Community-based physical activity as adjunctive smoking cessation treatment: Rationale, design, and baseline data for the Lifestyle Enhancement Program (LEAP) randomized controlled trial
Despite advances in behavioral and pharmacological treatment for tobacco use and dependence, quit rates remain suboptimal. Increasing physical activity has shown some promise as a strategy for improving cessation outcomes. However, initial efficacy studies focused on intensive, highly structured exe...
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doaj-d676bbf4095e4f77b9a991caf04313102020-11-24T21:00:21ZengElsevierContemporary Clinical Trials Communications2451-86542018-03-019C505910.1016/j.conctc.2017.11.013Community-based physical activity as adjunctive smoking cessation treatment: Rationale, design, and baseline data for the Lifestyle Enhancement Program (LEAP) randomized controlled trialMark W. Vander Weg0Mace Coday1Michelle B. Stockton2Barbara McClanahan3George Relyea4Mary C. Read5Nancy Wilson6Stephanie Connelly7Phyllis Richey8Karen C. Johnson9Kenneth D. Ward10Iowa City VA Health Care Center, Center for Comprehensive Access & Delivery Research & Evaluation (CADRE) and Veterans Rural Health Resource Center – Central Region, Iowa City, IA, USADepartment of Preventive Medicine, The University of Tennessee Health Science Center, Memphis, TN, USASchool of Health Studies, The University of Memphis, Memphis, TN, USASchool of Health Studies, The University of Memphis, Memphis, TN, USASchool of Public Health, The University of Memphis, Memphis, TN, USASchool of Public Health, The University of Memphis, Memphis, TN, USASchool of Public Health, The University of Memphis, Memphis, TN, USAMethodist Primary Care Group, Methodist Healthcare, Memphis, TN, USADepartment of Preventive Medicine, The University of Tennessee Health Science Center, Memphis, TN, USADepartment of Preventive Medicine, The University of Tennessee Health Science Center, Memphis, TN, USASchool of Public Health, The University of Memphis, Memphis, TN, USADespite advances in behavioral and pharmacological treatment for tobacco use and dependence, quit rates remain suboptimal. Increasing physical activity has shown some promise as a strategy for improving cessation outcomes. However, initial efficacy studies focused on intensive, highly structured exercise programs that may not be applicable to the general population of smokers. We describe the rationale and study design and report baseline participant characteristics from the Lifestyle Enhancement Program (LEAP), a two-group, randomized controlled trial. Adult smokers who engaged in low levels of leisure time physical activity were randomly assigned to treatment conditions consisting of an individualized physical activity intervention delivered by health fitness instructors in community-based exercise facilities or an equal contact wellness control. All participants received standard cognitive behavioral smoking cessation counseling combined with nicotine replacement therapy. The primary outcomes are seven-day point prevalence abstinence at seven weeks, six- and 12 months. Secondary outcomes include self-reported physical activity, dietary intake, body mass index, waist circumference, percent body fat, and nicotine withdrawal symptoms. Participants consist of 392 sedentary smokers (mean [standard deviation] age = 44.6 [10.2] = years; 62% female; 31% African American). Results reported here provide information regarding experiences recruiting smokers willing to change multiple health behaviors including smoking and physical activity.http://www.sciencedirect.com/science/article/pii/S2451865417301199Smoking cessationPhysical activityRandomized controlled trial |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mark W. Vander Weg Mace Coday Michelle B. Stockton Barbara McClanahan George Relyea Mary C. Read Nancy Wilson Stephanie Connelly Phyllis Richey Karen C. Johnson Kenneth D. Ward |
spellingShingle |
Mark W. Vander Weg Mace Coday Michelle B. Stockton Barbara McClanahan George Relyea Mary C. Read Nancy Wilson Stephanie Connelly Phyllis Richey Karen C. Johnson Kenneth D. Ward Community-based physical activity as adjunctive smoking cessation treatment: Rationale, design, and baseline data for the Lifestyle Enhancement Program (LEAP) randomized controlled trial Contemporary Clinical Trials Communications Smoking cessation Physical activity Randomized controlled trial |
author_facet |
Mark W. Vander Weg Mace Coday Michelle B. Stockton Barbara McClanahan George Relyea Mary C. Read Nancy Wilson Stephanie Connelly Phyllis Richey Karen C. Johnson Kenneth D. Ward |
author_sort |
Mark W. Vander Weg |
title |
Community-based physical activity as adjunctive smoking cessation treatment: Rationale, design, and baseline data for the Lifestyle Enhancement Program (LEAP) randomized controlled trial |
title_short |
Community-based physical activity as adjunctive smoking cessation treatment: Rationale, design, and baseline data for the Lifestyle Enhancement Program (LEAP) randomized controlled trial |
title_full |
Community-based physical activity as adjunctive smoking cessation treatment: Rationale, design, and baseline data for the Lifestyle Enhancement Program (LEAP) randomized controlled trial |
title_fullStr |
Community-based physical activity as adjunctive smoking cessation treatment: Rationale, design, and baseline data for the Lifestyle Enhancement Program (LEAP) randomized controlled trial |
title_full_unstemmed |
Community-based physical activity as adjunctive smoking cessation treatment: Rationale, design, and baseline data for the Lifestyle Enhancement Program (LEAP) randomized controlled trial |
title_sort |
community-based physical activity as adjunctive smoking cessation treatment: rationale, design, and baseline data for the lifestyle enhancement program (leap) randomized controlled trial |
publisher |
Elsevier |
series |
Contemporary Clinical Trials Communications |
issn |
2451-8654 |
publishDate |
2018-03-01 |
description |
Despite advances in behavioral and pharmacological treatment for tobacco use and dependence, quit rates remain suboptimal. Increasing physical activity has shown some promise as a strategy for improving cessation outcomes. However, initial efficacy studies focused on intensive, highly structured exercise programs that may not be applicable to the general population of smokers. We describe the rationale and study design and report baseline participant characteristics from the Lifestyle Enhancement Program (LEAP), a two-group, randomized controlled trial. Adult smokers who engaged in low levels of leisure time physical activity were randomly assigned to treatment conditions consisting of an individualized physical activity intervention delivered by health fitness instructors in community-based exercise facilities or an equal contact wellness control. All participants received standard cognitive behavioral smoking cessation counseling combined with nicotine replacement therapy. The primary outcomes are seven-day point prevalence abstinence at seven weeks, six- and 12 months. Secondary outcomes include self-reported physical activity, dietary intake, body mass index, waist circumference, percent body fat, and nicotine withdrawal symptoms. Participants consist of 392 sedentary smokers (mean [standard deviation] age = 44.6 [10.2] = years; 62% female; 31% African American). Results reported here provide information regarding experiences recruiting smokers willing to change multiple health behaviors including smoking and physical activity. |
topic |
Smoking cessation Physical activity Randomized controlled trial |
url |
http://www.sciencedirect.com/science/article/pii/S2451865417301199 |
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