Addressing Weight Gain in Smoking Cessation Treatment: a Randomized Controlled Trial

Overview

Journal Am J Health Promot

Date 2012 Nov 2

PMID 23113779

Citations 22

Authors

Terry Bush

Michele D Levine

Laura A Beebe

Barbara Cerutti

Mona Deprey

Tim McAfee

Lindsay Boeckman

Susan Zbikowski

Affiliations

Soon will be listed here.

Abstract

Purpose: To evaluate the effectiveness of a cognitive behavioral treatment (CBT) addressing cessation-related weight concerns delivered via a tobacco quitline that does not address weight concerns.

Design: Randomized controlled trial, blinded 6-month follow-up.

Setting: The Oklahoma Tobacco Helpline (OKHL).

Subjects: All 7998 smokers who called the OKHL were screened; 4240 were eligible; 2000 were randomized to the standard quitline (STD) or the brief version of the CBT weight concerns program (WCP).

Intervention: Telephone counseling to help people quit smoking and address concerns about cessation-related weight gain.

Measures: Demographics, weight, tobacco status, weight concerns, self-efficacy in quitting, and quitting without weight gain.

Analysis: Descriptive statistics and logistic regression.

Results: Of those randomized, 1002 participants completed the 6-month survey (response rates = 53.2% for STD, 47% for WCP). Compared with STD, WCP led to reduced weight concerns (p < .01) and less weight gain among quitters (1.8 vs. -3.4 pounds; p = .01). Although not significant, participants in the WCP were more likely to report 30-day abstinence (33.3% vs. 36.8%, p = .24; intent to treat = 17.7 vs. 17.3).

Conclusion: The WCP was successfully delivered via a quitline and resulted in improved attitudes about weight and decreased cessation-related weight gain without harming quit rates. Promotion of a quitline focused on addressing weight in conjunction with quitline treatment for smoking cessation may improve cessation and weight outcomes. Study limitations include use of self-report and survey response.

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References

Freedman D, Sigurdson A, Rajaraman P, Doody M, Linet M, Ron E . The mortality risk of smoking and obesity combined. Am J Prev Med. 2006; 31(5):355-62. DOI: 10.1016/j.amepre.2006.07.022. View

Orleans C, Schoenbach V, Wagner E, QUADE D, SALMON M, Pearson D . Self-help quit smoking interventions: effects of self-help materials, social support instructions, and telephone counseling. J Consult Clin Psychol. 1991; 59(3):439-48. DOI: 10.1037//0022-006x.59.3.439. View

Swan G, Jack L, Curry S, Chorost M, Javitz H, McAfee T . Bupropion SR and counseling for smoking cessation in actual practice: predictors of outcome. Nicotine Tob Res. 2003; 5(6):911-21. DOI: 10.1080/14622200310001646903. View

Williamson D, Madans J, Anda R, Kleinman J, Giovino G, Byers T . Smoking cessation and severity of weight gain in a national cohort. N Engl J Med. 1991; 324(11):739-45. DOI: 10.1056/NEJM199103143241106. View

Spring B, Howe D, Berendsen M, McFadden H, Hitchcock K, Rademaker A . Behavioral intervention to promote smoking cessation and prevent weight gain: a systematic review and meta-analysis. Addiction. 2009; 104(9):1472-86. PMC: 2728794. DOI: 10.1111/j.1360-0443.2009.02610.x. View

Perkins K, Levine M, Marcus M, Shiffman S . Addressing women's concerns about weight gain due to smoking cessation. J Subst Abuse Treat. 1997; 14(2):173-82. DOI: 10.1016/s0740-5472(96)00158-4. View

Parsons A, Shraim M, Inglis J, Aveyard P, Hajek P . Interventions for preventing weight gain after smoking cessation. Cochrane Database Syst Rev. 2009; (1):CD006219. DOI: 10.1002/14651858.CD006219.pub2. View

Ringen K, Anderson N, McAfee T, Zbikowski S, Fales D . Smoking cessation in a blue-collar population: results from an evidence-based pilot program. Am J Ind Med. 2002; 42(5):367-77. DOI: 10.1002/ajim.10129. View

Copeland A, Martin P, Geiselman P, Rash C, Kendzor D . Smoking cessation for weight-concerned women: group vs. individually tailored, dietary, and weight-control follow-up sessions. Addict Behav. 2005; 31(1):115-27. DOI: 10.1016/j.addbeh.2005.04.020. View

10.

Clark M, Hurt R, Croghan I, Patten C, Novotny P, Sloan J . The prevalence of weight concerns in a smoking abstinence clinical trial. Addict Behav. 2005; 31(7):1144-52. DOI: 10.1016/j.addbeh.2005.08.011. View

11.

Lycett D, Munafo M, Johnstone E, Murphy M, Aveyard P . Associations between weight change over 8 years and baseline body mass index in a cohort of continuing and quitting smokers. Addiction. 2010; 106(1):188-96. DOI: 10.1111/j.1360-0443.2010.03136.x. View

12.

Borrelli B, Mermelstein R . The role of weight concern and self-efficacy in smoking cessation and weight gain among smokers in a clinic-based cessation program. Addict Behav. 1998; 23(5):609-22. DOI: 10.1016/s0306-4603(98)00014-8. View

13.

Eisenberg D, Quinn B . Estimating the effect of smoking cessation on weight gain: an instrumental variable approach. Health Serv Res. 2006; 41(6):2255-66. PMC: 1955320. DOI: 10.1111/j.1475-6773.2006.00594.x. View

14.

Gerace T, Hollis J, Ockene J, Svendsen K . Smoking cessation and change in diastolic blood pressure, body weight, and plasma lipids. MRFIT Research Group. Prev Med. 1991; 20(5):602-20. DOI: 10.1016/0091-7435(91)90058-c. View

15.

Klesges R, Brown K, Pascale R, Murphy M, Williams E, Cigrang J . Factors associated with participation, attrition, and outcome in a smoking cessation program at the workplace. Health Psychol. 1988; 7(6):575-89. DOI: 10.1037//0278-6133.7.6.575. View

16.

Hollis J, McAfee T, Fellows J, Zbikowski S, Stark M, Riedlinger K . The effectiveness and cost effectiveness of telephone counselling and the nicotine patch in a state tobacco quitline. Tob Control. 2007; 16 Suppl 1:i53-9. PMC: 2598511. DOI: 10.1136/tc.2006.019794. View

17.

Curry S, Grothaus L, McAfee T, Pabiniak C . Use and cost effectiveness of smoking-cessation services under four insurance plans in a health maintenance organization. N Engl J Med. 1998; 339(10):673-9. DOI: 10.1056/NEJM199809033391006. View

18.

Bush T, Levine M, Deprey M, Cerutti B, Zbikowski S, McAfee T . Prevalence of Weight Concerns and Obesity Among Smokers Calling a Quitline. J Smok Cessat. 2010; 4(5):74-78. PMC: 2884159. DOI: 10.1375/jsc.4.2.74. View

19.

Carlin-Menter S, Cummings K, Celestino P, Hyland A, Mahoney M, Willett J . Does offering more support calls to smokers influence quit success?. J Public Health Manag Pract. 2011; 17(3):E9-15. DOI: 10.1097/PHH.0b013e318208e730. View

20.

Hokanson J, Anderson R, Hennrikus D, Lando H, Kendall D . Integrated tobacco cessation counseling in a diabetes self-management training program: a randomized trial of diabetes and reduction of tobacco. Diabetes Educ. 2006; 32(4):562-70. DOI: 10.1177/0145721706289914. View