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Integrating a Behavioural Sleep Intervention into Smoking Cessation Treatment for Smokers with Insomnia: A Randomised Pilot Study

Published online by Cambridge University Press:  16 August 2013

Lisa M. Fucito ,
Nancy S. Redeker ,
Samuel A. Ball ,
Benjamin A. Toll ,
Jolomi T. Ikomi  and
Kathleen M. Carroll
Lisa M. Fucito*
Affiliation:
Yale School of Medicine, Department of Psychiatry
Nancy S. Redeker
Affiliation:
Yale School of Nursing
Samuel A. Ball
Affiliation:
Yale School of Medicine, Department of Psychiatry
Benjamin A. Toll
Affiliation:
Yale School of Medicine, Department of Psychiatry Yale Cancer Center Smilow Cancer Hospital at Yale-New Haven
Jolomi T. Ikomi
Affiliation:
Yale School of Medicine, Department of Psychiatry
Kathleen M. Carroll
Affiliation:
Yale School of Medicine, Department of Psychiatry
*
*Address for correspondence: Lisa M. Fucito, PhD, Yale School of Medicine, Department of Psychiatry, 1 Long Wharf Drive, Box 18, New Haven, CT 06511, USA, E-mail: [email protected], Telephone: +1-203-974-5759
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Abstract

Introduction: Sleep disturbance is common among cigarette smokers and predicts smoking cessation failure. Aims: The purpose of this study was to conduct a pilot test of whether provision of a sleep intervention might bolster smoking cessation outcomes among this vulnerable group. Methods: Smokers with insomnia (N = 19) seeking smoking cessation treatment were randomly assigned to receive 8 sessions over 10 weeks of either: (1) cognitive-behavioural therapy for insomnia + smoking cessation counselling (CBT-I+SC; n = 9) or (2) smoking cessation counselling alone (SC; n = 10). Counselling commenced 4 weeks prior to a scheduled quit date, and nicotine patch therapy was also provided for 6 weeks starting on the quit date. Results: There was no significant effect of counselling condition on smoking cessation outcomes. Most participants had difficulty initiating and maintaining smoking abstinence in that 7-day point prevalence abstinence rates at end of treatment (CBT-I+SC: 1/7, 14%; SC: 2/10, 20%) and follow-up (CBT-I+SC: 1/7, 14%; SC: 0/10, 0%) were low for both conditions. CBT-I+SC participants reported improvements in sleep efficiency, quality, duration and insomnia symptoms. Sleep changes were not associated with the likelihood of achieving smoking abstinence. Conclusions: This randomised pilot study suggests that behavioural interventions may improve sleep among smokers with insomnia, but a larger sample is needed to replicate this finding and evaluate whether these changes facilitate smoking cessation.

Type
Articles
Information
Journal of Smoking Cessation , Volume 9 , Issue 1 , June 2014 , pp. 31 - 38
Copyright
Copyright © The Author(s), published by Cambridge University Press on behalf of Australian Academic Press Pty Ltd 2013 

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