Dataset Information

Behavioral activation for smoking cessation and the prevention of smoking cessation-related weight gain: A randomized trial.

ABSTRACT:

Background

Post-cessation weight gain (PCWG) is an obstacle to smoking cessation. This trial evaluated a behavioral intervention targeting alternative rewards to smoking and high calorie snacking to promote smoking cessation while mitigating PCWG.

Methods

Adult smokers (n = 288; 119 females, 169 males) received eight weeks of transdermal nicotine and were randomized to eight sessions of behavioral activation for smoking cessation and the mitigation of PCWG (BAS+) or standard smoking cessation counseling (SC). Primary outcomes were 7-day point prevalence abstinence and PCWG 26 weeks after the target quit date. Change in caloric intake from pre-treatment through the 26-week follow-up was a secondary outcome. Data were collected from September 2016 to February 2021, and analyses were completed in July 2022.

Results

BAS+ and SC did not differ in smoking abstinence rates at the 26-week follow-up (OR=0.80, 95%CI 0.50-1.27, p = 0.34; 18% versus 23%). There were no significant differences in PCWG between BAS+ and SC who were 7-day point prevalence abstinent (β = -0.29, 95%CI -2.13 to 1.65, p = 0.77; 2.60 versus 2.20 pounds, respectively) or among those continuously abstinent (5.78 versus 5.34 pounds, respectively). There were no significant differences in caloric intake between BAS+ and SC from baseline to the 26-week follow-up (β = 110.65, 95%CI -96.72 to 318.02, p = 0.30; -19.1 versus -116.9 kcals/day, respectively).

Conclusions

The results do not support the efficacy of BAS+ for smoking cessation and the prevention of PCWG. These findings join a growing body of research highlighting the challenge of minimizing PCWG and promoting smoking abstinence.

SUBMITTER: Audrain-McGovern J

PROVIDER: S-EPMC10024937 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature

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Publications

Behavioral activation for smoking cessation and the prevention of smoking cessation-related weight gain: A randomized trial.

Audrain-McGovern Janet J Wileyto E Paul EP Ashare Rebecca R Albelda Benjamin B Manikandan Divya D Perkins Kenneth A KA

Drug and alcohol dependence 20230201

<h4>Background</h4>Post-cessation weight gain (PCWG) is an obstacle to smoking cessation. This trial evaluated a behavioral intervention targeting alternative rewards to smoking and high calorie snacking to promote smoking cessation while mitigating PCWG.<h4>Methods</h4>Adult smokers (n = 288; 119 females, 169 males) received eight weeks of transdermal nicotine and were randomized to eight sessions of behavioral activation for smoking cessation and the mitigation of PCWG (BAS+) or standard smoki ...[more]

PMID: 36739753

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Dataset Information

Behavioral activation for smoking cessation and the prevention of smoking cessation-related weight gain: A randomized trial.

Background

Methods

Results

Conclusions

Publications

Behavioral activation for smoking cessation and the prevention of smoking cessation-related weight gain: A randomized trial.

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