Department of Psychology, Syracuse University, USA.
Department of Psychology, Syracuse University, USA.
Behav Res Ther. 2019 Apr;115:83-89. doi: 10.1016/j.brat.2018.10.013. Epub 2018 Oct 27.
Pain, tobacco cigarette smoking, and prescription opioid misuse are all highly prevalent among persons living with HIV (PLWH). Smoking and pain medication misuse can lead to deleterious outcomes, including more severe pain and physical impairment. However, we are not aware of any interventions that have attempted to address these issues in an integrated manner. Participants (N = 68) were recruited from an outpatient infectious disease clinic and randomized to either a computer-based personalized feedback intervention (Integrated PFI) that aimed to increase motivation, confidence, and intention to quit smoking, and decrease intentions to misuse prescription analgesic medications, or a Control PFI. Results indicated that PLWH who received the Integrated PFI (vs. Control PFI) evinced greater post-treatment knowledge of interrelations between pain and tobacco smoking. Moreover, participants who received the Integrated PFI and smoked at least 10 cigarettes per day (but not < 10 CPD) reported greater confidence and readiness/intention to quit smoking. Effects of the Integrated PFI on knowledge of pain and opioid misuse, and attitudes/intentions regarding prescription pain medication misuse were not statistically-significant. Taken together, these results indicate that this novel intervention strategy may offer promise for addressing a critical public health need in a population that is generally underrepresented in clinical research.
疼痛、吸烟和处方阿片类药物滥用在 HIV 感染者（PLWH）中非常普遍。吸烟和滥用止痛药会导致有害后果，包括更严重的疼痛和身体损伤。然而，我们不知道有任何干预措施试图以综合的方式解决这些问题。参与者（N=68）从一家门诊传染病诊所招募，并随机分配到基于计算机的个性化反馈干预（综合 PFI）组或对照组。综合 PFI 旨在提高戒烟的动机、信心和意图，并减少滥用处方止痛药的意图，而对照组则不接受任何干预。结果表明，接受综合 PFI 的 PLWH 与疼痛和吸烟之间相互关系的知识在治疗后有了更大的提高。此外，每天至少吸烟 10 支（但不超过 10 支）的接受综合 PFI 的参与者报告说，他们的戒烟信心和准备/意图更大。综合 PFI 对疼痛和阿片类药物滥用知识以及对处方止痛药滥用的态度/意图的影响没有统计学意义。总之，这些结果表明，这种新的干预策略可能为解决在临床研究中代表性不足的人群中的一个关键公共卫生需求提供希望。
