Combined Treatment for At-Risk Drinking and Smoking Cessation among Puerto Ricans: A Randomized Clinical Trial

Details

• Alternative Title:
  Addict Behav
• Personal Author:
  Correa-Fernández, Virmarie ; Díaz-Toro, Elba C. ; Reitzel, Lorraine R. ; Guo, Lin ; Chen, Minxing ; Li, Yisheng ; Calo, William A. ; Shih, Ya-Chen Tina ; Wetter, David W.
• Description:
  Tobacco and alcohol use are linked behaviors that individually and synergistically increase the risk for negative health consequences. This study was a two-group, randomized clinical trial evaluating the efficacy of a behavioral intervention, "Motivation And Problem Solving Plus" (MAPS+), designed to concurrently address smoking cessation and the reduction of at-risk drinking. Targeted interventions may promote coaction, the likelihood that changing one behavior (smoking) increases the probability of changing another behavior (alcohol use). Puerto Ricans (N=202) who were smokers and at-risk drinkers were randomized to standard MAPS treatment focused exclusively on smoking cessation (S-MAPS), or MAPS+, focused on cessation and at-risk drinking reduction. Drinking outcomes included: number of at-risk drinking behaviors, heavy drinking, binge drinking, and drinking and driving. MAPS+ did not have a significant main effect on reducing at-risk drinking relative to S-MAPS. Among individuals who quit smoking, MAPS+ reduced the number of drinking behaviors, the likelihood of meeting criteria for heavy drinking relative to S-MAPS, and appeared promising for reducing binge drinking. MAPS+ did not improve drinking outcomes among individuals who were unsuccessful at quitting smoking. MAPS+ showed promise in reducing at-risk drinking among Puerto Rican smokers who successfully quit smoking, consistent with treatment enhanced coaction. Integrating an alcohol intervention into cessation treatment did not reduce engagement in treatment, or hinder cessation outcomes, and positively impacted at-risk drinking among individuals who quit smoking. Findings of coaction between smoking and drinking speak to the promise of multiple health behavior change interventions for substance use treatment and chronic disease prevention.
• Subjects:
  Adaptation, Psychological Adult Alcohol Drinking Alcoholism Counseling Female Hispanic Or Latino Humans Male Motivation Problem Solving Puerto Rico Smoking Cessation Tobacco Use Disorder Treatment Outcome

  More +
• Keywords:
  At-risk Drinking Coaction Latinos Multiple Health Risk Behaviors Smoking
• Source:
  Addict Behav. 65:185-192
• Pubmed ID:
  27825036
• Pubmed Central ID:
  PMC5358923
• Document Type:
  Journal Article
• Funding:
  U54 CA096297/CA/NCI NIH HHSUnited States/ ; U54 CA153505/CA/NCI NIH HHSUnited States/ ; U54 CA096300/CA/NCI NIH HHSUnited States/ ; U58 DP001998/DP/NCCDPHP CDC HHSUnited States/ ; UL1 TR000371/TR/NCATS NIH HHSUnited States/ ; P30 CA016672/CA/NCI NIH HHSUnited States/ ; R25 CA057730/CA/NCI NIH HHSUnited States/
• Volume:
  65
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:bc0cd3b8cef4aa8b4d096172f9254f6ff78fce3ff4fba52a998e4364fba060d1
• Download URL:
  https://stacks.cdc.gov/view/cdc/44700/cdc_44700_DS1.pdf
• File Type:
  [PDF - 737.11 KB ]