Ainscough, TS, Brose, LS, Strang, J et al. (1 more author) (2021) Contingency management for tobacco smoking during opioid addiction treatment: Implementation challenges. Drug and Alcohol Review, 40 (4). pp. 658-661. ISSN 0959-5236
Abstract
Introduction and Aims
Tobacco smoking prevalence in opioid addiction patients is approximately six times that of the general population, highlighting the need for novel interventions. A pilot/feasibility study was conducted to investigate whether a contingency management (CM) intervention could be added to UK standard smoking cessation treatment. The aim of this report is to describe the challenges experienced during the implementation of this CM intervention.
Design and Methods
A two‐armed, randomised, pilot/feasibility study of a 5‐week escalating with reset CM intervention, conducted as an adjunct to smoking cessation treatment in an outpatient drug and alcohol treatment centre.
Results
Forty participants were recruited, but only 19 attended the baseline session. Ten participants attended all treatment sessions (25% retention), with only one contactable at 6‐month follow‐up. While smoking cessation clinic engagement was higher than previously, implementation issues included limited operating hours of the smoking treatment clinic, ineffective biochemical verification of abstinence and overly restrictive inclusion criteria.
Discussion and Conclusions
This study highlighted not only the difficulty of integrating CM interventions into standard smoking cessation treatment for this population, but also the potential of CM to engage this group with smoking cessation treatment. Future research in this area should consider increasing the availability and flexibility of smoking cessation treatment, and relaxing inclusion criteria to be more reflective of the opioid‐treatment‐seeking population.
This study is registered on ClinicalTrials.gov (NCT03015597, https://clinicaltrials.gov/ct2/show/NCT03015597).
Metadata
Item Type: | Article |
---|---|
Authors/Creators: |
|
Copyright, Publisher and Additional Information: | © 2020 Australasian Professional Society on Alcohol and other Drugs. This is the peer reviewed version of the following article: Ainscough, TS, Brose, LS, Strang, J et al. (1 more author) (2021) Contingency management for tobacco smoking during opioid addiction treatment: Implementation challenges. Drug and Alcohol Review, 40 (4). pp. 658-661, which has been published in final form at https://doi.org/10.1111/dar.13216. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | contingency management, smoking, smoking cessation, addiction, opioid addiction |
Dates: |
|
Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Healthcare (Leeds) > Nursing Mental Health (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 01 Dec 2020 15:52 |
Last Modified: | 27 Jul 2022 10:14 |
Status: | Published |
Publisher: | Wiley |
Identification Number: | 10.1111/dar.13216 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:168555 |