Waterpipe tobacco smoking: The critical need for cessation treatment

Ward, Kenneth D.; Siddiqi, Kamran; Ahluwalia, Jasjit S.; Alexander, Adam C.; Asfar, Taghrid

doi:10.1016/j.drugalcdep.2015.05.029

Cited by 28 publications

(20 citation statements)

References 69 publications

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“…Findings from the present study are important given the recent attention and call to action to intervene on the rapid increase in WP tobacco smoking (123% increase) in the U.S. (Jawad, McEwen, McNeill, & Shahab, 2013; Prevention, 2010; Ward, Siddiqi, Ahluwalia, Alexander, & Asfar, 2015). The misperception that WP tobacco smoking is less harmful than other forms of tobacco is likely contributing, in large part, to its use.…”

Section: Discussionmentioning

confidence: 80%

The impact of a brief cessation induction intervention for waterpipe tobacco smoking: A pilot randomized clinical trial

Leavens

Meier

Tackett

et al. 2018

Addictive Behaviors

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Background Waterpipe (WP) tobacco smoking delivers many of the same harmful toxicants as cigarette smoking and is on the rise in the US. This study evaluated the feasibility and initial efficacy of a brief personalized feedback intervention in affecting changes in WP smoking among current WP smokers. Methods Participants (N=109) were recruited as they entered WP lounges and completed a questionnaire and exhaled carbon monoxide (eCO) testing before entering the WP lounge. Participants were cluster-randomized to assessment-only control (AOC) or intervention conditions. The intervention condition received health risk information and personalized feedback on pre- and post-WP session eCO levels. Participants completed a survey at the end of the WP session and at 3-month follow-up. Results Compared to control, the intervention was effective in increasing knowledge of WP-related harms, correcting risk perceptions, increasing importance of quitting WP smoking, and increasing confidence in ability to quit WP smoking at post-WP session (p<.05). Differences were maintained for knowledge of WP-related harms, risk perceptions, and commitment to quitting WP at 3-month follow-up; however, no significant difference (p>.05) was observed in WP smoking (i.e., days smoked and number of WPs smoked) at 3-month follow-up between the intervention (M=3.97 days, SD=9.83; M=6.45 bowls, SD=19.60) and control conditions (M=3.32 days, SD=5.24; M=3.49 bowls, SD=5.10). Conclusions The current research supports the use of personalized feedback as a useful intervention method to increase commitment to quit WP, but suggests more intensive interventions may be necessary to achieve WP cessation.

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Section: Discussionmentioning

confidence: 80%

The impact of a brief cessation induction intervention for waterpipe tobacco smoking: A pilot randomized clinical trial

Leavens

Meier

Tackett

et al. 2018

Addictive Behaviors

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“…For example, while some research has illustrated that WTS is socially acceptable, even in societies where any tobacco use among females is socially unacceptable (Akl et al, 2015; Ward et al, 2015), others have reported the negative image of women using waterpipes (Afifi et al, 2013; Khalil et al, 2013). Furthermore, regional differences also emerge regarding women using waterpipe.…”

Section: Social Normsmentioning

confidence: 99%

Now is the time to advocate for interventions designed specifically to prevent and control waterpipe tobacco smoking

Lopez

Eissenberg

Jaafar

et al. 2017

Addictive Behaviors

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Waterpipe tobacco usage is spreading rapidly worldwide, with reports of more youth being waterpipe users compared to adults. In many areas of the world, waterpipe usage surpasses cigarette smoking. Waterpipes and cigarettes are both mechanisms for inhalation of tobacco smoke and therefore have serious health consequences. However, because of the many differences between the two products, prevention and control strategies that have proven effective for cigarettes may not transfer readily to waterpipe. This report highlights the differences between waterpipes and cigarettes in toxicant exposure and physiologic effects, patterns of use, social norms, the extent of evidence, and the policy environment. There is little evidence to date around effective interventions for waterpipe prevention and control. The current state of evidence for intervention to curb or control waterpipe is at ground zero and critically needs attention from both scientists and policy makers. National and global efforts aimed at cigarette prevention have succeeded, particularly in developed countries. We suggest the time has come to harness what we know works for cigarette prevention and control and adapt it to tackle the growing epidemic of waterpipe tobacco use.

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“…Maziak, Ward, Afifi Soweid, & Eissenberg, 2004) and growing evidence of its adverse health consequences (Akl et al, 2010; Sibai et al, 2014), dependence-producing effects (Eissenberg & Shihadeh, 2009), and difficulty that many users have in quitting (Ward et al, 2005; Ward, Siddiqi, Ahluwalia, Alexander, & Asfar, 2015), we developed a behavioral cessation program for willing-to-quit waterpipe users, and evaluated its feasibility and efficacy in a pilot, two arm, parallel group, randomized, open label trial in Aleppo, Syria. Fifty adults who smoked waterpipe ≥3 times per week for the last year, did not smoke cigarettes, and were interested in quitting were randomized to receive either brief (1 in-person session and 3 phone calls) or intensive (3 in-person sessions and 5 phone calls) behavioral counseling delivered by a trained physician in a clinical setting (Taghrid Asfar et al, 2014).…”

Section: Establishment Of the Syrian Center For Tobacco Studiesmentioning

confidence: 99%

“…At the individual-level intervention, developing and implementing smoking cessation interventions targeting populations at high risk for smoking such as cancer survivors, patients with cardiovascular and respiratory disease, and pregnant women are urgently needed. Besides cigarette smoking, it is important to respond to the growing epidemic of waterpipe tobacco use, and to continue developing effective and feasible interventions for users who are interested in quitting (W Maziak et al, 31 JUL 2015; Ward et al, 2015). The alarming rise of waterpipe smoking among women and youths identify these two groups as high priority targets for future WP smoking cessation interventions.…”

Section: Future Directions For Smoking Cessation Efforts In Syriamentioning

confidence: 99%

Building Evidence-Based Tobacco Treatment in the Eastern Mediterranean Region: Lessons Learned by the Syrian Center for Tobacco Studies

et al. 2016

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The tobacco epidemic in Syria is characterized by high rates of cigarettes smoking in men and dramatic reemergence of waterpipe smoking, especially among youths and women. The Syrian Center for Tobacco Studies (SCTS), an NIH-funded pioneer research and capacity building institution, has developed a research infrastructure and conducted three randomized clinical trials to develop and rigorously test culturally-appropriate tobacco treatment programs integrated into primary healthcare (PHC) centers. This review aimed to discuss challenges and lessons learned from the Syrian experience. Addressing these challenges may inform future cessation research activities in Syria and other developing countries. To develop a research infrastructure, the SCTS has established Syria’s first IRB and trained physicians/medical students in both tobacco treatment and research methods. Main challenges to conduct the cessation trials were difficulties of coordination between the local and international collaborators; high Smoking Rates among PHC providers; lack of pharmacological agents used in tobacco treatment; and difficulties of conducting research in a politically volatile region. Strategies to overcome these challenges were ensuring an active and regular involvement of all investigator; and advocating for a national smoking-cessation plan that involves training health care providers in smoking cessation treatment and make pharmacological agents used in smoking cessation available.

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Waterpipe tobacco smoking: The critical need for cessation treatment

Cited by 28 publications

References 69 publications

The impact of a brief cessation induction intervention for waterpipe tobacco smoking: A pilot randomized clinical trial

The impact of a brief cessation induction intervention for waterpipe tobacco smoking: A pilot randomized clinical trial

Now is the time to advocate for interventions designed specifically to prevent and control waterpipe tobacco smoking

Building Evidence-Based Tobacco Treatment in the Eastern Mediterranean Region: Lessons Learned by the Syrian Center for Tobacco Studies

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