Enhancing the effectiveness of smoking treatment research: Conceptual bases and progress

Timothy B. Baker, Linda M. Collins, Robin Mermelstein, Megan E. Piper, Tanya R. Schlam, Jessica W. Cook, Daniel M. Bolt, Stevens S. Smith, Douglas E. Jorenby, David Fraser, Wei Yin Loh, Wendy E. Theobald, Michael C. Fiore

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Background and aims: A chronic care strategy could potentially enhance the reach and effectiveness of smoking treatment by providing effective interventions for all smokers, including those who are initially unwilling to quit. This paper describes the conceptual bases of a National Cancer Institute-funded research program designed to develop an optimized, comprehensive, chronic care smoking treatment. Methods: This research is grounded in three methodological approaches: (1) the Phase-Based Model, which guides the selection of intervention components to be experimentally evaluated for the different phases of smoking treatment (motivation, preparation, cessation, and maintenance); (2) the Multiphase Optimization Strategy (MOST), which guides the screening of intervention components via efficient experimental designs and, ultimately, the assembly of promising components into an optimized treatment package and (3) pragmatic research methods, such as electronic health record recruitment, that facilitate the efficient translation of research findings into clinical practice. Using this foundation and working in primary care clinics, we conducted three factorial experiments (reported in three accompanying papers) to screen 15 motivation, preparation, cessation and maintenance phase intervention components for possible inclusion in a chronic care smoking treatment program. Results: This research identified intervention components with relatively strong evidence of effectiveness at particular phases of smoking treatment and it demonstrated the efficiency of the MOST approach in terms both of the number of intervention components tested and of the richness of the information yielded. Conclusions: A new, synthesized research approach efficiently evaluates multiple intervention components to identify promising components for every phase of smoking treatment. Many intervention components interact with one another, supporting the use of factorial experiments in smoking treatment development.

Original languageEnglish (US)
Pages (from-to)107-116
Number of pages10
JournalAddiction
Volume111
Issue number1
DOIs
StatePublished - Jan 1 2016

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Smoking
Research
Motivation
Maintenance
National Cancer Institute (U.S.)
Electronic Health Records
Primary Health Care
Research Design

All Science Journal Classification (ASJC) codes

  • Medicine (miscellaneous)
  • Psychiatry and Mental health

Cite this

Baker, T. B., Collins, L. M., Mermelstein, R., Piper, M. E., Schlam, T. R., Cook, J. W., ... Fiore, M. C. (2016). Enhancing the effectiveness of smoking treatment research: Conceptual bases and progress. Addiction, 111(1), 107-116. https://doi.org/10.1111/add.13154
Baker, Timothy B. ; Collins, Linda M. ; Mermelstein, Robin ; Piper, Megan E. ; Schlam, Tanya R. ; Cook, Jessica W. ; Bolt, Daniel M. ; Smith, Stevens S. ; Jorenby, Douglas E. ; Fraser, David ; Loh, Wei Yin ; Theobald, Wendy E. ; Fiore, Michael C. / Enhancing the effectiveness of smoking treatment research : Conceptual bases and progress. In: Addiction. 2016 ; Vol. 111, No. 1. pp. 107-116.
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abstract = "Background and aims: A chronic care strategy could potentially enhance the reach and effectiveness of smoking treatment by providing effective interventions for all smokers, including those who are initially unwilling to quit. This paper describes the conceptual bases of a National Cancer Institute-funded research program designed to develop an optimized, comprehensive, chronic care smoking treatment. Methods: This research is grounded in three methodological approaches: (1) the Phase-Based Model, which guides the selection of intervention components to be experimentally evaluated for the different phases of smoking treatment (motivation, preparation, cessation, and maintenance); (2) the Multiphase Optimization Strategy (MOST), which guides the screening of intervention components via efficient experimental designs and, ultimately, the assembly of promising components into an optimized treatment package and (3) pragmatic research methods, such as electronic health record recruitment, that facilitate the efficient translation of research findings into clinical practice. Using this foundation and working in primary care clinics, we conducted three factorial experiments (reported in three accompanying papers) to screen 15 motivation, preparation, cessation and maintenance phase intervention components for possible inclusion in a chronic care smoking treatment program. Results: This research identified intervention components with relatively strong evidence of effectiveness at particular phases of smoking treatment and it demonstrated the efficiency of the MOST approach in terms both of the number of intervention components tested and of the richness of the information yielded. Conclusions: A new, synthesized research approach efficiently evaluates multiple intervention components to identify promising components for every phase of smoking treatment. Many intervention components interact with one another, supporting the use of factorial experiments in smoking treatment development.",
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Baker, TB, Collins, LM, Mermelstein, R, Piper, ME, Schlam, TR, Cook, JW, Bolt, DM, Smith, SS, Jorenby, DE, Fraser, D, Loh, WY, Theobald, WE & Fiore, MC 2016, 'Enhancing the effectiveness of smoking treatment research: Conceptual bases and progress', Addiction, vol. 111, no. 1, pp. 107-116. https://doi.org/10.1111/add.13154

Enhancing the effectiveness of smoking treatment research : Conceptual bases and progress. / Baker, Timothy B.; Collins, Linda M.; Mermelstein, Robin; Piper, Megan E.; Schlam, Tanya R.; Cook, Jessica W.; Bolt, Daniel M.; Smith, Stevens S.; Jorenby, Douglas E.; Fraser, David; Loh, Wei Yin; Theobald, Wendy E.; Fiore, Michael C.

In: Addiction, Vol. 111, No. 1, 01.01.2016, p. 107-116.

Research output: Contribution to journalArticle

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AU - Collins, Linda M.

AU - Mermelstein, Robin

AU - Piper, Megan E.

AU - Schlam, Tanya R.

AU - Cook, Jessica W.

AU - Bolt, Daniel M.

AU - Smith, Stevens S.

AU - Jorenby, Douglas E.

AU - Fraser, David

AU - Loh, Wei Yin

AU - Theobald, Wendy E.

AU - Fiore, Michael C.

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N2 - Background and aims: A chronic care strategy could potentially enhance the reach and effectiveness of smoking treatment by providing effective interventions for all smokers, including those who are initially unwilling to quit. This paper describes the conceptual bases of a National Cancer Institute-funded research program designed to develop an optimized, comprehensive, chronic care smoking treatment. Methods: This research is grounded in three methodological approaches: (1) the Phase-Based Model, which guides the selection of intervention components to be experimentally evaluated for the different phases of smoking treatment (motivation, preparation, cessation, and maintenance); (2) the Multiphase Optimization Strategy (MOST), which guides the screening of intervention components via efficient experimental designs and, ultimately, the assembly of promising components into an optimized treatment package and (3) pragmatic research methods, such as electronic health record recruitment, that facilitate the efficient translation of research findings into clinical practice. Using this foundation and working in primary care clinics, we conducted three factorial experiments (reported in three accompanying papers) to screen 15 motivation, preparation, cessation and maintenance phase intervention components for possible inclusion in a chronic care smoking treatment program. Results: This research identified intervention components with relatively strong evidence of effectiveness at particular phases of smoking treatment and it demonstrated the efficiency of the MOST approach in terms both of the number of intervention components tested and of the richness of the information yielded. Conclusions: A new, synthesized research approach efficiently evaluates multiple intervention components to identify promising components for every phase of smoking treatment. Many intervention components interact with one another, supporting the use of factorial experiments in smoking treatment development.

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