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Evaluation of the Amount of Therapist Contact in a Smoking Cessation Program

  • María del Pilar García (a1) and Elisardo Becoña (a2)

Abstract

This research tested a multicomponent self-help manual that contained nicotine fading and some behavioral techniques. It also evaluated the incremental effects of using higher amounts of therapist contact on quitting rates. 114 smokers were randomly assigned to one of four treatment groups: (1) A 10-session multicomponent program (n = 25); (2) a 5-session multicomponent program (n = 31); (3) a 5-session multicomponent plus a self-help manual program (n = 25); and (4) a self-help-manual-only program (n = 33). A control group (n = 48) did not receive any treatment. The distinctive characteristic of the treatments was the different amount of therapist contact. Common components of the programs were a refundable deposit, self-monitoring, information on smoking, stimulus control, CO feedback, nicotine fading, and strategies to avoid withdrawal symptoms. End-of- treatment quit rates ranged from 36% (self-help manual) to 68% (10-session multicomponent program). At 12-month follow-up there were significant differences between groups, and the most effective group was the 5-session plus manual group, with an abstinence rate of 48%.

En esta investigación se ha evaluado un manual multicomponente de autoayuda para dejar de fumar. Este manual incluye un programa basado en la reducción gradual de nicotina y alquitrán, junto con otras técnicas conductuales. También se ha evaluado el efecto que sobre las tasas de abstinencia tiene incrementar el contacto terapéutico. Se asignaron al azar 114 fumadores a los siguientes grupos de tratamiento: (1) programa multicomponente con 10 sesiones (n = 25); (2) programa multicomponente con 5 sesiones (n = 31); (3) programa multicomponente con 5 sesiones y manual de autoayuda (n = 25); (4) manual de autoayuda (n = 33). Además hubo un grupo control (n = 48) que no recibió ningún tratamiento. Los grupos diferían entre sí en la cantidad de contacto terapéutico. El programa incluía: un depósito recuperable, autorregistros, información sobre el tabaco, control de estímulos, retroalimentación del nivel de monóxido de carbono (CO), reducción gradual de nicotina y estrategias para evitar el síndrome de abstinencia. La tasa de abstinencia al final del tratamiento osciló entre el 36% (grupo sólo con manual) y el 68% (grupo con 10 sesiones). A los 12 meses de seguimiento hubo diferencias estadísticamente significativas entre los grupos, siendo el tratamiento más efectivo el del grupo con 5 sesiones y manual, con un 48% de abstinencia.

Copyright

Corresponding author

Correspondence should be addressed to María del Pilar García, Universidad de La Coruña. Departamento de Psicología. Campus de Elviña. 15071 La Coruña (Spain). Fax: (+34) 981 167153. E-mail: mpgarcia@udc.es

References

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Altman, D.G., Flora, J.A., Fortmann, S.P., & Farquhar, J.W. (1987). The cost-effectiveness of three smoking cessation programs. American Journal of Public Health, 77, 162165.
Baille, A., Mattick, R.P., & Webster, P. (1990). Review of published treatment outcome literature on smoking cessation. National Campaign against Drug Abuse, National Drug and Alcohol Research Centre, Working Paper No. 1. Sydney: University of New South Wales.
Becoña, E. (1993). Programa para deixar de fumar. Santiago de Compostela, Spain: Servicio de Publicaciones e Intercambio Científico.
Becoña, E., & García, M.P. (1993). Nicotine fading and smokeholding methods to smoking cessation. Psychological Reports, 73, 779786.
Becoña, E., García, M.P., & Gómez-Durán, B. (1992, April). The stop smoking program at the University of Santiago de Compostela. Paper presented at the 8th World Conference of Tobacco or Health. Buenos Aires, Argentina.
Brandon, T.H., Zelman, D.C., & Baker, T.B. (1987). Effects of maintenance sessions on smoking relapse: Delaying the inevitable? Journal of Consulting and Clinical Psychology, 55, 780782.
Cohen, S., Lichtenstein, E., Prochaska, J.O., Rossi, J.S., Gritz, E.R., Carr, C.R., Orleans, C.T., Schoenbach, V.J., Biener, L., Abrams, D., DiClemente, C., Curry, S., Marlatt, G.A., Cummings, K.M., Emont, S.L., Giovino, G., & Ossip-Klein, D. (1989). Debunking myths about self-quitting: Evidence from 10 prospective studies of persons who attempt to quit smoking by themselves. American Psychologist, 44, 13551365.
Condiotte, M.M., & Lichtenstein, E. (1981). Self-efficacy and relapse in smoking cessation programs. Journal of Consulting and Clinical Psychology, 49, 648658.
Curry, S.J. (1993). Self-help interventions for smoking cessation. Journal of Consulting and Clinical Psychology, 61, 790803.
Curry, S.J., Marlatt, G.A., Gordon, J., & Baer, J.S. (1988). A comparison of alternative theoretical approaches to smoking cessation and relapse. Health Psychology, 7, 545556.
Curry, S.J., McBride, C., Grothaus, L.C., Lovie, D., & Wagner, E.H. (1995). A randomized trial of self-help materials, personalized feedback, and telephone counseling with nonvolunteer smokers. Journal of Consulting and Clinical Psychology, 63, 10051014.
Curry, S.J., Wagner, E.H., & Grothaus, L.C. (1991). Evaluation of intrinsic and extrinsic motivation interventions with a self-help smoking cessation. Journal of Consulting and Clinical Psychology, 59, 318324.
Davis, A.L., Faust, R., & Ordentlich, M. (1984). Self-help smoking cessation and maintenance programs: A comparative study with 12-month follow-up by the American Lung Association. American Journal of Public Health, 74, 12121217.
Decker, B.D., & Evans, R.G. (1991). Efficacy of a minimal contact version of a multimodal smoking cessation program. Addictive Behaviors, 14, 487491.
Fagerström, K.O. (1978). Measuring degree of physical dependence to tobacco smoking with reference to individualization of treatment. Addictive Behaviors, 3, 235241.
Fiore, M.C., Novotny, T.E., Pierce, J.P., Giovino, G.A., Hatziandreu, E. J., Newcomb, P.A., Surawicz, T.S., & Davis, R.M. (1990). Methods used to quit smoking in the United States. Journal of the American Medical Association, 263, 27602765.
Foxx, R.M., & Brown, R.A. (1979). Nicotine fading and selfmonitoring for cigarette abstinence or controlled smoking. Journal of Applied Behavior Analysis, 12, 115125.
García, M.P., & Becoña, E. (1993, September). Can self-help materials increase the efficacy of behavioral multisession smoking cessation programs? Paper presented at the 23rd European Congress of Behaviour and Cognitive Therapies, London.
García, M.P., & Becoña, E. (1994). Manuales de autoayuda para dejar de fumar: una revisión. Adicciones, 6, 7389.
García, M.P., & Becoña, E. (1997). Variables demográficas y de consumo relacionadas con la abstinencia o recaída en fumadores. Adicciones, 9, 4960.
Gil Roales-Nieto, J., & Calero García, M.D. (1992). Tabaquismo. Una guía para el autotratamiento. Granada, Spain: Servicio de Publicaciones de la Universidad de Granada.
Glasgow, R.E., Klesges, R.C., Klesges, L.M., & Somes, G.R. (1988). Variables associated with participation and outcome in a worksite smoking control program. Journal of Consulting and Clinical Psychology, 56, 617620.
Glasgow, R.E., & Rosen, G.M. (1979). Self-help behavior therapy manuals: Recent developments and clinical usage. Clinical Behavior Therapy Review, 1, 120.
Glasgow, R.E., Schafer, L., & O'Neill, H.K. (1981). Self-help books and amount of therapist contact in smoking cessation programs. Journal of Consulting and Clinical Psychology, 49, 659667.
Glynn, T.J., Boyd, G.M., & Gruman, J.C. (1990). Essential elements of self-help minimal intervention strategies for smoking cessation. Health Education Quarterly, 17, 329345.
Hallet, R. (1986). Smoking intervention in the workplace: Review and recommendations. Preventive Medicine, 18, 213231.
Holland, B. S. Y., Copenhaver, M. D. (1988). Improved Bonferronitype multiple testing procedures. Psychological Bulletin, 104, 145149.
Lichtenstein, E., & Glasgow, R.E. (1992). Smoking cessation: What have we learned over the past decade? Journal of Consulting and Clinical Psychology, 60, 518527.
Ockene, J.K., Hymowitz, N., & Shaten, J. (1991). Comparison of smoking behavior change for SI and UC study groups. Preventive Medicine, 20, 564573.
Omenn, G.S., Thompson, B., Sexton, M., Hessol, N., Breintenstein, B., Curry, S., Michnich, M., & Peterson, A. (1988). A randomized comparison of worksite-sponsored smoking cessation programs. American Journal of Preventive Medicine, 4, 261267.
Orleans, C.T., Schoengbach, V.J., Wagner, E.H., Quade, D., Salmon, M.A., Pearson, D.C., Fielder, J., Porter, C.Q., & Kaplan, B.H. (1991). Self-help quit smoking interventions: Effects of self-help materials, social support instructions, and telephone counseling. Journal of Consulting and Clinical Psychology, 59, 439448.
Ossip-Klein, D., Parker, S., Bigelow, G., Curry, S., & Kirkland, S. (1986). Classification and assessment of smoking behavior. Health Psychology, 5, 311.
Pomerleau, O.F., & Pomerleau, C.S. (1977). Breaking the smoking habit: A behavioral program for giving up cigarettes. Champaign, IL: Research Press.
Prochaska, J.O., DiClemente, C.C., Velicer, W.F., & Rossi, J.S. (1993). Standarized, individualized, interactive, and personalized self-help programs for smoking cessation. Health Psychology, 12, 399405.
Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press.
Sallis, J.F., Hill, R.D., Killen, J.D., Telch, M.J., Flora, J.A., Girard, J., & Taylor, C.B. (1986). Efficacy of self-help behavior modification materials in smoking cessation. American Journal of Preventive Medicine, 2, 342344.
Schachter, S. (1982). Recidivism and self-care of smoking and obesity. American Psychologist, 37, 436444.
Schwartz, J.L. (1987). Review and evaluation of smoking cessation methods. The United States and Canada, 1978–1985. Rockville, MD: U.S. Department of Health and Human Services, National Institutes of Health.
U.S. Department of Health and Human Services, Public Health Service. (1988). The health consequences of smoking: Nicotine addiction. A report of the Surgeon General (Publication No. CDC 89-8411). Rockville, MD.
Zhu, S.H., Stretch, V., Balabanis, M., Rosbrook, B., Sadler, G., & Pierce, J.P. (1996). Telephone counseling for smoking cessation: Effects of single-session and multiple session interventions. Journal of Consulting and Clinical Psychology, 64, 202211.

Keywords

Evaluation of the Amount of Therapist Contact in a Smoking Cessation Program

  • María del Pilar García (a1) and Elisardo Becoña (a2)

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