{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:13:21Z","timestamp":1777936401982,"version":"3.51.4"},"reference-count":49,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Subst\ufffdAbuse"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p>Alcohol and tobacco are the 2 most frequently used drugs in the United States and represent the highest co-occurrence of polysubstance use. The objective of this study was to refine an intervention combining mobile contingency management with cognitive-behavioral telephone counseling for concurrent treatment of alcohol and tobacco use disorders. Two cohorts (n\u2009=\u200913 total, n\u2009=\u20095 women) of participants were enrolled, with 10\/13 completing treatment and 7\/13 completing the 6-month follow-up. At enrollment, participants were drinking a mean of 28.9 drinks per week (SD\u2009=\u200914.1), with a mean of 14.7 heavy drinking days in the past month (SD\u2009=\u20099.9), and a mean of 18.1 cigarettes per day (SD\u2009=\u200911.7). Treatment included a mobile application that participants used to record carbon monoxide and breath alcohol content readings to bioverify abstinence. Participants received up to 4 sessions of phone cognitive-behavioral therapy and monetary reinforcement contingent on abstinence. In cohort 1, 4\/6 participants reported abstinent or low-risk drinking post-monitoring. Six weeks post quit-date, 2\/6 participants were CO-bioverified abstinent from tobacco use, with 2\/6 in dual remission. These results were maintained at 6-months. In cohort 2, 6\/7 reported abstinent or low-risk drinking post-monitoring, 5\u2009weeks post quit-date. At the post-monitoring visit, 5\/7 were CO-bioverified abstinent from smoking, with 5\/7 in dual remission. At 6-months, 3\/7 reporting abstinent or low-risk drinking, 1\/7 had bioverified abstinence from smoking, with 1\/7 in dual remission. Observations suggest that it is possible to develop a concurrent mobile treatment for alcohol and tobacco use disorders.<\/jats:p>","DOI":"10.1177\/11782218211030524","type":"journal-article","created":{"date-parts":[[2021,9,16]],"date-time":"2021-09-16T16:27:54Z","timestamp":1631809674000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Pilot Cohorts for Development of Concurrent Mobile Treatment for Alcohol and Tobacco Use Disorders"],"prefix":"10.1177","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6664-7374","authenticated-orcid":false,"given":"Alyssa M","family":"Medenblik","sequence":"first","affiliation":[{"name":"Psychology Department, University of Tennessee-Knoxville, Knoxville, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick S","family":"Calhoun","sequence":"additional","affiliation":[{"name":"Durham Veterans Affairs Health Care System, Durham, NC, USA"},{"name":"Veterans Affairs Mid-Atlantic Region Mental Illness Research, Education, and Clinical Center, Durham, NC, USA"},{"name":"Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Health Care System, Durham, NC, USA"},{"name":"Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen A","family":"Maisto","sequence":"additional","affiliation":[{"name":"Veterans Affairs Center for Integrated Health Care, Syracuse, NY, USA"},{"name":"Department of Psychology, Syracuse University, Syracuse, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel R","family":"Kivlahan","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott D","family":"Moore","sequence":"additional","affiliation":[{"name":"Durham Veterans Affairs Health Care System, Durham, NC, USA"},{"name":"Veterans Affairs Mid-Atlantic Region Mental Illness Research, Education, and Clinical Center, Durham, NC, USA"},{"name":"Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean C","family":"Beckham","sequence":"additional","affiliation":[{"name":"Durham Veterans Affairs Health Care System, Durham, NC, USA"},{"name":"Veterans Affairs Mid-Atlantic Region Mental Illness Research, Education, and Clinical Center, Durham, NC, USA"},{"name":"Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah M","family":"Wilson","sequence":"additional","affiliation":[{"name":"Durham Veterans Affairs Health Care System, Durham, NC, USA"},{"name":"Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Health Care System, Durham, NC, USA"},{"name":"Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dan V","family":"Blalock","sequence":"additional","affiliation":[{"name":"Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Health Care System, Durham, NC, USA"},{"name":"Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric A","family":"Dedert","sequence":"additional","affiliation":[{"name":"Durham Veterans Affairs Health Care System, Durham, NC, USA"},{"name":"Veterans Affairs Mid-Atlantic Region Mental Illness Research, Education, and Clinical Center, Durham, NC, USA"},{"name":"Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,9,16]]},"reference":[{"key":"bibr1-11782218211030524","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2015.2132"},{"key":"bibr2-11782218211030524","unstructured":"Centers for Disease Control and Prevention. Alcohol-related disease impact (ARDI). Accessed May 23, 2014. https:\/\/nccd.cdc.gov\/DPH_ARDI\/default\/default.aspx"},{"key":"bibr3-11782218211030524","doi-asserted-by":"publisher","DOI":"10.1111\/dar.12475"},{"key":"bibr4-11782218211030524","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.61.11.1107"},{"key":"bibr5-11782218211030524","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.167.7.716"},{"key":"bibr6-11782218211030524","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2006.01.011"},{"key":"bibr7-11782218211030524","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ejcn.1600710"},{"key":"bibr8-11782218211030524","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2005.07.001"},{"key":"bibr9-11782218211030524","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2016.07.002"},{"key":"bibr10-11782218211030524","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2009.02879.x"},{"key":"bibr11-11782218211030524","doi-asserted-by":"publisher","DOI":"10.1186\/1940-0640-9-12"},{"key":"bibr12-11782218211030524","doi-asserted-by":"publisher","DOI":"10.1111\/add.14725"},{"key":"bibr13-11782218211030524","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa0806819"},{"key":"bibr14-11782218211030524","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2006.08.009"},{"key":"bibr15-11782218211030524","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2007.06111851"},{"key":"bibr16-11782218211030524","doi-asserted-by":"publisher","DOI":"10.1046\/j.1360-0443.2000.95913355.x"},{"key":"bibr17-11782218211030524","doi-asserted-by":"publisher","DOI":"10.15288\/jsad.2009.70.516"},{"key":"bibr18-11782218211030524","doi-asserted-by":"publisher","DOI":"10.1111\/acps.12713"},{"key":"bibr19-11782218211030524","doi-asserted-by":"publisher","DOI":"10.1007\/s10862-013-9363-4"},{"key":"bibr20-11782218211030524","doi-asserted-by":"publisher","DOI":"10.1097\/01.adt.0000210707.49703.2c"},{"key":"bibr21-11782218211030524","volume-title":"Structured Clinical Interview for DSM-5 (SCID-5 for DSM-5)","author":"First MB","year":"2015"},{"key":"bibr22-11782218211030524","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.1989.tb00737.x"},{"key":"bibr23-11782218211030524","doi-asserted-by":"publisher","DOI":"10.1007\/s12529-011-9202-5"},{"key":"bibr24-11782218211030524","volume-title":"Cognitive-Behavioral Coping Skills Therapy Manual","volume":"3","author":"Kadden R","year":"2003"},{"key":"bibr25-11782218211030524","unstructured":"Integrated care for smoking cessation: treatment for Veterans with PTSD. Treatment manual. Department of Veterans Affairs, Veterans Health Administration; 2009. https:\/\/www.va.gov\/vhapublications\/ViewPublication.asp?pub_ID=2947"},{"key":"bibr26-11782218211030524","first-page":"1300","volume":"22","author":"Kadden R","year":"1998","journal-title":"Alcohol Clin Exp Res"},{"key":"bibr27-11782218211030524","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2010.1769"},{"key":"bibr28-11782218211030524","doi-asserted-by":"publisher","DOI":"10.1111\/j.1530-0277.2002.tb02429.x"},{"key":"bibr29-11782218211030524","doi-asserted-by":"publisher","DOI":"10.1378\/chest.129.4.979"},{"key":"bibr30-11782218211030524","author":"First MB","year":"1996","journal-title":"Structured Clinical Interview for Axis I DSM-IV Disorders"},{"key":"bibr31-11782218211030524","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.1993.tb02093.x"},{"key":"bibr32-11782218211030524","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.160.13.1977"},{"key":"bibr33-11782218211030524","doi-asserted-by":"publisher","DOI":"10.1016\/0306-4603(94)90049-3"},{"key":"bibr34-11782218211030524","doi-asserted-by":"publisher","DOI":"10.1037\/a0030992"},{"key":"bibr35-11782218211030524","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph13121236"},{"key":"bibr36-11782218211030524","unstructured":"NIAAA. Rethinking Drinking. 2016. https:\/\/www.rethinkingdrinking.niaaa.nih.gov\/"},{"key":"bibr37-11782218211030524","doi-asserted-by":"publisher","DOI":"10.1111\/j.2044-8295.1995.tb02571.x"},{"key":"bibr38-11782218211030524","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-clinpsy-032813-153724"},{"key":"bibr39-11782218211030524","first-page":"83","volume":"42","author":"Pipkin CSP","year":"2009","journal-title":"JABA"},{"key":"bibr40-11782218211030524","doi-asserted-by":"publisher","DOI":"10.1037\/pha0000068"},{"key":"bibr41-11782218211030524","doi-asserted-by":"publisher","DOI":"10.3758\/s13420-013-0130-x"},{"key":"bibr42-11782218211030524","doi-asserted-by":"publisher","DOI":"10.1037\/h0100553"},{"key":"bibr43-11782218211030524","doi-asserted-by":"publisher","DOI":"10.2147\/COPD.S1121"},{"key":"bibr44-11782218211030524","doi-asserted-by":"publisher","DOI":"10.1007\/s00213-005-0008-5"},{"key":"bibr45-11782218211030524","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2017.12.020"},{"key":"bibr46-11782218211030524","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2011.02.022"},{"key":"bibr47-11782218211030524","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0089911"},{"key":"bibr48-11782218211030524","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291713003206"},{"key":"bibr49-11782218211030524","doi-asserted-by":"publisher","DOI":"10.1111\/acer.12840"}],"container-title":["Substance Abuse: Research and Treatment"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11782218211030524","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11782218211030524","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11782218211030524","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:30:02Z","timestamp":1777692602000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11782218211030524"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":49,"alternative-id":["10.1177\/11782218211030524"],"URL":"https:\/\/doi.org\/10.1177\/11782218211030524","relation":{},"ISSN":["1178-2218","1178-2218"],"issn-type":[{"value":"1178-2218","type":"print"},{"value":"1178-2218","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1]]},"article-number":"11782218211030524"}}