Brief Pain and Smoking Cessation Intervention in Adults With Chronic Pain

Study Overview
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Brief Summary
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A brief smoking cessation intervention was developed to address smoking in the context of chronic pain to increase the intention to engage in smoking cessation treatment.

Detailed Description
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The primary aim of this randomized controlled trial was to investigate the effects of a brief pain and smoking (BPS) cessation intervention on the willingness to consider quitting smoking in adults with chronic pain seeking treatment in a pain specialty outpatient clinic. The investigators hypothesized that participants randomized to the BPS intervention, relative to a brief non-tailored control smoking (BCS) intervention, would be more likely to self-report willingness to consider quitting smoking. Secondary aims included examining the effects of group allocation on the (1) interest in learning about smoking cessation programs; (2) willingness to consider scheduling a smoking cessation program; (3) scheduling a smoking cessation program; and (4) change scores of the Thoughts About Abstinence Scale (TAAS).

Official Title
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Effects of a Brief Pain and Smoking Cessation Intervention in Adults With Chronic Pain: A Randomized Controlled Trial

Conditions
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Smoking Cessation

Intervention / Treatment
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* Behavioral: Psychoeducation
* Behavioral: Brief smoking control arm


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: age ≥18 years chronic pain of greater than 3 months duration smoke at least 10 cigarettes daily Exclusion Criteria: cancer-related pain current participation in a smoking abstinence program current self-guided attempt to reduce or abstain from smoking use of other forms of tobacco including pipe, cigar or chew history of schizophrenia or other chronic psychotic disorder history of a dementing illness

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Randomized controlled trial.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Brief pain and smoking arm<br>The experimental arm incorporated a novel psychoeducational component that addressed associations between cigarette smoking and chronic pain | Behavioral: Psychoeducation<br>* Psychoeducation about the links between smoking and chronic pain.<br>|
| Active Comparator: Brief smoking control arm<br>The brief smoking control arm was comprised of the 5A's of smoking cessation. | Behavioral: Brief smoking control arm<br>* Psychoeducation about the general adverse effects of smoking.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Self-report willingness to consider quitting smoking. | Single question with a binary self-report answer of Yes/No. | Immediate post-intervention assessment | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Thoughts About Abstinence Scale | The Thoughts About Abstinence Scale is a self-report questionnaire that assesses the desire to quit smoking, anticipated difficulty quitting, and anticipated success quitting smoking. | Pre-intervention and immediately post-intervention assessments |