Verslaving (stoornis in het gebruik van tabak) smoking addiction Tobacco use disorder
Conditions
Interventions
Intervention: a total of six 45-90 min. sessions of AF-EMDR twice per week
added to a SCP embedded in TAU.
Sponsors
IrisZorg
Eligibility
Age
18 Years to 64 Years
Inclusion criteria
Inclusion criteria: - Diagnosis of Tobacco Use Disorder according to the DSM-5 (American Psychiatric Association, 2013) criteria. - Age >= 18 years. - Good Dutch language proficiency (based on clinical judgement). - Smoking, on average, >= 10 cigarettes per day pre-admission. - A score of at least 5 on a scale from 0 to 10, for motivation and self-efficacy - A planned inpatient stay of >= 4 weeks. - Written informed consent.
Exclusion criteria
Exclusion criteria: - Serious therapy interfering behavior or symptoms that also interfere with TAU, based on clinical judgement (e. g. psychiatric or medical crisis that requires immediate intervention).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main study parameters/endpoints o The retention of participants from randomization until the last follow-up. o The acceptability of AF-EMDR to participants in terms of compliance, measured by the total number of sessions attended and the proportion of attended versus non attended (planned) sessions; a higher proportion of attended sessions reflects better compliance. o The acceptability of AF-EMDR to therapists in terms of adherence to the protocol, measured by the score of an independent rater on an a-priori established adherence rating protocol; a higher score reflects better adherence. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary study parameters/endpoints o Recruitment potential, measured by the proportion of patients at the clinic that are potentially eligible and provide informed consent versus: * Those that are eligible but do not provide informed consent. * Those that are not eligible. o The feasibility of the outcome measures in terms of completion of questionnaires (% per questionnaire and total). o The acceptability of the outcome measures in terms of Likert-type ratings by participants, therapists and research assistants. o Amount of missing data, measured by total number of missing values and the proportion of completed versus missing data. Tertiary study parameters o Demographics, as inventoried by a structured interview and patient files. o Smoking (cessation history), inventoried by a structured interview and patient files. o Current DSM-5 diagnoses, inventoried by a structured interview and patient files. o Motivation to quit smoking, measured by a Likert-type scale from 0 to 10; a higher score reflects a higher motivation. o Smoking cessation self-efficacy, measured by a Likert-type scale from 0 to 10; a higher score reflects a higher self-efficacy. o Severity of nicotine dependence, measured by the Fagerström Test of Nicotine Dependence, providing a score from 0 to 10; a higher score reflects a more severe dependence. o Time to relapse (from the end of the AF-EMDR intervention, if abstinence is achieved), measured in number of days from the end of the AF-EMDR intervention until first cigarette smoked. The higher the number of days, the longer the time to relapse. Changes from baseline (T0) to T1-T2-T3 in: o Smoking behavior, measured by mean number of cigarettes smoked per day over the past 7 days; a higher score means a worse outcome. o Tobacco craving, as measured by the total score on the Questionnaire of Smoking Urges - Brief version; a higher score means a worse outcome. o Craving related self-control/self-efficacy. As measured | — |
Countries
Netherlands
Outcome results
None listed