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Integrated Smoking Cessation and Binge Drinking Intervention for Young Adults: a Pilot Investigation

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Annals of Behavioral Medicine

Abstract

Background

Alcohol consumption is strongly associated with cigarette smoking in young adults.

Purpose

The aim of this study was to evaluate the acceptability and estimate the magnitude of the effect of a novel-integrated smoking cessation and binge-drinking intervention for young adults compared with standard treatment control.

Methods

Participants were 41 young adult smokers (≥10 cigarettes per day) who regularly (≥2 times per month) binge drank who were randomly assigned to standard treatment (n = 19) involving eight individual treatment visits plus 8 weeks of nicotine patch therapy or the identical smoking cessation treatment integrated with a binge-drinking intervention (integrated intervention; n = 22).

Results

Participants rated integrated intervention as highly acceptable as indicated by 100% of participants rating helpfulness as 5 on 5-point scale. Using an intent-to-treat analysis for tobacco abstinence, at both week 12 end of treatment and week 24 follow-up, more participants who received integrated intervention were biochemically confirmed abstinent from tobacco than those who received standard treatment (36% vs. 21% at week 12; 23% vs. 11% at week 24). At week 24, change from baseline in binge-drinking episodes, drinks consumed, and drinking days between treatment groups were similar (intent-to-treat analysis was not used for alcohol data).

Conclusions

Preliminary data support the intriguing possibility that integrated intervention may enhance smoking cessation and reduce binge drinking.

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Acknowledgements

The authors wish to acknowledge Edgar Covil and Judy Olmos, R.N., for their assistance in completing this investigation.

Funding

This work was supported by the National Institute on Drug Abuse (DA018106).

Competing Interests

The authors of this work have no competing interests.

Author information

Authors and Affiliations

  1. Mayo Clinic, Division of Hematology and Oncology, 4500 San Pablo Road, Jacksonville, FL, 32224, USA

    Steven C. Ames Ph.D., A.B.P.P.

  2. University of Florida, Gainesville, FL, USA

    Chudley E. Werch Ph.D.

  3. Mayo Clinic, Division of General Surgery, 4500 San Pablo Road, Jacksonville, FL, 32224, USA

    Gretchen E. Ames Ph.D.

  4. University of North Florida, Jacksonville, FL, USA

    Lori J. Lange Ph.D.

  5. Mayo Clinic, Rochester, MN, USA

    Darrell R. Schroeder M.S., Andrew C. Hanson B.S. & Christi A. Patten Ph.D.

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  1. Steven C. Ames Ph.D., A.B.P.P.
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  6. Andrew C. Hanson B.S.
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  7. Christi A. Patten Ph.D.
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Corresponding author

Correspondence to Steven C. Ames Ph.D., A.B.P.P..

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Ames, S.C., Werch, C.E., Ames, G.E. et al. Integrated Smoking Cessation and Binge Drinking Intervention for Young Adults: a Pilot Investigation. ann. behav. med. 40, 343–349 (2010). https://doi.org/10.1007/s12160-010-9222-4

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  • DOI: https://doi.org/10.1007/s12160-010-9222-4

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