title: Behavioral couples therapy for smoking cessation: A pilot randomized clinical trial.
abstract: Behavioral couples therapy (BCT) has been found to improve long-term abstinence rates in alcohol- and substance-dependent populations but has not been tested for smoking cessation. This pilot study examined the feasibility and acceptability of BCT for smoking-discordant couples. Forty-nine smokers (smoking >10 cigarettes/day) with nonsmoking partners were randomized to receive a couples social support (BCT-S) intervention or an individually delivered, standard smoking cessation treatment (ST). The couples were married or had been cohabiting for at least 1 year, with partners who had never smoked or had not used tobacco in 1 year. Both treatments included 7 weekly sessions and 8 weeks of nicotine replacement therapy. Participants were followed for 6 months posttreatment. The Partner Interaction Questionnaire was used to measure perceived smoking-specific partner support. Participants were 67% male and 88% White. Biochemically verified cessation rates were 40.9%, 50%, and 45% in BCT-S and 59.1%, 50%, and 55% in ST at end of treatment, after 3 month, and after 6 months, respectively, and did not differ significantly between treatment conditions at any time point. Perceived smoking-specific partner support at posttreatment did not significantly differ between treatment groups. Results of this pilot study do not provide support for the efficacy of BCT in smoking-discordant couples.
authors: National Jewish Health.
authors: Heather
authors: H
authors: LaChance
authors: Center for Alcohol and Addiction Studies, School of Public Health, Brown University.
authors: Patricia A
authors: 0000-0003-3599-7819
authors: PA
authors: Cioe
authors: Center for Behavioral and Preventative Medicine, Warren Alpert Medical School, Brown University.
authors: Erin
authors: E
authors: Tooley
authors: Center for Alcohol and Addiction Studies, School of Public Health, Brown University.
authors: Suzanne M
authors: SM
authors: Colby
authors: Families and Addiction Program, VA Boston Healthcare System.
authors: Timothy J
authors: TJ
authors: O'Farrell
authors: Center for Alcohol and Addiction Studies, School of Public Health, Brown University.
authors: Christopher W
authors: CW
authors: Kahler
mesh_terms: D000328:Adult; D001521:Behavior Therapy / Q000379:methods*; D019546:Couples Therapy / Q000379:methods*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D010865:Pilot Projects; D012907:Smoking / Q000628:therapy*; D016540:Smoking Cessation / Q000379:methods*; D012944:Social Support; D061485:Tobacco Use Cessation Devices; D014029:Tobacco Use Disorder / Q000628:therapy*; D016896:Treatment Outcome
references: MMWR Morb Mortal Wkly Rep. 2008 Nov 14;57(45):1226-8
references: 19008791
references: Health Psychol. 2011 Jul;30(4):411-9
references: 21480711
references: J Consult Clin Psychol. 1990 Jun;58(3):304-9
references: 2365893
references: Addiction. 1995 Jun;90(6):767-72
references: 7633293
references: J Subst Abuse Treat. 2000 Jan;18(1):51-4
references: 10636606
references: Nicotine Tob Res. 2013 Sep;15(9):1528-36
references: 23420901
references: Control Clin Trials. 1988 Dec;9(4):345-64
references: 3203525
references: Addict Behav. 2010 Jan;35(1):1-6
references: 19717243
references: J Med Internet Res. 2013 Jan 28;15(1):e14
references: 23353649
references: J Biosoc Sci. 1993 Jan;25(1):25-9
references: 8425882
references: Cochrane Database Syst Rev. 2012 Jul 11;(7):CD002928
references: 22786483
references: Clin Psychol Rev. 2013 Mar;33(2):275-86
references: 23321286
references: Psychol Health Med. 2009 Aug;14(4):443-53
references: 19697254
references: Arch Gen Psychiatry. 2001 Aug;58(8):787-94
references: 11483146
references: J Health Psychol. 2011 Mar;16(2):294-302
references: 20631037
references: Ann Fam Med. 2004 Mar-Apr;2(2):170-4
references: 15083859
references: Nicotine Tob Res. 2011 Mar;13(3):194-201
references: 21324838
references: Addiction. 1993 Jun;88(6):791-804
references: 8329970
references: J Consult Clin Psychol. 1985 Aug;53(4):455-60
references: 4031200
references: J Consult Clin Psychol. 1991 Jun;59(3):439-48
references: 2071729
references: J Consult Clin Psychol. 1983 Jun;51(3):465-6
references: 6863711
references: Tob Control. 2000 Dec;9(4):415-22
references: 11106712
references: MMWR Morb Mortal Wkly Rep. 2014 Jan 17;63(2):29-34
references: 24430098
references: Prev Med. 2006 Oct;43(4):291-305
references: 16787657
references: Drug Alcohol Depend. 2000 Jan 1;57(3):225-38
references: 10661673
references: Nicotine Tob Res. 2008 Apr;10(4):607-12
references: 18418783
references: J Consult Clin Psychol. 1986 Aug;54(4):447-53
references: 3745596
references: Arch Gen Psychiatry. 2006 May;63(5):484-9
references: 16651505
references: Am J Health Promot. 2011 May-Jun;25(5 Suppl):S96-102
references: 21510795
references: Nicotine Tob Res. 2001 Nov;3(4):311-23
references: 11694198
references: Addiction. 2004 Jun;99(6):770-7
references: 15139875
references: Br J Addict. 1991 Sep;86(9):1119-27
references: 1932883
references: Clin Psychol Rev. 2008 Jul;28(6):952-62
references: 18374464
references: Addiction. 2004 Jan;99(1):29-38
references: 14678060
references: Alcohol Treat Q. 2012 Jan 1;30(4):407-421
references: 23264718
references: Am J Public Health. 2002 Nov;92(11):1801-8
references: 12406812
references: Am J Health Promot. 2006 Nov-Dec;21(2):90-6
references: 17152247
references: Issues Ment Health Nurs. 2008 Oct;29(10):1115-33
references: 18853350
references: Nicotine Tob Res. 2010 Jul;12(7):695-707
references: 20513695
references: Nicotine Tob Res. 2002 May;4(2):149-59
references: 12028847
references: Psychol Bull. 1997 Sep;122(2):170-91
references: 9283299
references: Br J Cancer. 2004 Oct 4;91(7):1280-6
references: 15292933
references: J Marital Fam Ther. 2012 Jan;38(1):122-44
references: 22283384
references: J Stud Alcohol Suppl. 1994 Dec;12:70-5
references: 7723001