q000628:therapy*; D050177:Overweight / Q000523:psychology* / Q000628:therapy*; D010349:Patient Compliance / Q000706:statistics & numerical data; D010865:Pilot Projects; D016540:Smoking Cessation / Q000379:methods / Q000523:psychology*; D014029:Tobacco Use Disorder / Q000150:complications / Q000628:therapy*