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Efficacy of a sleep health intervention to optimize standard smoking cessation treatment response: results from a pilot randomized controlled trial

Published online by Cambridge University Press:  05 March 2020

Freda Patterson Open the ORCID record for Freda Patterson [Opens in a new window] ,
Michael A. Grandner ,
Susan K. Malone ,
Ryan T. Pohlig ,
Rebecca L. Ashare  and
David G. Edwards
Freda Patterson*
Affiliation:
College of Health Sciences, University of Delaware, Newark, DE, USA
Michael A. Grandner
Affiliation:
Department of Psychiatry, School of Medicine, University of Arizona, Tucson, AZ, USA
Susan K. Malone
Affiliation:
School of Nursing, New York University, New York, NY, USA
Ryan T. Pohlig
Affiliation:
College of Health Sciences, University of Delaware, Newark, DE, USA
Rebecca L. Ashare
Affiliation:
Department of Psychiatry, Center for Interdisciplinary Research on Nicotine and Tobacco, School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
David G. Edwards
Affiliation:
College of Health Sciences, University of Delaware, Newark, DE, USA
*
Author for correspondence: Freda Patterson, E-mail: [email protected]
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Abstract

Background

We tested if an adjunctive sleep health (SH) intervention improved smoking cessation treatment response by increasing quit rates. We also examined if baseline sleep, and improvements in sleep in the first weeks of quitting, were associated with quitting at the end of treatment.

Methods

Treatment-seeking smokers (N = 29) aged 21–65 years were randomized to a SH intervention (n = 16), or general health (GH) control (n = 13) condition. Participants received six counseling sessions across 15-weeks: SH received smoking cessation + SH counseling; GH received smoking cessation + GH counseling. Counseling began 4-weeks before the target quit date (TQD), and varenicline treatment began 1-week prior to TQD. Smoking status and SH were assessed at baseline (week 1), TQD (week 4), 3 weeks after cessation (week 7), week 12, and at the end of treatment (EOT; week 15).

Results

SH versus GH participants had higher Carbon Monoxide (CO) -verified, 7-day point prevalence abstinence at EOT (69% vs. 54%, respectively; adjusted odds ratio (aOR) = 2.10, 95% confidence interval (CI) = 0.40–10.69, P = 0.77). Higher baseline sleep efficiency (aOR = 1.42, 95% CI = 1.03–1.96, P = 0.03), predicted higher EOT cessation. Models were adjusted for age, sex, education, and baseline nicotine dependence.

Conclusions

Improving SH in treatment-seeking smokers prior to cessation warrants further examination as a viable strategy to promote cessation.

Keywords

Sleep healthsmoking cessationvarenicline
Type
Brief Report
Information
Journal of Smoking Cessation , Volume 15 , Issue 2 , June 2020 , pp. 113 - 117
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

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References

Ashare, R. L., Lerman, C., Tyndale, R. F., Hawk, L. W., George, T. P., Cinciripini, P., & Schnoll, R. A. (2017). Sleep disturbance during smoking cessation: Withdrawal or side effect of treatment. Journal of Smoking Cessation, 12(2), 63–70. doi:10.1017/jsc2016.11.CrossRefGoogle ScholarPubMed
Buysse, D. J. (2014). Sleep health: Can we define it? Does it matter? Sleep, 37(1), 9–17. doi:10.5665/sleep.3298.CrossRefGoogle ScholarPubMed
Buysse, D. J., Reynolds, C. F. III, Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989) The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193–213. doi:10.1016/0165-1781(89)90047-4CrossRefGoogle ScholarPubMed
Cahill, K., Stevens, S., Perera, R., & Lancaster, T. (2013). Pharmacological interventions for smoking cessation: An overview and network meta-analysis. The Cochrane Database of Systematic Reviews (5), CD009329. doi:10.1002/14651858.CD009329.pub2.Google ScholarPubMed
Carpenter, J. S., & Andrykowski, M. A. (1998). Psychometric evaluation of the Pittsburgh Sleep Quality Index. Journal of Psychosomatic Research, 45(1), 5–13. doi:10.1016/s0022-3999(97)00298-5CrossRefGoogle ScholarPubMed
Coe, J. W., Brooks, P. R., Vetelino, M. G., Wirtz, M. C., Arnold, E. P., Huang, J., . . . O'Neill, B. T. (2005). Varenicline: An alpha4beta2 nicotinic receptor partial agonist for smoking cessation. Journal of Medicinal Chemistry, 48(10), 3474–3477. doi:10.1021/jm050069n.CrossRefGoogle ScholarPubMed
Cohen, A., Ben Abu, N., & Haimov, I. (2018). The interplay between tobacco dependence and sleep quality among young adults. Behavioral Sleep Medicine, 1–14. doi:10.1080/15402002.2018.1546707.Google ScholarPubMed
Cohen, A., & Haimov, I. (2018). The effect of smoking cessation on sleep patterns of young adults. Journal of Sleep Disorders & Therapy, 7(5). doi:10.4172/2167-0277.1000296.CrossRefGoogle Scholar
Creamer, M. R., Wang, T. W., Babb, S., Cullen, K. A., Day, H., Willis, G., . . . Neff, L. (2019). Tobacco product use and cessation indicators among adults – United States, 2018. MMWR. Morbidity and Mortality Weekly Report, 68(45), 1013–1019. doi:10.15585/mmwr.mm6845a2.CrossRefGoogle ScholarPubMed
Cropsey, K. L., Trent, L. R., Clark, C. B., Stevens, E. N., Lahti, A. C., & Hendricks, P. S. (2014). How low should you go? Determining the optimal cutoff for exhaled carbon monoxide to confirm smoking abstinence when using cotinine as reference. Nicotine & Tobacco Research, 16(10), 1348–1355. doi:10.1093/ntr/ntu085.CrossRefGoogle Scholar
Dorner, T. E., Trostl, A., Womastek, I., & Groman, E. (2011). Predictors of short-term success in smoking cessation in relation to attendance at a smoking cessation program. Nicotine & Tobacco Research, 13(11), 1068–1075. doi:10.1093/ntr/ntr179.CrossRefGoogle Scholar
Fucito, L. M., Redeker, N. S., Ball, S. A., Toll, B. A., Ikomi, J. T., & Carroll, K. M. (2014). Integrating a behavioural sleep intervention into smoking cessation treatment for smokers with insomnia: A randomised pilot study. Journal of Smoking Cessation, 9(1), 31–38. doi:10.1017/jsc.2013.19.CrossRefGoogle ScholarPubMed
Gilman, S. E., Martin, L. T., Abrams, D. B., Kawachi, I., Kubzansky, L., Loucks, E. B., . . . Buka, S. L. (2008). Educational attainment and cigarette smoking: A causal association? International Journal of Epidemiology, 37(3), 615–624. doi:10.1093/ije/dym250.CrossRefGoogle ScholarPubMed
Grandner, M. A., Patel, N. P., Hale, L., Moore, M., & Patel, N. P. (2010). Mortality associated with sleep duration: The evidence, the possible mechanisms, and the future. Sleep Medicine Reviews, 14, 191–203. doi:10.1016/j.smrv.2009.07.006CrossRefGoogle ScholarPubMed
Heatherton, T. F., Kozlowski, L. T., Frecker, R. C., & Fagerstrom, K. O. (1991). The Fagerstrom test for nicotine dependence: A revision of the Fagerstrom Tolerance Questionnaire. British Journal of Addiction, 86(9), 1119–1127. doi:10.1111/j.1360-0443.1991.tb01879.xCrossRefGoogle ScholarPubMed
Hughes, J. R. (2007). Effects of abstinence from tobacco: Valid symptoms and time course. Nicotine & tobacco research, 9(3), 315–327. doi:10.1080/14622200701188919.CrossRefGoogle ScholarPubMed
Hughes, J. R., Carpenter, M. J., & Naud, S. (2010). Do point prevalence and prolonged abstinence measures produce similar results in smoking cessation studies? A systematic review. Nicotine & Tobacco Research, 12(7), 756–762. doi:10.1093/ntr/ntq078.CrossRefGoogle ScholarPubMed
Hughes, J. R., Gust, S. W., Skoog, K., Keenan, R. M., & Fenwick, J. W. (1991). Symptoms of tobacco withdrawal. A replication and extension. Archives of General Psychiatry, 48(1), 52–59. doi:10.1001/archpsyc.1991.01810250054007.CrossRefGoogle Scholar
Hughes, J. R., & Hatsukami, D. (1986). Signs and symptoms of tobacco withdrawal. Archives of General Psychiatry, 43(3), 289–294.CrossRefGoogle ScholarPubMed
Hughes, J. R., Keely, J. P., Niaura, R. S., Ossip-Klein, D. J., Richmond, R. L., & Swan, G. E. (2003). Measures of abstinence in clinical trials: Issues and recommendations. Nicotine & Tobacco Research, 5(1), 13–25.CrossRefGoogle ScholarPubMed
Jaehne, A., Loessl, B., Barkai, Z., Riemann, D., & Hornyak, M. (2009). Effects of nicotine on sleep during consumption, withdrawal and replacement therapy. Sleep Medicine Reviews, 13(5), 363–377. doi:10.1016/j.smrv.2008.12.003.CrossRefGoogle ScholarPubMed
Jaehne, A., Unbehaun, T., Feige, B., Cohrs, S., Rodenbeck, A., Schutz, A. L., . . . Riemann, D. (2015). Sleep changes in smokers before, during and 3 months after nicotine withdrawal. Addiction Biology, 20(4), 747–755. doi:10.1111/adb.12151.CrossRefGoogle ScholarPubMed
Jamal, A., Phillips, E., Gentzke, A. S., Homa, D. M., Babb, S. D., King, B. A., & Neff, L. J. (2018) Current cigarette smoking among adults – United States, 2016. MMWR. Morbidity and Mortality Weekly Report, 67(2), 53–59. doi:10.15585/mmwr.mm6702a1CrossRefGoogle ScholarPubMed
Kotz, D., & West, R. (2009). Explaining the social gradient in smoking cessation: It's not in the trying, but in the succeeding. Tobacco Control, 18(1), 43–46. doi:10.1136/tc.2008.025981.CrossRefGoogle Scholar
Mokdad, A. H., Marks, J. S., Stroup, D. F., & Gerberding, J. L. (2004). Actual causes of death in the United States, 2000. JAMA, 291(10), 1238–1245. doi:10.1001/jama.291.10.1238.CrossRefGoogle ScholarPubMed
Okun, M. L., Levine, M. D., Houck, P., Perkins, K. A., & Marcus, M. D. (2011). Subjective sleep disturbance during a smoking cessation program: Associations with relapse. Addictive Behaviors, 36(8), 861–864. doi:10.1016/j.addbeh.2011.03.001.CrossRefGoogle ScholarPubMed
Peltier, M. R., Lee, J., Ma, P., Businelle, M. S., & Kendzor, D. E. (2017). The influence of sleep quality on smoking cessation in socioeconomically disadvantaged adults. Addictive Behaviors, 66, 7–12. doi:10.1016/j.addbeh.2016.11.004.CrossRefGoogle ScholarPubMed
Perkett, M., Robson, S. M., Kripalu, V., Wysota, C., McGarry, C., Weddle, D., . . . Patterson, F. (2017). Characterizing cardiovascular health and evaluating a low-intensity intervention to promote smoking cessation in a food-assistance population. Journal of Community Health, 42(3), 605–611. doi:10.1007/s10900-016-0295-2.CrossRefGoogle Scholar
Perkins, K. A., Karelitz, J. L., & Jao, N. C. (2013). Optimal carbon monoxide criteria to confirm 24-hr smoking abstinence. Nicotine & Tobacco Research, 15(5), 978–982. doi:10.1093/ntr/nts205.CrossRefGoogle ScholarPubMed
Perlis, M., Aloia, M., Millikan, A., Boehmler, J., Smith, M., Greenblatt, D., & Giles, D. (2000). Behavioral treatment of insomnia: A clinical case series study. Journal of Behavioral Medicine, 23(2), 149–161. doi:10.1023/a:1005413117932CrossRefGoogle ScholarPubMed
Peters, E. N., Fucito, L. M., Novosad, C., Toll, B. A., & O'Malley, S. S. (2011). Effect of night smoking, sleep disturbance, and their co-occurrence on smoking outcomes. Psychology of Addictive Behaviors, 25(2), 312–319. doi:10.1037/a0023128.CrossRefGoogle ScholarPubMed
Phillips, B. A., & Danner, F. J. (1995). Cigarette smoking and sleep disturbance. Archives of Internal Medicine, 155(7), 734–737.CrossRefGoogle ScholarPubMed
Prochaska, J. J., Nigg, C. R., Spring, B., Velicer, W. F., & Prochaska, J. O. (2010). The benefits and challenges of multiple health behavior change in research and in practice. Preventive Medicine, 50(1–2), 26–29. doi:10.1016/j.ypmed.2009.11.009.CrossRefGoogle ScholarPubMed
Prochaska, J. J., Spring, B., & Nigg, C. R. (2008). Multiple health behavior change research: An introduction and overview. Preventive Medicine, 46(3), 181–188. doi:10.1016/j.ypmed.2008.02.001.CrossRefGoogle ScholarPubMed
Rapp, K., Buechele, G., & Weiland, S. K. (2007) Sleep duration and smoking cessation in student nurses. Addictive Behaviors, 32(7), 1505–1510. doi:S0306-4603(06)00338-8 [pii]; 10.1016/j.addbeh.2006.11.005.CrossRefGoogle ScholarPubMed
Riedel, B. W., Durrence, H. H., Lichstein, K. L., Taylor, D. J., & Bush, A. J. (2004). The relation between smoking and sleep: The influence of smoking level, health, and psychological variables. Behavioral Sleep Medicine, 2(1), 63–78. doi:10.1207/s15402010bsm0201_6.CrossRefGoogle ScholarPubMed
Rollema, H., Coe, J. W., Chambers, L. K., Hurst, R. S., Stahl, S. M., & Williams, K. E. (2007). Rationale, pharmacology and clinical efficacy of partial agonists of alpha4beta2 nACh receptors for smoking cessation. Trends in Pharmacological Sciences, 28(7), 316–325. doi:10.1016/j.tips.2007.05.003.CrossRefGoogle ScholarPubMed
Schnoll, R. A., & Lerman, C. (2006). Current and emerging pharmacotherapies for treating tobacco dependence. Expert Opinion on Emerging Drugs, 11(3), 429–444. doi:10.1517/14728214.11.3.429CrossRefGoogle ScholarPubMed
Short, N. A., Mathes, B. A., Gibby, B., Oglesby, M. E., Zvolensky, M. J., & Schmidt, N. B. (2016). Insomnia symptoms as a risk factor for cessation failure following smoking cessation treatment. Addiction Research and Theory, 25(1), 17–23. doi:10.1080/16066359.2016.1190342CrossRefGoogle Scholar
Smith, L. J., Nowakowski, S., Soeffing, J. P., Orff, H. J., & Perlis, M. L. (2003) The measurement of sleep. In Perlis, M. L. & Lichstein, K. L. (Eds.), Treating sleep disorders: Principles and practice of behavioral sleep medicine (pp. 29–73). Hoboken, NJ: Wiley.Google Scholar
Soldatos, C. R., Kales, J. D., Scharf, M. B., Bixler, E. O., & Kales, A. (1980). Cigarette smoking associated with sleep difficulty. Science (New York, N.Y.), 207(4430), 551–553. doi:10.1126/science.7352268CrossRefGoogle ScholarPubMed
U.S. Department of Health and Human Services. (2014). The health consequences of smoking – 50 years of progress: A report of the surgeon general. Atlanta: U.S.: Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health.Google Scholar
Zhang, L., Samet, J., Caffo, B., & Punjabi, N. M. (2006). Cigarette smoking and nocturnal sleep architecture. American Journal of Epidemiology, 164(6), 529–537. doi:10.1093/aje/kwj231.CrossRefGoogle ScholarPubMed
Zhang, L., Samet, J., Caffo, B., Bankman, I., & Punjabi, N. M. (2008). Power spectral analysis of EEG activity during sleep in cigarette smokers. Chest, 133(2), 427–432. doi:10.1378/chest.07-1190.CrossRefGoogle ScholarPubMed