Characterizing smoking, cessation services, and quit interest across outpatient substance abuse treatment modalities

J Subst Abuse Treat. 2014 Feb;46(2):194-201. doi: 10.1016/j.jsat.2013.07.009. Epub 2013 Aug 27.

Abstract

The majority of individuals seeking treatment for substance use disorders are cigarette smokers, yet smoking cessation is rarely addressed during treatment. Conducting a detailed smoking-related characterization of substance abuse treatment patients across treatment modalities may facilitate the development of tailored treatment strategies. This study administered a battery of self-report instruments to compare tobacco use, quit attempts, smoking knowledge and attitudes, program services, and interest in quitting among smoking patients enrolled in opioid replacement therapy (ORT) versus non-opioid replacement (non-ORT). ORT compared with non-ORT participants smoked more heavily, had greater tobacco dependence, and endorsed greater exposure to smoking cessation services at their treatment programs. Favorable attitudes towards cessation during treatment were found within both groups. These data identify several potential clinical targets, most notably including confidence in abstaining and attitudes toward cessation pharmacotherapies that may be addressed by substance abuse treatment clinics.

Keywords: Attitudes; Cessation; Knowledge; Program services; Quit interest; S-KAS; Smoking; Substance abuse treatment.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Ambulatory Care / methods
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Male
  • Middle Aged
  • Opiate Substitution Treatment / methods
  • Opioid-Related Disorders / rehabilitation
  • Self Report
  • Smoking / epidemiology
  • Smoking / psychology
  • Smoking Cessation / methods*
  • Smoking Cessation / psychology
  • Smoking Prevention*
  • Substance-Related Disorders / rehabilitation*
  • Tobacco Use Disorder / rehabilitation