ArticleJournal of general internal medicine2025
Smoking Cessation Among Patients with Chronic Pain in a Comparative Effectiveness Trial.
Article in Journal of general internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02971137 (Pain-related Anxiety Intervention for Smokers With Chronic Pain), which is not on this map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Pain-related Anxiety Intervention for Smokers With Chronic Pain: A Comparative Effectiveness Trial of Smoking Cessation Counseling for Veterans
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Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
backgroundMany patients with chronic pain smoke cigarettes; they report lacking skills to cope with pain, a smoking trigger.
objectiveTest the effectiveness of a telephone-delivered, cognitive-behavioral intervention (CBI) incorporating pain self-management to promote smoking cessation among people with chronic pain compared to a smoking cessation counseling control (Standard).
designRandomized trial.
participantsCurrent cigarette smoking, willingness to make a quit attempt, pain for ≥ 3 months with worst past week pain intensity of ≥ 4 on the 0-10 pain numerical rating scale.
interventionsCBI included 5 telephone sessions integrating smoking cessation and pain self-management, and combination nicotine replacement therapy (NRT). Standard included 5 telephone sessions and NRT. MAIN MEASURES: Primary outcome used for power analysis was 14-day prolonged abstinence at 6 months. Other smoking outcomes included 7-day and 30-day point prevalence abstinence and 7-day prolonged abstinence at 6 and 12 months and 14-day prolonged abstinence at 12 months. Secondary outcomes included change in pain intensity and interference at 6 and 12 months. KEY
resultsPatients were randomly assigned to CBI (n = 189) and Standard (n = 182), stratified by sex. Patients (88% men, median age = 60 years) smoked a median of 15 cigarettes per day with moderate pain intensity (5.2 (SD = 1.6)) and pain interference (5.5 (SD = 2.2)). Participation in all 5 counseling calls was higher in CBI (38% vs. 29%), and there was no difference in NRT use (47% vs. 45%). There were no differences by arm in smoking or pain outcomes.
conclusionsOur study did not detect a difference in smoking cessation between standard counseling and counseling with enhanced content around pain self-management.
trial registrationhttps://clinicaltrials.gov/study/NCT02971137 Registered 2016-11-16.
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Registered trials
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