RecruitingNot ApplicableNCT06609902

A Future Thinking Intervention for Comorbid Tobacco Use Disorder and Bipolar Disorder

Future Self: An Episodic Future Thinking Intervention for Comorbid Tobacco Use Disorder and Bipolar Disorder

Sponsor

Massachusetts General Hospital

Enrollment

70 participants

Start Date

Dec 6, 2024

Study Type

INTERVENTIONAL

Conditions

Tobacco Use Disorder Bipolar Disorder

Summary

Future Self-BD is a 6-session virtual intervention that encourages participants to vividly generate personal and positive future events that they anticipate may be benefited by smoking cessation. Each session will be conducted on HIPAA-compliant Zoom and led by the PI (Dr. Gold).

Eligibility

Min Age: 18 Years

Inclusion Criteria8

Adults aged 18 or older
Have a diagnosis of BD I or II
Have a diagnosis of tobacco use disorder
Be engaged in outpatient treatment with a medical provider
Be on a stable dose of a mood-stabilizing medication
Smoke an average of at least 5 cigarettes per day for the past 30 days at baseline (based on the Heaviness of Smoking Index(Heatherton et al., 1989))
Be interested in quitting smoking
Not currently or in the past 3 months be receiving smoking cessation treatment.

Exclusion Criteria3

Current psychosis
Intent to harm oneself with an associated plan and intent to act on suicidal thoughts
Experiencing severe symptoms of depression and/or hypomania that may warrant a higher level of care (a Patient Health Questionnaire-9 total score ≥ 20(Kroenke et al., 2001) and/or an Altman Self-Rating Mania Scale total score ≥ 6(Altman et al., 1997) will trigger further clinician evaluation)

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Interventions

BEHAVIORALFuture Self-BD

The Future Self group will attend 6 virtual sessions during which they will be encouraged to vividly generate personal and positive future events that they anticipate may be benefited by smoking cessation. All participants will complete the adjusting amount discounting task. All participants will also receive brief, CBT-based smoking cessation counseling. This group will involve one follow-up session one month after the sixth session. Each session will be conducted on HIPAA-compliant Zoom and led by the PI, Dr. Gold.

BEHAVIORALDaily Check-Ins

The Daily Check-Ins (DCI) group will attend 6 virtual sessions during which they will complete the adjusting amount discounting task and receive brief, CBT-based smoking cessation counseling (consistent with counseling received by Future Self-BD). This group will involve one follow-up session one month after the sixth session. Each session will be conducted on HIPAA-compliant Zoom and led by the PI, Dr. Gold.