An evaluation of a multicomponent treatment program involving scheduled smoking and relapse prevention procedures: initial findings.
In the current study, 34 smokers were treated in a smoking cessation program that involved either a scheduled smoking procedure, or a minimal contact self-help treatment control. The interval smoking program consisted of baseline, cessation, and relapse prevention phases. During baseline, subjects self-monitored smoking and the total hours spent awake. During a 3-week cessation period, the scheduled smoking group progressively increased their intercigarette interval, thereby gradually reducing their total daily intake of nicotine. Smokers were expected to quit on a target date set at the end of this period. Cognitive behavioral interventions and relapse prevention training consisted of behavioral rehearsal of nonsmoking skills in a relapse prone environment. Control subjects were given the American Cancer Society "I Quit Kit", and provided subsequent discussion of its use. The results showed that 53% and 41% of the scheduled smoking group was abstinent at the 6- and 12-month follow-up points, respectively. Controls averaged only 6% for the same periods. Scheduled smoking may be a useful addition to a multicomponent treatment program and further study appears warranted to determine the saliency of the treatment features.
Cinciripini
P M
PM
Department of Psychiatry and Behavioral Sciences, University of Texas Medical Branch, Galveston 77555-0429.
Lapitsky
L G
LG
Wallfisch
A
A
Mace
R
R
Nezami
E
E
Van Vunakis
H
H
D000328:Adult; D000359:Aftercare / Q000379:methods* / Q000523:psychology; D001521:Behavior Therapy / Q000379:methods*; D015928:Cognitive Behavioral Therapy / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009538:Nicotine / Q000008:administration & dosage; D010174:Pamphlets; D012008:Recurrence; D012055:Reinforcement Schedule; D012648:Self Care / Q000523:psychology; D012907:Smoking / Q000523:psychology; D016540:Smoking Cessation / Q000379:methods* / Q000523:psychology; D000074606:Smoking Prevention; D012931:Social Environment; D016896:Treatment Outcome
D009538:Nicotine