title: Contingency management for smoking cessation in adolescent smokers.
abstract: This pilot study evaluated the use of contingency management (CM) procedures in combination with cognitive-behavioral therapy (CBT) for smoking cessation in adolescents. Twenty-eight treatment-seeking adolescent smokers participated in a 1-month, school-based smoking cessation program and were randomly assigned to receive either CM with weekly CBT or CBT alone. In the CM+CBT group, biochemical verification of abstinence was obtained twice daily during the first 2 weeks, followed by daily appointments during the 3rd week and once every other day during the 4th week. Participants were monetarily reinforced for abstinence on an escalating magnitude schedule with a reset contingency. At the end of 1 week and 1 month of treatment, abstinence verified using quantitative urine cotinine levels was higher in participants in the CM+CBT group (1 week: 76.7%; 1 month: 53.0%) when compared with the CBT-alone group (1 week: 7.2%; 4 weeks: 0%). These preliminary results provide a strong initial signal supporting the utility of CM techniques for smoking cessation in adolescents and demonstrate the feasibility of implementing such a program in a school setting.
authors.affiliation: Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06519, USA. suchitra.krishnan-saran@yale.edu
authors.forename: Suchitra
authors.initials: S
authors.lastname: Krishnan-Sarin
authors.forename: Amy M
authors.initials: AM
authors.lastname: Duhig
authors.forename: Sherry A
authors.initials: SA
authors.lastname: McKee
authors.forename: Thomas J
authors.initials: TJ
authors.lastname: McMahon
authors.forename: Thomas
authors.initials: T
authors.lastname: Liss
authors.forename: Amanda
authors.initials: A
authors.lastname: McFetridge
authors.forename: Dana A
authors.initials: DA
authors.lastname: Cavallo
mesh_terms: D000293:Adolescent; D015928:Cognitive Behavioral Therapy; D003376:Counseling; D006801:Humans; D012907:Smoking; D016540:Smoking Cessation / Q000379:methods*