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Addressing weight gain in smoking cessation treatment: a randomized controlled trial.

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.

SUBMITTER: Bush T

PROVIDER: S-EPMC7147975 | biostudies-literature | 2012 Nov-Dec

REPOSITORIES: biostudies-literature

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Addressing weight gain in smoking cessation treatment: a randomized controlled trial.

Bush Terry T Levine Michele D MD Beebe Laura A LA Cerutti Barbara B Deprey Mona M McAfee Tim T Boeckman Lindsay L Zbikowski Susan S

American journal of health promotion : AJHP 20121101 2

<h4>Purpose</h4>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.<h4>Design</h4>Randomized controlled trial, blinded 6-month follow-up.<h4>Setting</h4>The Oklahoma Tobacco Helpline (OKHL).<h4>Subjects</h4>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 ...[more]

PMID: 23113779

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Project description:Background/objectivesWeight gain is a barrier to smoking cessation. Previous interventions targeting weight gain while quitting smoking have largely been unsuccessful. The current study aimed to assess the efficacy of weight stability and weight loss interventions compared to a low-intensity, self-guided bibliotherapy weight management group.Subjects/methodsA randomized controlled trial with 12-month follow-up from 2018 to 2022 was conducted with participants (N = 305) who reported smoking at least five cigarettes per day for the last year and interest in quitting initially recruited from the Memphis, TN, USA area. Recruitment was expanded nationally with the onset of the COVID-19 pandemic. Subsequently, 276 completed 12-month follow-up.Interventions/methodsThe Bibliotherapy group was provided a weight management book. Both the Stability and Loss groups met via telephone for eight weeks to learn strategies for maintaining/losing weight, respectively. All three groups then received the same six-week smoking cessation intervention, with six months of varenicline provided.ResultsIndividuals in the Loss group lost more weight (-2.01 kg, SE = 1.58) than individuals in the Bibliotherapy group (+1.08 kg, SE = 1.49, p = 0.0004), while the Stability group (-0.30 kg, SE = 1.56) was not significantly different from the Bibliotherapy group (p = 0.17). Those in the Stability group did not gain a significant amount of weight. Participants in the Loss group did not gain back all weight lost after smoking cessation and ended the study approximately 2.01 kg lower than baseline. The Bibliotherapy group did not gain the amount of weight expected after cessation. There were no significant differences between groups related to self-reported smoking cessation at each time point except at eight-month follow-up (p = 0.005).Conclusions and relevanceResults indicated the Stability and the Loss interventions were effective for preventing post-smoking cessation weight gain, with the Loss group having the benefit of sustained weight loss. These interventions may be helpful to implement to combat weight gain and potentially facilitate smoking cessation.Trial registrationThe trial is registered on clinicaltrials.gov (NCT03156660).

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Addressing weight gain in smoking cessation treatment: a randomized controlled trial.

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Addressing weight gain in smoking cessation treatment: a randomized controlled trial.

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