Effectiveness of three intensities of smoking cessation treatment in primary care.
The purpose of this study was to compare the effectiveness of three smoking cessation programs of varying intensity applied in a primary care setting. Participants were 89 individuals randomly assigned to one of three treatment groups: brief counseling plus information pamphlet, self-help program with telephone follow-up, and intensive behavioral treatment. At the 12-mo. follow-up, intensive behavioral treatment (42.8% abstinence) was more effective than the self-help program (27.5%), which was in turn more effective than counseling (12.9%). Continued abstinence was also higher in the intensive treatment group (37.9%) than in the self-help (17.2%) and the counseling groups (9.7%), although these differences only reached statistical significance in the first and third of these groups. Treatment adherence was higher in the intensive behavioral group (82.8% of participants attended all the sessions) than in the self-help group (61.8% completed the program). The results appear to confirm a dose-response effect in the treatment of smokers and indicate satisfactory acceptability of intensive behavioral programs applied in primary care.
Secades-Villa
Roberto
R
Department of Psychology, University of Oviedo, Spain.
Alonso-Pérez
Fernando
F
García-Rodríguez
Olaya
O
Fernández-Hermida
José Ramón
JR
D000328:Adult; D001521:Behavior Therapy / Q000379:methods; D003376:Counseling / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care; D010174:Pamphlets; D011320:Primary Health Care / Q000379:methods*; D012657:Self-Help Groups; D016540:Smoking Cessation / Q000379:methods*; D013030:Spain; D014029:Tobacco Use Disorder / Q000523:psychology / Q000534:rehabilitation*