title: Strike while the iron is hot: can stepped-care treatments resurrect relapsing smokers?
abstract: The efficacies of 2 group counseling step-up treatments for smoking cessation, cognitive-behavioral/skill training therapy (CBT) and motivational interviewing/supportive (MIS) therapy, were compared with brief intervention (BI) treatment in a sample of 677 smokers. Differential efficacy of the 2 step-up treatments was also tested in smokers at low and high risk for relapse (no smoking vs. any smoking during the first postquit week. respectively). All participants received 8 weeks of nicotine patch therapy. BI consisted of 3 brief individual cessation counseling sessions; CBT and MIS participants received BI treatment and 6 group counseling sessions. Neither CBT nor MIS treatment improved long-term abstinence rates relative to BI. Limited support was found for the hypothesis that high-risk smokers would benefit more from MIS than CBT. Other hypotheses were not supported.
authors.affiliation: Department of Medicine, University of Wisconsin Medical School, Madison 53711-2027, USA. sss@ctri.medicine.wisc.edu
authors.forename: S S
authors.initials: SS
authors.lastname: Smith
authors.forename: D E
authors.initials: DE
authors.lastname: Jorenby
authors.forename: M C
authors.initials: MC
authors.lastname: Fiore
authors.forename: J E
authors.initials: JE
authors.lastname: Anderson
authors.forename: M M
authors.initials: MM
authors.lastname: Mielke
authors.forename: K E
authors.initials: KE
authors.lastname: Beach
authors.forename: T M
authors.initials: TM
authors.lastname: Piasecki
authors.forename: T B
authors.initials: TB
authors.lastname: Baker
mesh_terms: D000279:Administration, Cutaneous; D000328:Adult; D015928:Cognitive Behavioral Therapy; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D009538:Nicotine / Q000008:administration & dosage; D011614:Psychotherapy, Brief; D011615:Psychotherapy, Group; D012008:Recurrence; D016540:Smoking Cessation / Q000379:methods* / Q000523:psychology
chemical_list: D009538:Nicotine