Strike while the iron is hot: Can stepped-care treatments resurrect relapsing smokers?

TitleStrike while the iron is hot: Can stepped-care treatments resurrect relapsing smokers?
Publication TypeJournal Article
Year of Publication2001
AuthorsSmith, SS, Jorenby, DE, Fiore, MC, Anderson, JE, Mielke, MM, Beach, KE, Piasecki, TM, Baker, TB
JournalJournal of Consulting and Clinical Psychology
Date PublishedJun
Publication Languageeng
ISBN Number0022-006X (Print)0022-006X (Linking)
Accession Number11495172
Keywords*Cognitive Therapy, *Motivation, *Psychotherapy, Brief, *Psychotherapy, Group, Administration, Cutaneous, Adult, Combined Modality Therapy, Female, Humans, Male, Middle Aged, Nicotine/administration & dosage, Recurrence, Smoking Cessation/*methods/psychology

The efficacies of 2 group counseling step-up treatments for smoking cessation, cognitive-behavioral/skill training therapy (CBT) and motivational interviewing/supportive (MIS) therapy, were compared with brief intervention (BI) treatment in a sample of 677 smokers. Differential efficacy of the 2 step-up treatments was also tested in smokers at low and high risk for relapse (no smoking vs. any smoking during the first postquit week. respectively). All participants received 8 weeks of nicotine patch therapy. BI consisted of 3 brief individual cessation counseling sessions; CBT and MIS participants received BI treatment and 6 group counseling sessions. Neither CBT nor MIS treatment improved long-term abstinence rates relative to BI. Limited support was found for the hypothesis that high-risk smokers would benefit more from MIS than CBT. Other hypotheses were not supported.

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