2
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      intEgrating Smoking Cessation treatment As part of usual Psychological care for dEpression and anxiety (ESCAPE): A randomised and controlled, multi‐centre, acceptability and feasibility trial with nested qualitative methods

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Background and aim

          There is evidence that smoking cessation may improve depression and anxiety symptoms. We assessed the feasibility of implementing and trialling a smoking cessation intervention in services providing cognitive behavioural therapy (CBT) for common mental illness.

          Design, setting and participants

          This study was a pragmatic, two‐armed, randomised, multi‐centre, acceptability and feasibility trial of a co‐designed smoking cessation intervention (ISRCTN99531779) involving United Kingdom National Health Service (NHS)‐funded services treating depression or anxiety among four NHS Trusts. Participants comprised adult daily smokers starting CBT for depression or anxiety [mean age 35.6 years, standard deviation (SD) = 12.7, 89.6% white] who smoked 14.3 (SD = 8.2) cigarettes/day with mean Generalised Anxiety Disorder Questionnaire‐7 (GAD‐7) and Patient Health Questionnaire‐9 (PHQ‐9) scores of 13.1 (SD = 4.9) and 14.5 (SD = 6.0). Sixty‐eight participants were allocated to the treatment group and 67 to control.

          Intervention and control

          Both groups received CBT for depression or anxiety. The treatment group also received up to 12 sessions of integrated smoking cessation support. The control group was signposted to smoking cessation services post‐treatment.

          Measurements

          Follow‐up was at 3 and 6 months. The primary outcome was ‘study completion’ by 3 months. Other outcomes included acceptability, satisfaction, feasibility, data completeness and mental health.

          Findings

          At 3 months, treatment did not affect study completion [odds ratio (OR) = 0.81, 95% confidence interval (CI) = 0.31 to 2.09], did not harm mental health (PHQ‐9 difference: coefficient 0.01, 95% CI = −2.19 to 2.22); GAD‐7: coefficient 0.65, 95% CI = −1.59 to 2.90), but increased abstinence rates (OR = 8.69, 95% CI = 1.11 to 396.26). Recruitment was acceptable and key stakeholders were satisfied with the intervention.

          Conclusions

          Among UK adult smokers receiving CBT treatment for depression or anxiety, a smoking cessation intervention within the CBT treatment was well received, did not interfere with the primary treatment goals and increased smoking cessation.

          Related collections

          Most cited references41

          • Record: found
          • Abstract: not found
          • Article: not found

          Using thematic analysis in psychology

            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support.

            Research electronic data capture (REDCap) is a novel workflow methodology and software solution designed for rapid development and deployment of electronic data capture tools to support clinical and translational research. We present: (1) a brief description of the REDCap metadata-driven software toolset; (2) detail concerning the capture and use of study-related metadata from scientific research teams; (3) measures of impact for REDCap; (4) details concerning a consortium network of domestic and international institutions collaborating on the project; and (5) strengths and limitations of the REDCap system. REDCap is currently supporting 286 translational research projects in a growing collaborative network including 27 active partner institutions.
              Bookmark
              • Record: found
              • Abstract: not found
              • Article: not found

              THE USE OF CONFIDENCE OR FIDUCIAL LIMITS ILLUSTRATED IN THE CASE OF THE BINOMIAL

                Bookmark

                Author and article information

                Contributors
                (View ORCID Profile)
                (View ORCID Profile)
                (View ORCID Profile)
                (View ORCID Profile)
                (View ORCID Profile)
                (View ORCID Profile)
                Journal
                Addiction
                Addiction
                Wiley
                0965-2140
                1360-0443
                March 11 2025
                Affiliations
                [1 ] Addiction and Mental Health Group, Department of Psychology University of Bath Bath UK
                [2 ] NIHR Oxford Biomedical Research Centre John Radcliffe Hospital Oxford UK
                [3 ] Population Health Sciences, Bristol Medical School University of Bristol Bristol UK
                [4 ] Bath Centre for Mindfulness and Compassion, Department of Psychology University of Bath Bath UK
                [5 ] Bristol Trials Centre, Bristol Medical School: Population Health Sciences University of Bristol Bristol UK
                [6 ] Centre for Academic Primary Care, Bristol Medical School, Department of Population Health Sciences University of Bristol Bristol UK
                [7 ] School of Psychological Science University of Bristol Bristol UK
                [8 ] NIHR Bristol Biomedical Research Centre Bristol UK
                [9 ] MRC Integrative Epidemiology Unit Bristol UK
                [10 ] NIHR Oxford Health Biomedical Research Centre Warneford Hospital Oxford UK
                [11 ] Nuffield Department of Primary Care Health Sciences University of Oxford Oxford UK
                [12 ] NIHR Oxford and Thames Valley Applied Research Collaboration Oxford UK
                Article
                10.1111/add.16718
                91169bf0-6681-477e-93ad-63b3d2d882cb
                © 2025

                http://creativecommons.org/licenses/by/4.0/

                History

                Comments

                Comment on this article