Intensive Intervention for Smokers - 6
Nyckelord
Abstrakt
Beskrivning
Introduction. The purpose of this study was to investigate the efficacy of an intensive tobacco cessation intervention for alcohol-dependent smokers in early recovery.
Methods. A total of 162 alcohol-dependent smokers were randomized to either intensive intervention for smoking cessation or usual care. The intensive intervention consisted of 16 sessions of individual cognitive behavior therapy (CBT) and combination nicotine replacement therapy that lasted 26 weeks. Usual care involved referral to a free-standing smoking cessation program that provided smoking cessation counseling of varying duration and guideline-concordant medications. The primary cessation outcome was verified 7-day point prevalence abstinence (PPA) at 12, 26, 38, and 52 weeks.
Results. At 12 and 26 weeks, the verified 7-day point-prevalence quit rate was significantly higher for the intensive intervention group than for the usual care group (both p = .03). However, the quit rates for the two treatment groups were not significantly different at 38 or 52 weeks. Verified 30-day alcohol abstinence rates were not significantly different for the two treatment groups at any of the follow-up assessments.
Conclusions. The intensive smoking cessation intervention yielded a higher short-term smoking quit rate without jeopardizing sobriety. A chronic care model might facilitate maintenance of smoking cessation during the first year of alcohol treatment and perhaps for longer periods of time. It is hoped that studies such as this will inform the development of more effective interventions for concurrent alcohol and tobacco use disorders.
Datum
| Senast verifierad: | 09/30/2017 |
| Först skickat: | 09/15/2005 |
| Beräknad anmälan inlämnad: | 09/15/2005 |
| Först publicerad: | 09/21/2005 |
| Senaste uppdatering skickad: | 10/29/2017 |
| Senaste uppdatering publicerad: | 10/31/2017 |
| Faktiskt startdatum för studien: | 06/30/2006 |
| Uppskattat primärt slutdatum: | 05/31/2009 |
| Beräknat slutfört datum: | 05/31/2010 |
Tillstånd eller sjukdom
Intervention / behandling
Other: Usual care
Behavioral: Intensive intervention
Fas
Armgrupper
| Ärm | Intervention / behandling |
|---|---|
| Experimental: Intensive intervention Extended cognitive behavior therapy (16 sessions) plus nicotine patches and lozenges | Behavioral: Intensive intervention 16 sessions of cognitive behavior therapy over 6 months |
| Other: Usual care Referral to the smoking cessation clinic | Other: Usual care Referral to smoking cessation clinic |
Urvalskriterier
| Åldrar berättigade till studier | 18 Years Till 18 Years |
| Kön som är berättigade till studier | All |
| Accepterar friska volontärer | Ja |
| Kriterier | Inclusion Criteria: - at least 18 years of age - alcohol as primary drug of abuse - currently smoking at least 10 or more cigarettes - abstinent from alcohol for at least 7 days and not more than 30 days - self-reported interest in quitting smoking Exclusion Criteria: - any contraindications for nicotine patches or lozenges (e.g., unstable angina or recent myocardial infarction - skin allergy to the nicotine patch - severe cardiovascular disease - lactation - pregnancy by self-report or by positive serum pregnancy test in pre-menopausal women) - unstable psychiatric disorder - severe cognitive impairment |
Resultat
Primära resultatåtgärder
1. 7 day point prevalence of cigarette abstinence [Assessed at 3, 6, 9, and 12 months]
Sekundära resultatåtgärder
1. Alcohol use [Assessed at 3, 6, 9, and 12 months]
