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NAQC Newsroom: Research

Development and Preliminary Pilot Evaluation of a Brief Tablet Computer Intervention to Motivate Tob

Thursday, September 14, 2017  
Posted by: Natalia Gromov
Brown RA, Hecht J, Bloom EL, Minami H, Kahler CW, Abrantes AM, Dubreuil ME, Gordon A, Price LH, Ondersma SJ.
Development and Preliminary Pilot Evaluation of a Brief Tablet Computer Intervention to Motivate Tobacco Quitline Use Among Smokers in Substance Use Treatment.
Am J Addict. 2017 Aug 11. doi: 10.1111/ajad.12559. [Epub ahead of print]
The majority of individuals in substance use disorder (SUD) treatment also smoke cigarettes; yet, the availability of smoking cessation services in SUD treatment remains limited. In this study, we developed and piloted a brief intervention for smokers in SUD treatment intended to motivate engagement in tobacco quitline treatment (TIME-TQ). First, we interviewed 19 smokers in SUD treatment to inform the development of TIME-TQ (Phase 1). Second, we delivered a prototype TIME-TQ to 16 smokers in the same SUD treatment program and followed them for 3 months post-discharge (Phase 2). Feedback from Phase 1 participants was used to refine response choices and video segments included in the prototype TIME-TQ. Phase 2 participants rated TIME-TQ high on relevance, interest, respectfulness, and helpfulness. Additionally, they reported significant increases in readiness to quit and perceived importance of quitting after receiving TIME-TQ. A total of 8 of the 16 accepted a quitline referral, and 8 of 13 reached for follow-up (four referral acceptors, four decliners) reported efforts to quit or reduce smoking during the follow-up period. However, only three received quitline counseling and none achieved a sustained period of abstinence. Our results suggest that TIME-TQ activated these patients to quit smoking, but our referral method (standard fax referral) was unsuccessful in helping participants fully engage in quitline treatment or achieving a period of abstinence.

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