PATH Partnering to Achieve Tobacco-free Health

Phase 1

Completed

Interventions: Other: Acceptance & Commitment Therapy (ACT)
Other: Cognitive Behavioral Therapy (CBT)

Brief Summary: The overall aim of this 5-year 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 ACT against standard cognitive behavioral therapy (CBT) counseling when both are offered with nicotine replacement therapy (NRT) and delivered within a real world healthcare setting.

Recruitment & Eligibility

Inclusion Criteria

aged 18 and older;
smoke at least 10 cigarettes per day for every day in the past month;
want to quit smoking in the next 30 days;
are able to speak and read in English;
are a GH member enrolled living in the greater Seattle area;
are not currently participating in other smoking cessation interventions;
not currently using other nicotine products (e.g., smokeless tobacco)
are willing to attend five 90-minute group intervention sessions and to receive NRT over the next 3 months;
have no medical contraindications for NRT use (i.e., pregnant, breastfeeding, recent heart attack, or skin allergy preventing use of the patch, as assessed using the standard GH contraindication screening for NRT patch);
no household member currently enrolled in the study

Exclusion Criteria

fails to meet the eligibility criteria above;
has a significant cognitive or physical impairment (e.g., dementia, deafness) that would preclude full participation in the counseling sessions. This will be assessed both by self-report and by in-person assessment at the baseline enrollment appointment

Arm && Interventions

Group	Intervention	Description
ACT	Acceptance & Commitment Therapy (ACT)	We will use a five-session (90 minutes per session) group-delivered adaptation of Dr. Bricker's ACT treatment program.
CBT	Cognitive Behavioral Therapy (CBT)	-

Primary Outcome Measures

Name	Time	Method
Number of Participants Who Stopped Smoking by 12 Month Post Treatment	12 months	30 day point prevalence abstinence at 12 months. Missing = smoking and self report.

Secondary Outcome Measures