title: Barriers to Quitting Smoking Among Substance Dependent Patients Predict Smoking Cessation Treatment Outcome.
abstract: For smokers with substance use disorders (SUD), perceived barriers to quitting smoking include concerns unique to effects on sobriety as well as usual concerns. We expanded our Barriers to Quitting Smoking in Substance Abuse Treatment (BQS-SAT) scale, added importance ratings, validated it, and then used the importance scores to predict smoking treatment response in smokers with substance use disorders (SUD) undergoing smoking treatment in residential treatment programs in two studies (n=184 and 340). Both components (general barriers, weight concerns) were replicated with excellent internal consistency reliability. Construct validity was supported by significant correlations with pretreatment nicotine dependence, smoking variables, smoking self-efficacy, and expected effects of smoking. General barriers significantly predicted 1-month smoking abstinence, frequency and heaviness, and 3-month smoking frequency; weight concerns predicted 1-month smoking frequency. Implications involve addressing barriers with corrective information in smoking treatment for smokers with SUD.
authors.affiliation: Center for Alcohol and Addiction Studies, Brown University School of Public Health, Providence, RI, 02912, USA. Electronic address: Rosemarie_Martin@brown.edu.
authors.forename: Rosemarie A
authors.initials: RA
authors.lastname: Martin
authors.affiliation: Center for Alcohol and Addiction Studies, Brown University School of Public Health, Providence, RI, 02912, USA. Electronic address: Rachel_Cassidy@Brown.edu.
authors.forename: Rachel N
authors.initials: RN
authors.lastname: Cassidy
authors.affiliation: Center for Alcohol and Addiction Studies, Brown University School of Public Health, Providence, RI, 02912, USA. Electronic address: Cara_Murphy@Brown.edu.
authors.forename: Cara M
authors.initials: CM
authors.lastname: Murphy
authors.affiliation: Center for Alcohol and Addiction Studies, Brown University School of Public Health, Providence, RI, 02912, USA; Providence Veterans Affairs Medical Center, Providence, RI 02908, USA. Electronic address: Damaris_Rohsenow@Brown.edu.
authors.forename: Damaris J
authors.initials: DJ
authors.lastname: Rohsenow
mesh_terms: D000328:Adult; D001294:Attitude to Health; D005260:Female; D006801:Humans; D008297:Male; D015203:Reproducibility of Results; D012114:Residential Treatment; D012720:Severity of Illness Index; D012907:Smoking / Q000523:psychology; D016540:Smoking Cessation; D000074606:Smoking Prevention; D016320:Substance Abuse Treatment Centers; D019966:Substance-Related Disorders / Q000150:complications*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
keywords: Barriers; Nicotine dependence; Point-prevalence abstinence; Quitting smoking; Smoking relapse; Substance use disorders