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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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References

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, 162–165.CrossRefGoogle ScholarPubMed
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.Google Scholar
Becoña, E. (1993). Programa para deixar de fumar. Santiago de Compostela, Spain: Servicio de Publicaciones e Intercambio Científico.Google Scholar
Becoña, E., & García, M.P. (1993). Nicotine fading and smokeholding methods to smoking cessation. Psychological Reports, 73, 779–786.Google ScholarPubMed
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.Google Scholar
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, 780–782.CrossRefGoogle ScholarPubMed
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, 1355–1365.CrossRefGoogle ScholarPubMed
Condiotte, M.M., & Lichtenstein, E. (1981). Self-efficacy and relapse in smoking cessation programs. Journal of Consulting and Clinical Psychology, 49, 648–658.CrossRefGoogle ScholarPubMed
Curry, S.J. (1993). Self-help interventions for smoking cessation. Journal of Consulting and Clinical Psychology, 61, 790–803.CrossRefGoogle ScholarPubMed
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, 545–556.CrossRefGoogle ScholarPubMed
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, 1005–1014.CrossRefGoogle ScholarPubMed
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, 318–324.CrossRefGoogle ScholarPubMed
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, 1212–1217.CrossRefGoogle ScholarPubMed
Decker, B.D., & Evans, R.G. (1991). Efficacy of a minimal contact version of a multimodal smoking cessation program. Addictive Behaviors, 14, 487–491.CrossRefGoogle Scholar
Fagerström, K.O. (1978). Measuring degree of physical dependence to tobacco smoking with reference to individualization of treatment. Addictive Behaviors, 3, 235–241.CrossRefGoogle ScholarPubMed
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, 2760–2765.CrossRefGoogle ScholarPubMed
Foxx, R.M., & Brown, R.A. (1979). Nicotine fading and selfmonitoring for cigarette abstinence or controlled smoking. Journal of Applied Behavior Analysis, 12, 115–125.CrossRefGoogle ScholarPubMed
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.Google Scholar
García, M.P., & Becoña, E. (1994). Manuales de autoayuda para dejar de fumar: una revisión. Adicciones, 6, 73–89.Google Scholar
García, M.P., & Becoña, E. (1997). Variables demográficas y de consumo relacionadas con la abstinencia o recaída en fumadores. Adicciones, 9, 49–60.Google Scholar
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.Google Scholar
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, 617–620.CrossRefGoogle Scholar
Glasgow, R.E., & Rosen, G.M. (1979). Self-help behavior therapy manuals: Recent developments and clinical usage. Clinical Behavior Therapy Review, 1, 1–20.Google Scholar
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, 659–667.CrossRefGoogle ScholarPubMed
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, 329–345.CrossRefGoogle ScholarPubMed
Hallet, R. (1986). Smoking intervention in the workplace: Review and recommendations. Preventive Medicine, 18, 213–231.CrossRefGoogle Scholar
Holland, B. S. Y., Copenhaver, M. D. (1988). Improved Bonferronitype multiple testing procedures. Psychological Bulletin, 104, 145–149.CrossRefGoogle Scholar
Lichtenstein, E., & Glasgow, R.E. (1992). Smoking cessation: What have we learned over the past decade? Journal of Consulting and Clinical Psychology, 60, 518–527.CrossRefGoogle ScholarPubMed
Ockene, J.K., Hymowitz, N., & Shaten, J. (1991). Comparison of smoking behavior change for SI and UC study groups. Preventive Medicine, 20, 564–573.CrossRefGoogle ScholarPubMed
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, 261–267.CrossRefGoogle ScholarPubMed
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, 439–448.CrossRefGoogle ScholarPubMed
Ossip-Klein, D., Parker, S., Bigelow, G., Curry, S., & Kirkland, S. (1986). Classification and assessment of smoking behavior. Health Psychology, 5, 3–11.CrossRefGoogle ScholarPubMed
Pomerleau, O.F., & Pomerleau, C.S. (1977). Breaking the smoking habit: A behavioral program for giving up cigarettes. Champaign, IL: Research Press.Google Scholar
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, 399–405.CrossRefGoogle Scholar
Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press.CrossRefGoogle Scholar
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, 342–344.CrossRefGoogle ScholarPubMed
Schachter, S. (1982). Recidivism and self-care of smoking and obesity. American Psychologist, 37, 436–444.CrossRefGoogle Scholar
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.Google Scholar
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.Google Scholar
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, 202–211.CrossRefGoogle ScholarPubMed