Post-sexual assault cigarette smoking: Findings from a randomized clinical trial of a video-based intervention

Sexual assault (SA) is associated with elevated risk for cigarette smoking. The current study tested whether a brief video intervention delivered in the emergency department was effective at reducing smoking following SA. Participants were 233 girls and women (age 15+) who received a SA medical fore...

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Veröffentlicht in:Addictive behaviors Jg. 100; S. 106121
Hauptverfasser: Walsh, Kate, Gilmore, Amanda K., Schumacher, Julie A., Coffey, Scott F., Frazier, Patricia A., Ledray, Linda, Acierno, Ron, Ruggiero, Kenneth J., Kilpatrick, Dean G., Resnick, Heidi S.
Format: Journal Article
Sprache:Englisch
Veröffentlicht: England Elsevier Ltd 01.01.2020
Schlagworte:
Adolescent
Adult
Brief intervention
Cigarette Smoking - prevention & control
Crime Victims - psychology
Emergency department
Emergency Service, Hospital
Female
Humans
Middle Aged
Randomized controlled trial
Rape
Relaxation Therapy
Sexual assault
Smoking
Smoking Reduction - methods
United States - epidemiology
Young Adult
United States
Emergency department
Brief intervention
Randomized controlled trial
Sexual assault
Smoking
ISSN:0306-4603, 1873-6327, 1873-6327
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Beschreibung
Zusammenfassung:Sexual assault (SA) is associated with elevated risk for cigarette smoking. The current study tested whether a brief video intervention delivered in the emergency department was effective at reducing smoking following SA. Participants were 233 girls and women (age 15+) who received a SA medical forensic examination (SAMFE) and were randomized to one of three conditions: 1) Prevention of Post-Rape Stress (PPRS), a brief video designed to reduce post-SA psychopathology; 2) Pleasant Imagery and Relaxation Information (PIRI), an active control video involving relaxation training; and 3) treatment as usual (TAU). Among those who participated at baseline, 154 participants completed at least one follow-up at 1.5, 3, and 6 months after the SAMFE. Participants reported the number of days of smoking and the average number of cigarettes smoked per day in the two weeks prior to the sexual assault as well as in the two weeks prior to each follow-up. Two-thirds (68.8%) of participants smoked prior to the SA or during any follow-up. One-fifth of participants who did not smoke prior to the SA smoked at one or more follow-ups. Smoking declined on average over follow-up although TAU was associated with increased initial smoking compared to PPRS; PPRS and PIRI did not differ. SA contributes to increases in smoking and the PPRS, a brief and cost-effective video-based intervention delivered during the SAMFE, can protect against increases in post-SA smoking. Trial registration: NCT01430624 •RCT tested a brief video intervention among rape victims in the emergency room.•67% of rape victims reported smoking prior to or after the rape.•Of women who did not smoke in the year before the rape, 19% smoked following the rape.•The video mitigated smoking relative to treatment as usual.
Bibliographie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Contributors
The first author analyzed the data and drafted the manuscript; middle authors assisted with study development, including questionnaire selection and assessment timing, reviewing and providing feedback on drafts of the manuscript, and approving the final version for publication; and the final/senior author designed the study, obtained funding and IRB approval, cleaned the data, aided with the conceptualization and writing of the manuscript, and reviewed multiple drafts and provided feedback.
ISSN:0306-4603
1873-6327
1873-6327
DOI:10.1016/j.addbeh.2019.106121