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- W1595370723 abstract "Background: Smokers show attentional bias, meaning they attend preferentiallyto cigarettes and related cues. Attentional bias may contribute to craving and failureto stop smoking. Modified visual probe tasks have been used in laboratory studiesto manipulate attentional biases for smoking cues, although these procedureshave not been applied in smoking cessation programmes. We conducted thefirst trial to examine the efficacy of multiple sessions of attentional retraining (AR)on attentional bias, craving, and abstinence in smokers attempting cessation.Methods: Adult cigarette smokers (N=118) were randomized to a modified visualprobe task with AR or placebo training (PT). Training began 1 week prior to quit dayand was delivered weekly for 5 sessions. Both groups received 21mg transdermalnicotine patches for 8-12 weeks and withdrawal-orientated behavioural support for7 sessions. Primary outcomes included the difference in attentional bias reactiontime measured at baseline and 4-weeks post-quit. Urge to smoke was measuredweekly using the Mood and Physical Symptoms Scale (MPSS). The secondaryoutcome, prolonged abstinence, was measured and biochemically validated ateach session. Results: The sample smoked a mean of 20.8 (SD=9.2) cigarettes/day and mean FTND=5.5 (SD=2.3). Post-training bias scores were lower in theintervention than control group (mean difference=-7.9ms), though this did notreach statistical significance (p=0.19). After adjusting for baseline bias scores,no significant main effects or interactions were found by group/abstinence status(ps>0.17). Mixed-effects linear regression analyses indicated that from quit-day to4-weeks, craving was lower in abstinent smokers who received AR than PT butthis was not statistically significant (b=-0.25, 95% CI=-1.41, 0.91, p=0.67). Therewas no significant difference in the proportion of smokers achieving prolongedabstinence at 4-weeks (RR=0.97, 95% CI=0.67, 1.40). Conclusions: Multiplesessions of AR using a modified visual probe task had no effect on attentionalbias, craving and abstinence outcomes. The findings call into question the clinicalvalue of AR procedures for treatment-seeking smokers." @default.
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- W1595370723 date "2013-01-01" @default.
- W1595370723 modified "2023-09-26" @default.
- W1595370723 title "A double-blind randomized controlled trial evaluating the efficacy of attentional retraining on attentional bias and craving in smokers attempting cessation" @default.
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