Heavy-Drinking Smokers' Treatment Needs and Preferences: A Mixed-Methods Study

J Subst Abuse Treat. 2015 Dec;59:38-44. doi: 10.1016/j.jsat.2015.07.001. Epub 2015 Jul 14.


The purpose of this mixed methods study was to describe the smoking and psychological characteristics of heavy-drinking smokers, their perceptions of smoking and drinking, and their smoking and alcohol treatment preferences to inform an integrated smoking and alcohol intervention. Heavy-drinking smokers (N=26) completed standardized surveys and participated in semi-structured focus group interviews. Participants reported a strong association between their smoking and drinking. Participants were more motivated to quit smoking than to reduce their drinking but perceived greater barriers to smoking cessation. Stress/negative affect was closely linked with both behaviors. They expressed overall enthusiasm for a smoking and alcohol intervention but had specific format and content preferences. Half preferred an integrated treatment format whereas others preferred a sequential treatment model. The most preferred content included personalized health feedback and a way to monitor health gains after behavior changes.

Keywords: Cigarette smoking; Heavy drinking; Qualitative research; Smoking cessation; Treatment.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Alcohol Drinking / prevention & control
  • Alcohol Drinking / psychology*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Patient Preference / psychology*
  • Qualitative Research
  • Smoking / psychology*
  • Smoking Cessation / psychology*
  • Smoking Prevention