title: Effectiveness of three intensities of smoking cessation treatment in primary care.
abstract: 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.
authors.affiliation: Department of Psychology, University of Oviedo, Spain.
authors.forename: Roberto
authors.initials: R
authors.lastname: Secades-Villa
authors.forename: Fernando
authors.initials: F
authors.lastname: Alonso-Pérez
authors.forename: Olaya
authors.initials: O
authors.lastname: García-Rodríguez
authors.forename: José Ramón
authors.initials: JR
authors.lastname: Fernández-Hermida
mesh_terms: 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*