Integrated Smoking Cessation and Binge Drinking Intervention for Young Adults: a Pilot Investigation
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- Ames, S.C., Werch, C.E., Ames, G.E. et al. ann. behav. med. (2010) 40: 343. doi:10.1007/s12160-010-9222-4
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Alcohol consumption is strongly associated with cigarette smoking in young adults.
The aim of this study was to evaluate the acceptability and estimate the magnitude of the effect of a novel-integrated smoking cessation and binge-drinking intervention for young adults compared with standard treatment control.
Participants were 41 young adult smokers (≥10 cigarettes per day) who regularly (≥2 times per month) binge drank who were randomly assigned to standard treatment (n = 19) involving eight individual treatment visits plus 8 weeks of nicotine patch therapy or the identical smoking cessation treatment integrated with a binge-drinking intervention (integrated intervention; n = 22).
Participants rated integrated intervention as highly acceptable as indicated by 100% of participants rating helpfulness as 5 on 5-point scale. Using an intent-to-treat analysis for tobacco abstinence, at both week 12 end of treatment and week 24 follow-up, more participants who received integrated intervention were biochemically confirmed abstinent from tobacco than those who received standard treatment (36% vs. 21% at week 12; 23% vs. 11% at week 24). At week 24, change from baseline in binge-drinking episodes, drinks consumed, and drinking days between treatment groups were similar (intent-to-treat analysis was not used for alcohol data).
Preliminary data support the intriguing possibility that integrated intervention may enhance smoking cessation and reduce binge drinking.