A randomized pilot study of cognitive-behavioral therapy versus basic health education for smoking cessation among cancer patients.
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.
Schnoll
Robert A
RA
Fox Chase Cancer Center, Philadelphia, Cheltenham, Pennsylvania 19012, USA. RA_Schnoll@fccc.edu
Rothman
Randi L
RL
Wielt
Dustin B
DB
Lerman
Caryn
C
Pedri
Holly
H
Wang
Hao
H
Babb
James
J
Miller
Suzanne M
SM
Movsas
Benjamin
B
Sherman
Eric
E
Ridge
John A
JA
Unger
Michael
M
Langer
Corey
C
Goldberg
Melvyn
M
Scott
Walter
W
Cheng
Jonathan
J
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