Targeting Tobacco Cessation During Treatment for Cannabis Use Disorders
| Status: | Completed |
|---|---|
| Conditions: | Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 18 - 65 |
| Updated: | 1/16/2019 |
| Start Date: | March 2013 |
| End Date: | January 2015 |
This project aims to develop and test an intervention for the simultaneous treatment of
cannabis use disorders and tobacco smoking. This is important because over 50% of adults
seeking treatment to help stop cannabis use also smoke tobacco regularly, which decreases
their chance for a successful treatment outcome and increases adverse acute and long-term
psychosocial and health consequences. The proposed treatment will integrate existing
computer-based behavioral interventions for cannabis and tobacco and use nicotine replacement
medications to improve outcomes in this difficult to treat clinical population.
cannabis use disorders and tobacco smoking. This is important because over 50% of adults
seeking treatment to help stop cannabis use also smoke tobacco regularly, which decreases
their chance for a successful treatment outcome and increases adverse acute and long-term
psychosocial and health consequences. The proposed treatment will integrate existing
computer-based behavioral interventions for cannabis and tobacco and use nicotine replacement
medications to improve outcomes in this difficult to treat clinical population.
Approximately 50% of persons seeking treatment for cannabis-use disorders (CUDs) regularly
smoke tobacco. Combining tobacco with cannabis has become a common method of smoking
cannabis. Similarities of use, and using together, can make quitting difficult. Stopping
tobacco simultaneously with cannabis may be beneficial. Little scientific information
currently addresses how to best target tobacco smoking during treatment for CUDs. Our
long-term goal is to develop an effective protocol for intervening in tobacco smoking without
changing cannabis outcomes. A two-phase, Stage 1 therapy development project will accomplish
the following: First, a treatment protocol and manual will be developed that integrates a
tailored intervention for tobacco smoking with an intervention for CUD (Aim 1). Utilization
of web-based counseling programs will standardize delivery of the intervention and foster
eventual dissemination. A pilot study will provide an initial test of acceptability and
feasibility. Second, a Stage 1, proof-of-concept study will compare this intervention to one
that targets CUD only (Aim 2). The hypotheses assert that the intervention (1) will be
accepted by the majority of eligible participants (2) will result in more tobacco quit
attempts and rates than the CUD-only treatment; and (3) will not adversely affect cannabis
outcomes. Last, the project will evaluate the potential of specific moderators of outcomes to
predict outcomes and inform subsequent treatment development efforts (Aim 3). If the
hypotheses were confirmed, dissemination of this protocol would reduce adverse psychosocial
and health consequences of tobacco or cannabis dependence. Findings will inform future
development of prevention and intervention strategies.
smoke tobacco. Combining tobacco with cannabis has become a common method of smoking
cannabis. Similarities of use, and using together, can make quitting difficult. Stopping
tobacco simultaneously with cannabis may be beneficial. Little scientific information
currently addresses how to best target tobacco smoking during treatment for CUDs. Our
long-term goal is to develop an effective protocol for intervening in tobacco smoking without
changing cannabis outcomes. A two-phase, Stage 1 therapy development project will accomplish
the following: First, a treatment protocol and manual will be developed that integrates a
tailored intervention for tobacco smoking with an intervention for CUD (Aim 1). Utilization
of web-based counseling programs will standardize delivery of the intervention and foster
eventual dissemination. A pilot study will provide an initial test of acceptability and
feasibility. Second, a Stage 1, proof-of-concept study will compare this intervention to one
that targets CUD only (Aim 2). The hypotheses assert that the intervention (1) will be
accepted by the majority of eligible participants (2) will result in more tobacco quit
attempts and rates than the CUD-only treatment; and (3) will not adversely affect cannabis
outcomes. Last, the project will evaluate the potential of specific moderators of outcomes to
predict outcomes and inform subsequent treatment development efforts (Aim 3). If the
hypotheses were confirmed, dissemination of this protocol would reduce adverse psychosocial
and health consequences of tobacco or cannabis dependence. Findings will inform future
development of prevention and intervention strategies.
Inclusion Criteria:
- 18-65 years old
- current DSM-IV diagnosis of cannabis abuse or dependence
- report use of cannabis on at least 45 of previous 90 days
- report regular use of tobacco cigarettes or report that their primary administration
of cannabis is via blunts or spliffs
- some indication of interest in quitting tobacco in the next 6 months (rating of 2 or
more on a 5-point interest scale
Exclusion Criteria:
- current dependence on alcohol or any drug other than tobacco and cannabis
- active or recent suicidal ideation
- use of non-tobacco nicotine
- current participation in treatment for substance abuse
- severe psychological distress (e.g., active suicidal plans, psychosis, debilitating
panic disorder).
- a condition that requires seeing a physician before using NRT (e.g., pregnancy or
recent heart attack
- legal status that would interfere with participation
- living with someone enrolled in the project
- not living within 30 miles of the research site (unless an exception is authorized by
the PI)
- not being fluent in english
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