Positive Psychotherapy for Smoking Cessation Enhanced with Text Messaging: A Randomized Controlled Trial

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ID: 327200
2026
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Ranked #101 of 164 articles by views in nicotine & tobacco research : official journal of the society for research on nicotine and tobacco

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Abstract
INTRODUCTION: Positive Psychology Interventions (PPIs) aim to enhance well-being and have shown promise in improving mental health and augmenting behavioral interventions. Although pilot studies have suggested PPIs may support smoking cessation, no full-scale randomized clinical trials (RCTs) have tested their efficacy in this context. METHOD: In this RCT, 271 adults who smoked > 5 cigarettes per day (55.2% female, mean age = 49.2 (SD = 12.0); average cigarettes per day = 16.9 [SD = 7.0]) were randomized to six sessions of Positive Psychotherapy for Smoking Cessation with text messaging (PPT-S+) or a time-matched standard treatment with text messaging (ST+). All participants received eight weeks of nicotine replacement therapy (transdermal nicotine patch). The primary outcome was biochemically-confirmed 7-day point-prevalence smoking abstinence at 12, 26, and 52 post quit date. RESULTS: Seven-day point-prevalence abstinence did not differ significantly by condition: 20.9%, 19.4%, and 19.4% at 12, 26, and 52 weeks in PPT-S+ compared to 19.1%, 20.6%, and 21.4% at 12, 26, and 52 weeks in ST+. Conditions did not differ in self-reported use of positive psychology-consistent strategies for quitting smoking at posttreatment, representing an implementation failure, and these strategies did not significantly predict subsequent smoking outcomes. Those in ST+ rated the text messaging program as significantly more helpful than those in PPT-S+. CONCLUSIONS: PPT-S+ did not improve smoking cessation outcomes compared to a time-matched control. The completion of positive psychology exercises through text messaging may have reduced the helpfulness of the text-messaging support program received in both conditions.
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Authors Christopher W. Kahler, Patricia A. Cioe, Bettina B. Hoeppner, Megan Strowger, Tessa Nalven, Nichea S. Spillane, Acacia Parks, Beth C. Bock, Richard A. Brown
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Journal nicotine & tobacco research : official journal of the society for research on nicotine and tobacco
Year 2026
DOI
10.1093/ntr/ntag196
URL
https://doi.org/10.1093/ntr/ntag196
Keywords Keywords not found

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