Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2013 Oct;38(10):2541-6.
doi: 10.1016/j.addbeh.2013.05.003. Epub 2013 May 21.

A pilot study of screening, brief intervention, and referral for treatment (SBIRT) in non-treatment seeking smokers with HIV

Karen L Cropsey  1 , Peter S Hendricks, Bianca Jardin, C Brendan Clark, Nandan Katiyar, James Willig, Michael Mugavero, James L Raper, Michael Saag, Matthew J Carpenter
Affiliations
Randomized Controlled Trial

A pilot study of screening, brief intervention, and referral for treatment (SBIRT) in non-treatment seeking smokers with HIV

Karen L Cropsey et al. Addict Behav. 2013 Oct.

Abstract

Introduction: PLHIV have higher rates of smoking and lower motivation to quit smoking; thus to impact smoking rates, cessation interventions need to be acceptable to a wider range of PLHIV smokers as well as feasible to implement in a busy clinical setting. The purpose of this study was to evaluate the acceptability, feasibility, and effects of a Screening, Brief Intervention, and Referral for Treatment (SBIRT) model in an HIV/AIDS clinic among a sample of PLHIV.

Methods: PLHIV smokers (N=40) were randomized at baseline, irrespective of their self-reported discrete smoking cessation motivation status, to receive either 8-weeks of combination nicotine replacement therapy (NRT) in conjunction with brief counseling (SBIRT framework) (n=23) or usual care (n=17). Smoking outcome measures included cigarettes smoked per day, nicotine dependence, smoking urge, and smoking withdrawal symptoms.

Results: The SBIRT intervention appeared to be acceptable and feasible, and produced medium to large reductions in cigarettes smoked per day, physical nicotine dependence, smoking urge, and smoking withdrawal symptoms, even for smokers not ready to quit within 6months.

Conclusions: Findings provide preliminary support for the integration of an SBIRT model in an HIV/AIDS clinic setting to screen and provide active treatment to all smokers, regardless of readiness to quit smoking. Given the high prevalence and incredible health burden of continued smoking in this population, identifying brief and effective interventions that are easily translated into clinical practice represents an enormous challenge that if met, will yield significant improvements to overall patient outcomes.

Keywords: AIDS; HIV; Pilot Study; SBIRT; Smoking Cessation.

PubMed Disclaimer

Conflict of interest statement

Declaration of Interests

None of the authors has any conflicts of interest or competing interests to declare

Figures

Figure 1
Figure 1
Panel A: Treatment versus Usual Care on Measures of Smoking Note: Scale scores are labeled along the Y axis while the weeks are shown across the x axis.
Figure 1
Figure 1
Panel A: Treatment versus Usual Care on Measures of Smoking Note: Scale scores are labeled along the Y axis while the weeks are shown across the x axis.
See this image and copyright information in PMC

References

    1. Babor TB, McRee BG, Kassebaum PA, Grimaldi PL, Ahmed K, Bray J. Screening, Brief Intervention, and Referral to Treatment (SBIRT): toward a public health approach to the management of substance abuse. Substance Abuse. 2007;28(3):7–30. doi: 10.1300/J465v28n03_03. - DOI - PubMed
    1. Benard A, Bonnet F, Tessier JF, Fossoux H, Dupon M, Mercie P, et al. Tobacco addiction and HIV infection: toward the implementation of cessation programs. AIDS Patient Care STDS. 2007;21(2):458–468. doi: 10.1089/apc.2006.0142. - DOI - PubMed
    1. Bing EG, Burnam MA, Longshore D, Fleishman JA, Sherbourne CD, London AS, et al. Psychiatric disorders and drug use among human immunodeficiency virus-infected adults in the United States. Archives of General Psychiatry. 2001;58(8):721–728. doi: 10.1001/archpsyc.58.8.721. - DOI - PubMed
    1. Burkhalter JE, Springer CM, Chhabra R, Ostroff JS, Rapkin BD. Tobacco use and readiness to quit smoking in low-income HIV-infected persons. Nicotine and Tobacco Research. 2005;7(4):511–522. doi: 10.1080/1462220050018606. - DOI - PubMed
    1. Cahill K, Lancaster T, Green N. Stage-based interventions for smoking cessation. Cochrane Database of Systamatic Reviwes. 2010;(11) doi: 10.1002/14651858.CD004492. CD004492. - DOI - PubMed

Publication types

MeSH terms