Behavioral Interventions for Smoking Cessation

A major thrust of our intervention research program is now directed toward acceptance-based interventions for smoking cessation.

P.A.T.H Study: Partnering to Achieve Tobacco-free Health

(Principal Investigator: Jonathan Bricker, PhD; Fred Hutchinson Cancer Research Center)

Will an acceptance-focused approach improve the success rates of group-delivered programs for helping adults quit smoking?

To address this question, the overall aim of this project is to capitalize on the strong theoretical and promising empirical evidence for Acceptance & Commitment Therapy (ACT) as an intervention for smoking cessation by comparing the effectiveness of group-delivered ACT against standard CBT counseling when both are offered with nicotine replacement therapy (NRT) and delivered within a real world health care setting.  The study will also focus on testing (1) hypothesized mechanisms of ACT’s effectiveness (i.e., mediation) and  (2) which factors modify the effectiveness of ACT (i.e., moderation). The intervention is highly innovative and addresses an important research need - evaluating novel forms of counseling to enhance smoking cessation outcomes.

Telephone Study

(Principal Investigator: Jonathan Bricker, PhD; Fred Hutchinson Cancer Research Center)

Can the effectiveness of smoking cessation quitlines programs be improved?

To help address this question, the aim of this NIDA-funded study is to determine whether phone-delivered ACT has promise to improve quit rates compared to the current phone-delivered standard of care in smoking cessation quitlines. The study examines quit rates, meditational processes, and implementation outcomes.

Webquit Study

(Principal Investigator: Jonathan Bricker, PhD; Fred Hutchinson Cancer Research Center)

Can online smoking cessation programs be improved?

To help address this question, the aim of this study is to learn which of two web-based programs is the most useful for people who are quitting smoking. Participants in the Webquit study (www.webquit.org) will be randomly assigned to one of two online programs for helping people quit smoking. Follow-up data will provide results on the effectiveness of both programs for helping participants to quit smoking.

Collaborations    

Intensive Smoking Cessation Intervention for Head and Neck Cancer Patients

(Principal Investigator: Janice Blalock, PhD; MD Anderson Cancer Center, Houston TX)

Can head and neck cancer patients who smoke be helped to quit?

The goals of this study are to: (1) develop an intensive Acceptance & Commitment Therapy (ACT) smoking cessation intervention for head and neck patients who continue to smoke following diagnosis; (2) to conduct a small preliminary randomized trial to examine its effects on smoking cessation; (3) examine potential theory-based mediators of the ACT intervention. 

Proactive Smoking Cessation for Adolescents

(Principal Investigator: Arthur Peterson, PhD; Fred Hutchinson Cancer Research Center)

Will our initial success in helping adolescent smokers quit hold up six years later?

This six-year follow-up at approximately age 25 of all eligible baseline smokers (n = 2,126) in the Hutchinson Study of High School Smoking will: (1) determine the persistence into emerging adulthood of the trial's initial positive results on smoking abstinence and (2) among those who had not quit by age 19, determine to what extent promising results on cessation progress endpoints translate into cessation in adulthood. To better understand how the intervention impact is achieved, we will use the newly collected age 25 follow-up data together with existing data, to (3) investigate mediation of the HS intervention effect by Social Cognitive Theory-based theoretical processes, and (4) investigate the roles of Motivational Interviewing MI and CBST counseling processes.

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