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Personalized Feedback for Smokers With Elevated Anxiety Sensitivity

Not Applicable
Completed
Conditions
Anxiety Disorders
Smoking, Tobacco
Anxiety
Tobacco Dependence
Smoking, Cigarette
Interventions
Behavioral: Personalized Feedback Intervention
Behavioral: Smoking Information Control
Registration Number
NCT03382093
Lead Sponsor
University of Houston
Brief Summary

This project will develop and refine a computer-delivered integrated Personalized Feedback Intervention (PFI) that directly addresses smoking and anxiety sensitivity (AS). The PFI will focus on feedback about smoking behavior, AS, and adaptive coping strategies.

Detailed Description

The primary goal of the research study is to investigate the efficacy of a brief, personalized computer-delivered transdiagnostic intervention (PFI) that addresses smoking and anxiety sensitivity (AS) to reduce smoking, increase quit attempts, reduce perceived barriers to cessation, reduce AS and negative affective symptoms, and increase adaptive coping skills compared to a smoking information only control. To address this aim, we will implement a randomized controlled trial that will employ a longitudinal experimental design and involve three stages: (a) phone-screener (pre-screener); (b) baseline appointment consisting of a pre-intervention assessment (eligibility), random assignment to a one-session computer-delivered intervention (PFI versus smoking information control with no personalized feedback), and a post-intervention assessment; (c) 1-month follow-up. Assessments will include a multi-method approach, including biological, behavioral, and self-report methods.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
95
Inclusion Criteria
  • Elevated anxiety sensitivity defined as an ASI-III score of at least 17
  • Daily smoking for at least one year (minimum of 5 cigarettes per day and biochemically confirmed via Carbon Monoxide [CO] analysis at least 4 ppm)
  • Not presently engaged in a quit attempt
  • Not currently engaged in mental health treatment
  • Capable of providing informed consent
  • Willing to attend all study visits and comply with the protocol
Exclusion Criteria
  • Adults unable to consent
  • Individuals who are not yet adults (infants, children, teenagers)
  • Pregnant women
  • Prisoners
  • Students for whom you have direct access to/influence on grades
  • Use of other tobacco products
  • Currently suicidal or high suicide risk
  • Currently psychotic or high psychotic risk
  • Insufficient command of English to participate in assessment or treatment

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Personalized Feedback InterventionPersonalized Feedback InterventionA brief, personalized computer-delivered transdiagnostic intervention (PFI) that addresses smoking and anxiety sensitivity (AS) to reduce smoking, increase quit attempts, reduce perceived barriers to cessation, reduce AS and negative affective symptoms, and increase adaptive coping skills.
Smoking Information ControlSmoking Information ControlStandard, computer-delivered smoking cessation treatment/information.
Primary Outcome Measures
NameTimeMethod
Evaluate PFIAssessed at 1-month follow-up after the one-session intervention

Evaluate the protocol for a brief personalized, computer-delivered intervention. Assessed by program evaluation survey.

Secondary Outcome Measures
NameTimeMethod
Smoking Motivational ProcessesAssessed at 1-month follow-up after the one-session intervention

Smokers in intervention, relative to a smoking information control, will report increased motivation and confidence for quitting smoking. Assessed using Smoking Rulers for Change measure.

MechanismsAssessed at 1-month follow-up after the one-session intervention

Smokers in the intervention, relative to the smoking information control, will report decreased positive consequences for continued smoking. Assessed using Smoking Consequence Questionnaire.

Smoking BehaviorAssessed at 1-month follow-up after the one-session intervention

Smokers in intervention, relative to a smoking information control, will report reduced smoking rates. Assessed using Carbon Monoxide \[CO\] analysis.

Affective ProcessesAssessed at 1-month follow-up after the one-session intervention

Smokers in intervention, relative to a smoking information control, will report greater reductions in anxiety sensitivity. Assessed using Anxiety Sensitivity Index measure.

Trial Locations

Locations (1)

Anxiety and Health Research Laboratory and Substance Use Treatment Clinic, University of Houston

🇺🇸

Houston, Texas, United States

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