title: Integrated smoking cessation and binge drinking intervention for young adults: a pilot efficacy trial.
abstract: Alcohol consumption is strongly associated with cigarette smoking in young adults. The primary aim of this investigation was to complete a pilot evaluation of the efficacy of an integrated intervention that targets both cigarette smoking and binge drinking on the cigarette smoking and binge behavior of young adults at 6-month follow-up. Participants were 95 young adult (M=24.3; SD=3.5 years) smokers (≥1 cigarettes per day) who binge drink (≥1 time per month) and who were randomly assigned to standard treatment (n=47) involving six individual treatment visits plus eight weeks of nicotine patch therapy or the identical smoking cessation treatment integrated with a binge drinking intervention (integrated intervention; n=48). Using an intent-to-treat analysis for tobacco abstinence, at both 3 month end of treatment and 6 month follow-up, more participants who received integrated intervention were biochemically confirmed abstinent from tobacco than those who received standard treatment at 3 months (19% vs. 9%, p=0.06) and 6 months (21% vs. 9%, p=0.05). At 6 months, participants who completed the study and who received integrated intervention consumed fewer drinks per month (p<0.05) and number of binge drinking episodes per month (p<0.05) than those who received standard treatment. Preliminary data supports that integrated intervention enhances smoking cessation and reduces binge drinking compared to standard treatment.
authors.affiliation: ABPP, Mayo Clinic, Jacksonville, FL, USA. Electronic address: ames.steven@mayo.edu.
authors.forename: Steven C
authors.initials: SC
authors.lastname: Ames
authors.affiliation: Alachua County Health Department, Gainesville, FL, USA.
authors.forename: Steven B
authors.initials: SB
authors.lastname: Pokorny
authors.affiliation: Mayo Clinic, Rochester, MN, USA.
authors.forename: Darrell R
authors.initials: DR
authors.lastname: Schroeder
authors.affiliation: Mayo Clinic, Jacksonville, FL, USA.
authors.forename: Winston
authors.initials: W
authors.lastname: Tan
authors.affiliation: PreventionPLUSWellness, Inc., Jacksonville, FL, USA.
authors.forename: Chudley E
authors.initials: CE
authors.lastname: Werch
mesh_terms: D000293:Adolescent; D000328:Adult; D063425:Binge Drinking / Q000517:prevention & control*; D005260:Female; D006801:Humans; D008297:Male; D010865:Pilot Projects; D016540:Smoking Cessation / Q000379:methods*; D000074606:Smoking Prevention; D016896:Treatment Outcome; D055815:Young Adult
keywords: Alcohol; Binge drinking; Smoking cessation; Young adult