Publications by authors named "Michael S Businelle"

Objective: Cannabis use has increased in the United States as states have legalized/decriminalized recreational and/or medicinal use. The primary aim of this study was to examine daily associations between cannabis use and health (physical activity [PA]) and substance use (alcohol consumption, cigarette use) behaviors.

Method: Data from a 28-day nationwide study that prompted daily ecological momentary assessments (EMAs) were used to assess daily cannabis use, moderate-to-vigorous PA (MVPA), alcohol containing drinks consumed, and cigarettes smoked.

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  • - Black individuals who smoke experience higher rates of tobacco-related health issues, which are influenced by stress related to their minority status and anxiety sensitivity (AS).
  • - A study tested a smartphone app, the Mobile Anxiety Sensitivity Program for Smoking (MASP), designed to help Black smokers with high AS quit smoking and reduce their AS.
  • - The trial with 24 participants showed high app usage, excellent retention, good participant feedback, and a significant reduction in anxiety sensitivity, with 25% of participants achieving short-term smoking abstinence.
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  • The study explores factors influencing adherence to smoking cessation treatments among socioeconomically disadvantaged adults in Oklahoma, focusing on personal and clinical characteristics.
  • Participants had a mean age of 53, with over 44% reporting depression, and factors like self-efficacy and age positively affected counseling adherence, while menthol cigarette use and depression were linked to lower adherence.
  • The findings suggest the need for tailored interventions addressing social and mental health issues to improve smoking cessation outcomes for underserved groups, advocating for more comprehensive approaches in future programs.
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Background: In response to the opioid epidemic, federal agencies have stressed the importance of targeted naloxone distribution through avenues such as Opioid Overdose Education and Naloxone Distribution (OEND). OEND effectively reduces mortality by training laypersons to respond to overdose situations. Despite demonstrated effectiveness, OEND remains underutilized.

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  • Persistent Poverty Counties (PPCs) in the U.S. have high cancer mortality rates, partly due to high smoking rates, with this study focusing on Oklahoma Tobacco Helpline (OTH) participants who smoke daily.
  • The study used a randomized controlled trial design to evaluate the effectiveness of OTH treatments versus OTH treatments combined with financial incentives (OTH+FI) to help participants quit smoking.
  • Results showed that those in the OTH+FI group were significantly more likely to achieve smoking abstinence and complete more coaching calls compared to the standard OTH group, with high retention rates noted across both groups.
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Functional concurrent, or varying-coefficient, regression models are a form of functional data analysis methods in which functional covariates and outcomes are collected concurrently. Two active areas of research for this class of models are identifying influential functional covariates and clustering their relations across observations. In various applications, researchers have applied and developed methods to address these objectives separately.

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Background: African American/Black (hereafter referred to as Black) persons who smoke constitute a tobacco disparities group in the United States. Within the Black population, female smokers experience a disproportionate percentage of these disparities and are less likely to quit cigarettes than their male counterparts. Two factors implicated in female smokers' relatively worse quit success are (1) motives to smoke to reduce negative affect and (2) expectancies that smoking will reduce negative affect.

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  • - The study investigates how different factors in smartphone-based ecological momentary assessment (EMA) design affect completion rates, aiming to identify the best combinations for participant engagement and compliance.
  • - Researchers used a factorial design to evaluate five design factors, such as the number of questions and payment type, across 32 different conditions with participants completing EMAs for 28 days.
  • - The participant pool consisted of 411 individuals, primarily female and White, with the study examining how demographic factors influenced EMA completion rates alongside design factors.
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Importance: Socioeconomically disadvantaged individuals (ie, those with low socioeconomic status [SES]) have difficulty quitting smoking and may benefit from incentive-based cessation interventions.

Objectives: To evaluate the impact of incentivizing smoking abstinence on smoking cessation among adults with low SES.

Design, Setting, And Participants: This study used a 2-group randomized clinical trial design.

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Background: Efficacy of smartphone-based interventions depends on intervention content quality and level of exposure to that content. Smartphone-based survey completion rates tend to decline over time; however, few studies have identified variables that predict this decline over longer-term interventions (eg, 26 weeks).

Objective: This study aims to identify predictors of survey completion and message viewing over time within a 26-week smoking cessation trial.

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  • A pilot study was conducted to test a smartphone app aimed at helping smokers who are not ready to quit, assessing its feasibility and effectiveness in inducing cessation attempts.
  • Participants were divided into two groups receiving the Phoenix app (with or without nicotine replacement therapy) and a control group that got unrelated messages, with all groups completing weekly surveys over 26 weeks.
  • Results showed that the Phoenix app recipients were more engaged, set more quit dates earlier, and had higher rates of abstinence and medication use compared to the control group, suggesting the app may effectively support smoking cessation.
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There is widespread empirical evidence that the COVID-19 pandemic contributed to elevated risk of mental and physical health symptoms and decreased quality of life. The present investigation sought to examine if individual differences in anxiety sensitivity was associated with mental health, psychosomatic, and well-being among a sample of US adults during a 6-month period early in the COVID-19 pandemic. Employing longitudinal research methodology, we tested the hypothesis that the anxiety sensitivity global factor would be related to increased risk of anxiety, depression, fatigue, and lower well-being.

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The prevalence of alcohol use disorders is higher amongst adults experiencing homelessness (AEH) compared with domiciled adults. Greater exposure to heavy drinkers increases personal risk for heavy alcohol use. AEH spend substantial periods of time at shelters and report greater pressure to use alcohol when near shelter locations, as well as greater negative affect when near a shelter.

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Objectives: Smoking prevalence remains high among low-income smokers. Understanding processes (eg, withdrawal, craving, motivation) in early smoking cessation is crucially important for designing effective interventions for this population.

Methods: This is a secondary analysis of a novel, in-session sampling intervention (ie, In Vivo) as compared with standard care behavioral smoking cessation counseling (SC) among community-dwelling low-income smokers (n = 83).

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Background: African American or Black (hereafter referred to as Black) adults who use cannabis use it more frequently and are more likely to meet criteria for cannabis use disorder (CUD) than both White and Hispanic or Latin individuals. Black adults may be more apt to use cannabis to cope with distress, which constitutes a false safety behavior (FSB; a behavior designed to reduce psychological distress in the short term). Although FSB engagement can perpetuate the cycle of high rates of CUD among Black individuals, limited work has applied an FSB elimination treatment approach to Black adults with CUD, and no previous work has evaluated FSB reduction or elimination in the context of a culturally tailored and highly accessible treatment developed for Black individuals.

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Substance use disorders (SUDs) have an enormous negative impact on individuals, families, and society as a whole. Most individuals with SUDs do not receive treatment because of the limited availability of treatment providers, costs, inflexible work schedules, required treatment-related time commitments, and other hurdles. A paradigm shift in the provision of SUD treatments is currently underway.

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Purpose: We developed and piloted a mobile health app to deliver cognitive behavioral therapy for pain (pain-CBT), remote symptom monitoring, and pharmacologic support for patients with pain from advanced cancer.

Methods: Using an iterative process of patient review and feedback, we developed the STAMP + CBT app. The app delivers brief daily lessons from pain-CBT and pain psychoeducation, adapted for advanced cancer.

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Objective: Affective experiences are associated with smoking urges and behavior. Few studies have examined the temporal nature of these associations within a day, such as whether positive and negative affect in the morning are associated with smoking urges and behavior later in the day.

Method: Participants ( = 63; = 50 years, 48% female; 60% White) were randomized into one of three smoking cessation interventions and answered up to five daily ecological momentary assessments for 28 days during a quit attempt ( = 21.

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Objective: Black individuals who smoke in the United States experience significant tobacco-related disparities. Although prior work has established that smoking abstinence expectancies play an important role in smoking-related outcomes, few studies have examined potential individual difference factors that may be relevant to smoking abstinence expectancies among Black individuals who smoke. The present study investigated anxiety sensitivity and distress tolerance in relation to smoking abstinence expectancies among a sample of Black individuals who smoke.

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Background: Sleep deprivation is a critical risk factor for physical and mental health problems. The current study examined whether sleep problems were related to housing status and physical and mental health among people experiencing homelessness.

Methods: Data were collected via an anonymous survey completed by adults accessing services at a day shelter in Oklahoma City, OK.

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Background: Sleep problems are common and costly in the US military. Yet, within the military health system, there is a gross shortage of trained specialist providers to address sleep problems. As a result, demand for sleep medicine care far exceeds the available supply.

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Background: Varenicline and oral nicotine replacement therapy (NRT) have each been shown to increase the likelihood of smoking cessation, but their combination has not been studied. In addition, smoking cessation medication adherence is often poor, thus, challenging the ability to evaluate medication efficacy.

Objective: This study examined the effects of combined varenicline and oral NRT and smartphone medication reminders on pharmacotherapy adherence and smoking abstinence among adults enrolled in smoking cessation treatment.

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