title: A randomized pilot study of cognitive-behavioral therapy versus basic health education for smoking cessation among cancer patients.
abstract: BACKGROUND
  Previously, we have linked theoretically based cognitive and emotional variables to the ability of cancer patients to quit smoking.
  
  
  OBJECTIVE
  In this study, we evaluated the impact of cognitive-behavioral therapy (CBT), which addressed these theoretically derived cognitive and emotional variables linked to tobacco use in this population, for promoting smoking cessation in a sample of cancer patients and assessed longitudinal predictors of smoking cessation.
  
  
  METHODS
  Cancer patients (N=109) were randomized to either the theoretically based CBT intervention or to a general health education (GHE) condition, and all patients received nicotine replacement therapy.
  
  
  RESULTS
  Contrary to our expectation, no significant difference in 30-day point-prevalence abstinence between the CBT and GHE conditions was detected at either a 1-month (44.9 vs. 47.3%, respectively) or 3-month (43.2% vs. 39.2%, respectively) follow-up evaluation. Higher quit motivation and lower cons of quitting were related to smoking cessation.
  
  
  CONCLUSIONS
  Implications for the implementation of smoking cessation behavioral treatments in the oncologic context are discussed, as are directions for future research in this area.
authors.affiliation: Fox Chase Cancer Center, Philadelphia, Cheltenham, Pennsylvania 19012, USA. RA_Schnoll@fccc.edu
authors.forename: Robert A
authors.initials: RA
authors.lastname: Schnoll
authors.forename: Randi L
authors.initials: RL
authors.lastname: Rothman
authors.forename: Dustin B
authors.initials: DB
authors.lastname: Wielt
authors.forename: Caryn
authors.initials: C
authors.lastname: Lerman
authors.forename: Holly
authors.initials: H
authors.lastname: Pedri
authors.forename: Hao
authors.initials: H
authors.lastname: Wang
authors.forename: James
authors.initials: J
authors.lastname: Babb
authors.forename: Suzanne M
authors.initials: SM
authors.lastname: Miller
authors.forename: Benjamin
authors.initials: B
authors.lastname: Movsas
authors.forename: Eric
authors.initials: E
authors.lastname: Sherman
authors.forename: John A
authors.initials: JA
authors.lastname: Ridge
authors.forename: Michael
authors.initials: M
authors.lastname: Unger
authors.forename: Corey
authors.initials: C
authors.lastname: Langer
authors.forename: Melvyn
authors.initials: M
authors.lastname: Goldberg
authors.forename: Walter
authors.initials: W
authors.lastname: Scott
authors.forename: Jonathan
authors.initials: J
authors.lastname: Cheng
mesh_terms: D015928:Cognitive Behavioral Therapy; D006258:Head and Neck Neoplasms / Q000150:complications; D006801:Humans; D009042:Motivation; D010353:Patient Education as Topic; D016540:Smoking Cessation / Q000379:methods*; D014029:Tobacco Use Disorder / Q000523:psychology / Q000628:therapy*; D016896:Treatment Outcome