Skip to main content
. 2021 Mar 9;2021(3):CD013522. doi: 10.1002/14651858.CD013522.pub2

Kahler 2014.

Study characteristics
Methods Study design: non‐randomised intervention study
Country: USA
Data collection period: February – November 2011
Registry ID: not reported
Participants Number of participants: N = 19
Sample characteristics (at baseline):
Age (mean): 45 years (SD 9.9); Sex (% male): 68.4%
Population category: general population; Specific population: participants who wanted help to quit smoking and reported low positive affect (average item score of ≤ 2.5 on the positive affect subscale of the CES‐D)
Nicotine dependence: FTND 5.7 (SD 1.7); Baseline cigarettes per day: 18.3 (SD 5.2); Motivation to quit: selected by motivation to quit
Interventions Behavioural support for smoking cessation: standard behavioural treatment based on recent clinical practice guidelines for smoking cessation (Fiore, 2008). The focus of the first 2 sessions was on identifying reasons for quitting, seeking social support for quitting, and problem‐solving in high‐risk situations for smoking relapse. Participants were also instructed on the proper use of nicotine patch. Identifying and planning for high‐risk situations remained the focus of the treatment after quit date with counsellors providing support, reinforcing success, and bolstering self‐efficacy, as well as managing slips in the event that participants smoked after quit date
Pharmacological support for smoking cessation: participants smoking more than 10 CPD at baseline received treatment with transdermal nicotine patch with the initial dose starting on quit date at 21 mg for 4 weeks, followed by 2 weeks of 14 mg patch, and then 2 weeks of 7 mg patch; participants smoking 5 – 10 CPD started with 14 mg for 6 weeks, followed by 2 weeks of 7 mg patch
Psychotherapeutic or psychoactive support for mental health or mood: received mood management ‐ the Positive Psychotherapy for Smoking Cessation (PPT‐S) intervention integrated standard smoking cessation counselling with nicotine patch and a package of positive psychology interventions. During the course of this feasibility study the positive psychology intervention components were developed further but started with 6 exercises used previously in trials of mild‐to‐moderate depression: (1) using Signature Strengths in a new way, (2) Three Good Things, (3) Gratitude Visit, (4) Savoring, (5) Active/constructing Responding, and (6) Positive Service. A Savoring Kindness exercise was later added in place of Positive Service, while the Signature Strengths exercise was modified to focus solely on using one's strengths to aid smoking cessation
Outcomes Definition of cessation used: 7‐day point‐prevalence abstinence which was bioverified
Cessation definition used for outcome(s) in this analysis: point‐prevalence abstinence
Measure of biovalidation: Expired CO (≤ 10 ppm); saliva cotinine (≤ 15 ng/ml)
Definition of people who continued to smoke used: exact definition not reported; not biochemically confirmed as smoking abstinent
Time point(s) at which follow‐up was conducted: follow‐ups were conducted 8, 16, and 26 weeks after quit date
Outcome category: Depression, Positive Affect
Outcome measure(s): Center for Epidemiologic Studies Depression Scale (CES‐D), Positive and Negative Affect Schedule (PANAS‐P; positive affect subscale)
Funding source This research was supported by the National Cancer Institute grant R01CA156241 to CWK
Author conflicts of interest None specified
Notes Outcome data source: Published data