Targeting tobacco in a community-based addiction recovery cohort: results from a computerized, brief, randomized intervention trial.
BACKGROUND
Nearly 80% of substance dependent individuals also use tobacco, and smoking cessation efforts during treatment for other substance use is associated with similar or even improved outcomes. However, smoking cessation is not routinely addressed during treatment for substance use disorders. The present study tested a computerized brief motivational intervention (C-BMI) for smoking cessation in an understudied population: a cohort recruited from a recovery community organization (RCO) center.


METHODS
Following baseline assessment, participants were randomly assigned to either a 30-minute C-BMI plus access to free nicotine replacement therapy (NRT), or an information-only control group plus NRT access.


RESULTS
Reductions in CO were observed for both groups. Quit rates in the C-BMI group (5%-7%, vs. 0% for the control group) approximated those observed elsewhere for physician advice and minimal counseling. Participants in the C-BMI group were also more likely to express a desire to quit.


CONCLUSIONS
Computer-delivered smoking cessation interventions within RCOs appear feasible. These organizations treat a wide variety of individuals, and C-BMIs for smoking in this context have the potential to reduce smoking-related morbidity and mortality.
Institute for Drug and Alcohol Studies, Virginia Commonwealth University, PO Box 980310, Richmond, VA 23298, United States. Electronic address: abbrelan@vcu.edu.
Alison B
AB
Breland
Institute for Drug and Alcohol Studies, Virginia Commonwealth University, PO Box 980310, Richmond, VA 23298, United States. Electronic address: almondlm@vcu.edu.
Lauren
L
Almond
Department of Psychology, Virginia Commonwealth University, PO Box 980343, Richmond, VA 23219, United States. Electronic address: jnkienzle@gmail.com.
Jennifer
J
Kienzle
Merrill Palmer Skillman Institute, Wayne State University, 71 East Ferry, Detroit, MI 48202, United States. Electronic address: s.ondersma@wayne.edu.
Steven J
SJ
Ondersma
Virginia Department of Health, Crater Health District, 301 Halifax Street, Petersburg, VA 23803, United States. Electronic address: alton.hart@vdh.virginia.gov.
Alton
A
Hart
University of Texas Health Science Center at Houston, Department of Psychiatry and Behavioral Sciences, 1941 East Road, Suite 1222, Houston, TX 77054, United States. Electronic address: Michael.F.Weaver@uth.tmc.edu.
Michael
M
Weaver
Center for Clinical and Translational Research, Virginia Commonwealth University, PO Box 980261, 1200 E. Clay Street, Suite 2000, Richmond, VA 23298, United States. Electronic address: pmdillon@vcu.edu.
Pamela
P
Dillon
Department of Psychology, Virginia Commonwealth University, PO Box 980343, Richmond, VA 23219, United States. Electronic address: dssvikis@vcu.edu.
Dace
D
Svikis
D000328:Adult; D003376:Counseling; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D010865:Pilot Projects; D012107:Research Design; D057566:Self Report; D016540:Smoking Cessation / Q000379:methods* / Q000523:psychology; D012984:Software; D019966:Substance-Related Disorders / Q000534:rehabilitation*; D061485:Tobacco Use Cessation Devices; D014029:Tobacco Use Disorder / Q000534:rehabilitation
Brief interventions; Smoking cessation; Substance abuse recovery