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Offer of a Weight Management Program to Overweight and Obese Weight‐Concerned Smokers Improves Tobacco Dependence Treatment Outcomes
Author(s) -
Love ShaRhonda J.,
Sheffer Christine E.,
Bursac Zoran,
Prewitt T. Elaine,
Krukowski Rebecca A.,
West Delia Smith
Publication year - 2010
Publication title -
the american journal on addictions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.997
H-Index - 76
eISSN - 1521-0391
pISSN - 1055-0496
DOI - 10.1111/j.1521-0391.2010.00091.x
Subject(s) - overweight , weight management , medicine , body mass index , attendance , logistic regression , abstinence , nicotine dependence , obesity , weight gain , demography , multivariate analysis , weight loss , smoking cessation , nicotine , body weight , psychiatry , pathology , sociology , economics , economic growth
Weight concern is a common and significant barrier to abstinence for many smokers. This quasi‐experimental pilot study used multivariate logistic regression to examine the effects of offering a weight management treatment program on tobacco dependence treatment outcomes. Age, gender, ethnicity, educational level, nicotine dependence level, body mass index, and concern about weight gain were entered as factors/covariates to account for differences between groups. Offering a weight management program increased attendance at the first scheduled contact (88.1% vs. 71.6%; OR = 2.93; p = .029) and increased 6‐month abstinence (21.4% vs. 10.1%; OR = 2.42; p = .052). With factors and covariates included in the multivariate models to account for group differences, those offered weight management were five times more likely to attend their first session (OR = 5.10; 95% CI 1.53–16.98; p = .008) and three times more likely to be abstinent 6 months after tobacco treatment (OR = 2.98; 95% CI = 1.09–8.17; p = .033). Proactively informing weight‐concerned, overweight/obese smokers about the availability of a weight management program as an incentive for completing treatment for tobacco dependence may improve tobacco treatment outcomes. (Am J Addict 2010;00:1–8)