Microaggression Impact Assessment for Smoking Behavior

Overseen By Brooke Y Kauffman, Ph.D.

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: University of Houston

Disqualifiers: Psychotic symptoms, Suicidality, Pregnancy

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 2

90 Participants Needed

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to explore how experiences of microaggressions—subtle, often unintentional discriminatory comments or actions—affect smoking habits, cravings, and withdrawal symptoms. Researchers seek to determine if depriving participants of cigarettes alters the impact of microaggressions on these smoking behaviors and feelings. Participants will either continue smoking as usual or refrain from smoking for 16 hours before the study visit. The trial seeks Hispanic or Latino individuals who have smoked daily for at least a year and have experienced at least one microaggression in the past six months. Participants will undergo the Microaggression Recall and Relapse Analogue Task, designed to simulate and assess the impact of microaggressions on smoking behavior. As an unphased trial, this study offers a unique opportunity to contribute to understanding the impact of social experiences on smoking behaviors.

Do I need to stop my current medications for this trial?

The trial information does not specify whether you need to stop taking your current medications.

What prior data suggests that the Microaggression Recall and Relapse Analogue Task is safe?

Research has shown that studies on recalling microaggressions are mainly exploratory, aiming to understand how social stress affects behaviors like smoking. Since this isn't a drug or physical treatment, direct safety studies do not exist. Instead, the focus is on recalling past experiences to assess their impact on smoking habits.

This is a "Not Applicable" phase study, meaning it doesn't test a new drug or treatment with potential safety issues. It focuses on observing behaviors and reactions. Reports of negative effects are unknown because it mainly involves psychological exercises and observations.

Safety in these studies is generally considered low risk since participants recall experiences rather than take new medication or undergo medical procedures. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about this trial because it's exploring how recalling microaggressions and experiencing smoking deprivation might impact smoking behavior. Unlike traditional smoking cessation methods that focus on nicotine replacement or behavioral therapy, this trial dives into the psychological triggers associated with smoking. By assessing how recalling negative social interactions affects the urge to smoke, the trial could uncover new psychological factors influencing relapse. This approach could lead to innovative strategies that address the mental and emotional dimensions of smoking addiction.

What evidence suggests that this trial's treatments could be effective?

Research shows that microaggressions can affect smoking habits, feelings of withdrawal, and cravings. Studies have found that stress from these experiences can increase the desire to smoke and make quitting more difficult. In this trial, participants will be divided into two groups: one experiencing "Smoking as Usual" and the other undergoing "Smoking Deprivation" for 16 hours before the experimental visit. The treatment under study, called the Microaggression Recall and Relapse Analogue Task, aims to understand how recalling these experiences might affect smoking behavior. Although direct evidence of its effectiveness is not yet available, this approach seeks to explore the connection between stress and smoking, potentially aiding in the development of better quitting strategies. ^{1 5 6 7 8}

Who Is on the Research Team?

Brooke Y Kauffman, Ph.D.

Principal Investigator

University of Houston

Are You a Good Fit for This Trial?

This trial is for Hispanic or Latino adults who smoke at least 5 cigarettes a day, have been smoking regularly for over a year, and have experienced microaggressions in the past 6 months. Participants must be at least 18 years old and able to give informed consent. Those with active suicidal thoughts cannot join.

Inclusion Criteria

You consider yourself to be of Hispanic or Latino ethnicity.

You identify yourself as Hispanic or Latino.

Able to provide written, informed consent

Exclusion Criteria

You are currently experiencing suicidal thoughts or have plans to harm yourself.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Experimental Sessions

Participants attend two counterbalanced experimental sessions: Smoking Deprivation (16 hours of smoking abstinence) and Smoking as Usual.

2 weeks

2 visits (in-person)

Follow-up

Participants are monitored for safety and effectiveness after experimental sessions

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

• Microaggression Recall and Relapse Analogue Task

Trial Overview

The study investigates how experiencing microaggressions might affect smoking behavior, withdrawal symptoms, and cravings among Latinx smokers. It also looks into whether not smoking for a while changes these effects.

How Is the Trial Designed?

Group I: Smoking as Usual Experimental Treatment 1 Intervention

Smoking as usual prior to experimental visit.

Group II: Smoking Deprivation Experimental Treatment 1 Intervention

16 hours of smoking abstinence prior to experimental visit.

Who Is Running the Clinical Trial?

University of Houston

Lead Sponsor

Trials

155

Recruited

48,600+

Published Research Related to This Trial

Cigarette smokers with high trait hostility (HH) showed impaired socioaffective processing, particularly in their ability to categorize angry faces, compared to those with low hostility (LH), indicating a potential link between hostility and emotional processing biases.

The Emotional Interference Gender Identification Task (EIGIT) revealed that both groups were slower and less accurate with angry faces, but HH participants had fewer errors, suggesting that high hostility may affect how individuals process emotional cues, which could be relevant for understanding health-related behaviors.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Examining socioaffective processing biases in cigarette smokers with high versus low trait hostility. Leventhal, AM., Kahler, CW.[2021]

In a study of 158 smokers, those using a high-dose nicotine patch (35 mg) showed reduced attentional bias towards smoking-related cues, indicating that the patch may help mitigate distractions that lead to relapse during the first day of quitting.

Smokers who displayed greater attentional bias towards smoking-related words were more likely to relapse shortly after quitting, suggesting that attentional bias could be a key factor in smoking dependence and relapse risk.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Attentional bias predicts outcome in smoking cessation. Waters, AJ., Shiffman, S., Sayette, MA., et al.[2022]

A study involving 344 African American adult smokers found that nicotine deprivation increased attentional bias towards racial discrimination-related stimuli, suggesting that lack of nicotine may heighten sensitivity to discrimination-related stressors.

This heightened attentional bias during nicotine deprivation could perpetuate smoking behavior, indicating that addressing the psychological impacts of discrimination may be crucial in developing effective smoking cessation interventions for this population.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Nicotine deprivation amplifies attentional bias toward racial discrimination stimuli in African American adults who smoke cigarettes. Bello, MS., Zhang, Y., Cho, J., et al.[2023]

A novel nicotine Approach-Avoidance-Task (AAT) training significantly modified the automatic approach bias towards nicotine-related cues in smokers, suggesting it can influence addictive behaviors.

The AAT training led to a greater reduction in nicotine consumption at a three-month follow-up compared to a sham training, indicating its potential as an effective long-term intervention for reducing smoking in psychiatric patients.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Approach bias modification in inpatient psychiatric smokers. Machulska, A., Zlomuzica, A., Rinck, M., et al.[2017]

In a study of 100 cigarette smokers attempting to quit, clinic-measured attentional bias did not predict their ability to notice smoking cues, focus on smoking, or experience cravings, indicating that these measures may not be reliable indicators of smoking behavior.

However, real-time assessments (EMA) showed that noticing smoking cues and paying attention to smoking were significantly associated with increased craving, suggesting that these momentary experiences are more relevant to understanding cravings than traditional clinic measures.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Association between smoking-related attentional bias and craving measured in the clinic and in the natural environment. Begh, R., Smith, M., Ferguson, SG., et al.[2023]

In a study involving 304 smokers who tracked their smoking behavior over one week, it was found that smoking was strongly linked to smoking urges and moderately associated with factors like coffee and food consumption, as well as the presence of other smokers.

Interestingly, the study revealed that emotional states (both negative and positive) had little impact on smoking behavior, suggesting that situational cues and urges play a more significant role in smoking habits among heavy smokers.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Immediate antecedents of cigarette smoking: an analysis from ecological momentary assessment. Shiffman, S., Gwaltney, CJ., Balabanis, MH., et al.[2022]

In a study of 607 African American smokers, higher perceived exposure to discrimination was linked to increased tobacco withdrawal symptoms, particularly heightened urges to smoke and negative mood states after 16 hours of tobacco deprivation.

The associations were modest, suggesting that while discrimination may influence withdrawal experiences, it does not strongly predict all aspects of smoking behavior or cravings.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Association of frequency of perceived exposure to discrimination with tobacco withdrawal symptoms and smoking lapse behavior in African Americans. Bello, MS., Liautaud, MM., De La Cerda, JT., et al.[2023]

In a study involving 222 Hispanic/Latinx adult smokers, those using the Acceptance and Commitment Therapy (ACT)-based website WebQuit.org had significantly higher smoking cessation rates at 12 months (40%) compared to those using the US Clinical Practice Guidelines-based website Smokefree.gov (25%).

Participants using WebQuit engaged more with the website, spending more time on it, which suggests that digital interventions like WebQuit may be effective in helping Hispanic/Latinx adults quit smoking, although the increased engagement did not directly correlate with higher quit rates.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Web-delivered Acceptance and Commitment Therapy (ACT) for smoking cessation: Is it engaging and efficacious for US Hispanic/Latinx adult smokers? Kwon, DM., Santiago-Torres, M., Mull, KE., et al.[2023]

Daily smokers (34 participants) showed a more positive implicit response to smoking-related cues compared to neutral cues, while occasional smokers (19 participants) did not exhibit this difference, suggesting that daily smoking may enhance the emotional appeal of smoking-related stimuli.

The study found that daily smokers' implicit responses to active smoking cues were linked to their motivation for cognitive enhancement, indicating that these cues could play a significant role in sustaining smoking behavior among daily smokers.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

A comparison of daily and occasional smokers' implicit affective responses to smoking cues. Haight, J., Dickter, CL., Forestell, CA.[2015]

In a study involving 35 smokers and 25 nonsmokers, smokers exhibited varying emotional responses to smoking cues based on their withdrawal symptoms and motivation to smoke, indicating that these factors influence their automatic reactions.

Nonsmokers consistently showed negative emotional responses to smoking cues, while smokers with withdrawal symptoms had positive responses, supporting theories that smoking cues can acquire positive reward value through conditioning.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Automatic affective responses to smoking cues. Payne, BK., McClernon, FJ., Dobbins, IG.[2022]

Citations

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withpower.com/trial/phase-racial-discrimination-7-2022-bda40

Microaggression Impact Assessment for Smoking Behavior

The purpose of this study is to examine whether microaggressions relate to multimodal facets of smoking behavior, subjective withdrawal, and urge/craving.

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The current study sought to examine the effects of post-treatment smoking-related variables, including withdrawal symptomatology, abstinence self-efficacy, and ...

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This systematic review aims to characterize the utility of machine learning to identify the predictors of smoking cessation outcomes.

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The goal of this study was to evaluate the impact of remote biochemical verification on 24-hour self-reported smoking and biochemical verification agreement, ...

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srnt.org/wp-content/uploads/2024/11/srnt21_abstracts.pdf

2021 ANNUAL MEETING

We will utilize this data to refine arguments and create professional quality anti-smoking messages. Results. Our qualitative and quantitative results ...

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RESULTS. Participants' relapse rate within 1 year was 72.8%, and 59.8% of participants smoked again within 6 months after participation. A higher number of ...

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Determinants of Smoking Cessation Outcomes and ...

The aim of this study was to identify the determinants of smoking cessation outcomes and reasons for relapse following smoking cessation treatment.

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APNA 38th Annual Conference, Louisville, KY, USA ...

RELEVANCE OF PMH NURSING: Data on outcomes are currently being analyzed prior to the presentation of this session. Preliminary data suggest ...