Combined treatment for at-risk drinking and smoking cessation among Puerto Ricans: A randomized clinical trial

Virmarie Correa-Fernández, Elba C. Díaz-Toro, Lorraine R. Reitzel, Lin Guo, Minxing Chen, Yisheng Li, William A. Calo, Ya Chen Tina Shih, David W. Wetter

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)185-192
Number of pages8
JournalAddictive Behaviors
Volume65
DOIs
StatePublished - Feb 1 2017

Fingerprint

Smoking Cessation
Hispanic Americans
Drinking
Randomized Controlled Trials
Smoking
Alcohols
Binge Drinking
Therapeutics
Drinking Behavior
Risk Reduction Behavior
Health
Tobacco
Withholding Treatment
Health Behavior
Tobacco Use
Risk-Taking
Motivation
Chronic Disease

All Science Journal Classification (ASJC) codes

  • Medicine (miscellaneous)
  • Clinical Psychology
  • Toxicology
  • Psychiatry and Mental health

Cite this

Correa-Fernández, V., Díaz-Toro, E. C., Reitzel, L. R., Guo, L., Chen, M., Li, Y., ... Wetter, D. W. (2017). Combined treatment for at-risk drinking and smoking cessation among Puerto Ricans: A randomized clinical trial. Addictive Behaviors, 65, 185-192. https://doi.org/10.1016/j.addbeh.2016.10.009
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. / Combined treatment for at-risk drinking and smoking cessation among Puerto Ricans : A randomized clinical trial. In: Addictive Behaviors. 2017 ; Vol. 65. pp. 185-192.
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Correa-Fernández, V, Díaz-Toro, EC, Reitzel, LR, Guo, L, Chen, M, Li, Y, Calo, WA, Shih, YCT & Wetter, DW 2017, 'Combined treatment for at-risk drinking and smoking cessation among Puerto Ricans: A randomized clinical trial', Addictive Behaviors, vol. 65, pp. 185-192. https://doi.org/10.1016/j.addbeh.2016.10.009

Combined treatment for at-risk drinking and smoking cessation among Puerto Ricans : A randomized clinical trial. / 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.

In: Addictive Behaviors, Vol. 65, 01.02.2017, p. 185-192.

Research output: Contribution to journalArticle

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T1 - Combined treatment for at-risk drinking and smoking cessation among Puerto Ricans

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AU - Correa-Fernández, Virmarie

AU - Díaz-Toro, Elba C.

AU - Reitzel, Lorraine R.

AU - Guo, Lin

AU - Chen, Minxing

AU - Li, Yisheng

AU - Calo, William A.

AU - Shih, Ya Chen Tina

AU - Wetter, David W.

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N2 - 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.

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