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. 2020 Oct;16(4):420-428.
doi: 10.1080/15504263.2020.1797259. Epub 2020 Jul 31.

Treatment Outcomes of a Multi-Component Mobile Health Smoking Cessation Pilot Intervention for People with Schizophrenia

Alyssa M Medenblik  1   2 , Adam M Mann  1   2 , Tiffany A Beaver  1   2 , Eric A Dedert  1   2   3 , Sarah M Wilson  1   2   4 , Patrick S Calhoun  1   2   3   4 , Jean C Beckham  1   2   3
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Treatment Outcomes of a Multi-Component Mobile Health Smoking Cessation Pilot Intervention for People with Schizophrenia

Alyssa M Medenblik et al. J Dual Diagn. 2020 Oct.

Abstract

The objective of this study was to investigate the feasibility and acceptability of a multi-component mobile contingency management (CM) pilot intervention for smoking cessation for people with schizophrenia. Methods: This intervention included mobile CM (i.e., monetary compensation for bioverification of abstinence through using a phone app), cognitive behavioral therapy (CBT), and pharmacotherapy for smoking cessation. This intervention was compared to an intensive treatment comparison (ITC), which contained all components except the CM. Participants were bioverified with carbon monoxide and saliva cotinine at a 6-month follow-up session. Results: In this pilot, the treatment group did not differ from the ITC at any time point. However, measures of treatment feasibility and acceptability indicated that smokers with schizophrenia were able to navigate the CM phone application and adhere to the protocol, demonstrating the potential utility of mobile interventions in this population. Conclusions: Despite lack of long-term abstinence for participants, adherence to the mobile application intervention indicates the potential for future investigation of mobile smoking cessation treatments for people with schizophrenia.

Keywords: cessation; Smoking cessation; cigarette smoking; contingency management; psychotic disorders; schizoaffective; schizophrenia.

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Conflict of interest statement

Disclosures

The authors declare no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of Duke University, or any of the institutions with which the authors are affiliated.

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