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

Published online by Cambridge University Press:  10 April 2014

María del Pilar García  and
Elisardo Becoña
María del Pilar García*
Affiliation:
University of La Coruña
Elisardo Becoña
Affiliation:
University of Santiago de Compostela
*
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: [email protected]
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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.

Keywords

smokingmulticomponent programbehavioralself-helptabacoprograma multicomponenteconductualautoayuda
Type
Articles
Information
The Spanish Journal of Psychology , Volume 3 , May 2000 , pp. 28 - 36
Copyright
Copyright © Cambridge University Press 2000

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