The Authors’ Own Words:  

We ask authors to describe their impressions regarding the implications of their accepted work, how their findings will change practice, and what is noteworthy about the work. 

Harm Reduction Treatment for Smoking (HaRT-S): Findings from a Single-arm Pilot Study with Smokers Experiencing Chronic Homelessness

Susan E. Collins, PhD; Lonnie A. Nelson, PhD; Joey Stanton; Nigel Mayberry, RN; Tatiana Ubay, BS; Emily M. Taylor, BS; Gail Hoffmann, BS; Silvi C. Goldstein, BA; Andrew J. Saxon, MD; Daniel K. Malone, MPH; Seema L. Clifasefi, PhD, MSW; Kolawole Okuyemi, MD, MPH; & The HaRT-S Community Advisory Board

Substance Abuse Vol. 40, Iss. 2, 2019

“This study is the first to examine initial feasibility, acceptability and smoking-related outcomes for explicitly harm-reduction counseling for smoking with support of safer nicotine delivery systems, including ENDS. Taken in context with the very few other smoking cessation treatment studies in homeless populations, HaRT-S findings indicated favorable initial feasibility and acceptability in a chronically homeless population. Additionally, participants evinced expected, significant, linear increases in likelihood of point-prevalence abstinence as well as decreases in smoking frequency and dependence on cigarettes over the 14-week follow-up. Participants who reported using ENDS were even more likely to report decreases in smoking intensity and cigarette dependence.“

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