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
. 2018 Apr:79:86-92.
doi: 10.1016/j.addbeh.2017.12.007. Epub 2017 Dec 6.

Mobile contingency management as an adjunctive treatment for co-morbid cannabis use disorder and cigarette smoking

Jean C Beckham  1 , Kelsie A Adkisson  2 , Jeffrey Hertzberg  2 , Nathan A Kimbrel  3 , Alan J Budney  4 , Robert S Stephens  5 , Scott D Moore  3 , Patrick S Calhoun  6
Affiliations

Mobile contingency management as an adjunctive treatment for co-morbid cannabis use disorder and cigarette smoking

Jean C Beckham et al. Addict Behav. 2018 Apr.

Abstract

Introduction: Cannabis is the most widely used illicit drug in the U.S. with 19.8 million current users. Population-based data indicate that almost all cannabis users (90%) have a lifetime history of tobacco smoking and the majority (74%) currently smoke tobacco. Among cannabis users, smoking tobacco is associated with increased frequency of cannabis use, increased morbidity, and poorer cannabis cessation outcomes. There is a lack of research, however, focused on addressing cessation of both substances simultaneously. The purpose of the current pilot study was to evaluate the feasibility and acceptability of a multi-component tobacco/cannabis abstinence treatment.

Methods: Five participants completed Abstinence Reinforcement Therapy, an intervention that included five sessions of cognitive-behavioral telephone counseling for tobacco/cannabis, pharmacotherapy for smoking cessation, and five weeks of mobile contingency management to remain abstinent from tobacco and cannabis.

Results: Feasibility of recruitment, retention and treatment completion was high. Satisfaction with the treatment was also high.

Conclusion: Results support the feasibility and acceptability of this approach with dual cannabis and tobacco users and suggest that further research examining the efficacy of this approach is warranted.

Keywords: Cannabis treatment; Comorbidity; Smoking cessation; Tobacco control.

PubMed Disclaimer

References

    1. Agrawal A, Budney AJ, Lynskey MT. The co-occurring use and misuse of cannabis and tobacco: A review. Addiction. 2012;107(7):1221–1233. doi: 10.1111/j.1360-0443.2012.03837.x. - DOI - PMC - PubMed
    1. Akre C, Michaud PA, Berchtold A, Suris JC. Cannabis and tobacco use: Where are the boundaries? A qualitative study on cannabis consumption modes among adolescents. Health Education Research. 2010;25(1):74–82. doi: 10.1093/her/cyp027. - DOI - PubMed
    1. Allsop DJ, Dunlop AJ, Saddler C, Rivas GR, McGregor IS, Copeland J. Changes in cigarette and alcohol use during cannabis abstinence. Drug and Alcohol Dependence. 2014;138:54–60. doi: 10.1016/j.drugalcdep.2014.01.022. - DOI - PubMed
    1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Arlington, VA: American Psychiatric Association; 2013.
    1. Bars MP, Banauch GI, Appel D, Andreachi M, Mouren P, Kelly K, Prezant DJ. “Tobacco free with FDNY:” The New York city fire department World Trade Center tobacco cessation study. Chest. 2006;129(4):979–987. doi: 10.1378/chest.129.4.979. - DOI - PubMed

Publication types

MeSH terms