Title | Dual pharmacotherapy and motivational interviewing for tobacco dependence among drug treatment patients |
Publication Type | Journal Article |
Year of Publication | 2005 |
Authors | Richter, KP, McCool, RM, Catley, D, Hall, M, Ahluwalia, JS |
Journal | Journal of Addictive Diseases |
Volume | 24 |
Pagination | 79-90 |
Publication Language | eng |
ISBN Number | 1055-0887 (Print)1055-0887 (Linking) |
Accession Number | 16368658 |
Keywords | *Interviews as Topic, *Motivation, Administration, Topical, Bupropion/*therapeutic use, Counseling, Dopamine Uptake Inhibitors/*therapeutic use, Follow-Up Studies, Humans, Mental Health Services/*statistics & numerical data, Methadone/*therapeutic use, Narcotics/*therapeutic use, Nicotine/administration & dosage/*therapeutic use, Patient Compliance/statistics & numerical data, Pilot Projects, Questionnaires, Smoking Cessation/*methods, Tobacco Use Disorder/drug therapy/*psychology/*therapy, Treatment Outcome |
Abstract | This pilot study is the first to examine the feasibility and outcomes of dual pharmacotherapy for smoking cessation among drug treatment patients. The intervention consisted of 7 weeks of bupropion (300 mg), 12 weeks of nicotine gum, and 6 sessions of motivational interviewing. The trial was conducted among 28 patients recruited from 5 methadone clinics and employed a pretest-posttest design. At 6 months post quit date, 14% of participants met criteria for biochemically-verified abstinence. Among those still smoking, number of cigarettes smoked decreased significantly and most (88%) had made at least 1 serious quit attempt. Participation rates were excellent and no adverse effects on alcohol or illicit drug use were found. Although not a definitive test of the intervention, findings suggest that a multi-component approach to tobacco dependence is feasible and potentially effective in helping drug treatment patients achieve smoking cessation well beyond the end of treatment and that a large-scale randomized trial is warranted. |
URL | http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=16368658 |