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A randomized controlled trial of contingency management for smoking cessation in substance use treatment patients

BACKGROUND/OBJECTIVE: Contingency management (CM) is one of the most effective interventions for smokers with substance use disorder (SUD), and no empirical assessment of its long-term efficacy has been conducted so far in a real-world context. The objectives were: (1) examine the additive effective...

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Autores principales: Secades-Villa, Roberto, Aonso-Diego, Gema, González-Roz, Alba
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Asociacion Espanola de Psicologia Conductual 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9157212/
https://www.ncbi.nlm.nih.gov/pubmed/35662791
http://dx.doi.org/10.1016/j.ijchp.2022.100314
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author Secades-Villa, Roberto
Aonso-Diego, Gema
González-Roz, Alba
author_facet Secades-Villa, Roberto
Aonso-Diego, Gema
González-Roz, Alba
author_sort Secades-Villa, Roberto
collection PubMed
description BACKGROUND/OBJECTIVE: Contingency management (CM) is one of the most effective interventions for smokers with substance use disorder (SUD), and no empirical assessment of its long-term efficacy has been conducted so far in a real-world context. The objectives were: (1) examine the additive effectiveness of CM on cognitive-behavioral treatment (CBT) for smoking cessation, and (2) examine the relationship between smoking cessation and substance use abstinence. METHOD: A total of 80 participants (75.8% males; M(age) = 45.31; SD = 9.64) were assigned to two smoking cessation treatments: CBT or CBT+CM. A set of generalized estimating equations were conducted to examine the effect of treatment condition on smoking outcomes, as well as the effect of smoking status on substance abstinence. RESULTS: Adding CM to CBT for smoking cessation improved tobacco abstinence rates at the end-of-treatment (p = .049). Tobacco abstinence rates declined over time (p = .012), but no significant effects of treatment condition were observed across follow-ups (p = .260). Smoking cessation was not significantly related to substance abstinence (p ≥ .488). CONCLUSIONS: CM facilitates early abstinence in smokers with SUD, although effects subside after treatment termination. The lack of association between smoking abstinence and substance use suggests no jeopardizing effects as a result of quitting smoking.
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spelling pubmed-91572122022-06-04 A randomized controlled trial of contingency management for smoking cessation in substance use treatment patients Secades-Villa, Roberto Aonso-Diego, Gema González-Roz, Alba Int J Clin Health Psychol Original Article BACKGROUND/OBJECTIVE: Contingency management (CM) is one of the most effective interventions for smokers with substance use disorder (SUD), and no empirical assessment of its long-term efficacy has been conducted so far in a real-world context. The objectives were: (1) examine the additive effectiveness of CM on cognitive-behavioral treatment (CBT) for smoking cessation, and (2) examine the relationship between smoking cessation and substance use abstinence. METHOD: A total of 80 participants (75.8% males; M(age) = 45.31; SD = 9.64) were assigned to two smoking cessation treatments: CBT or CBT+CM. A set of generalized estimating equations were conducted to examine the effect of treatment condition on smoking outcomes, as well as the effect of smoking status on substance abstinence. RESULTS: Adding CM to CBT for smoking cessation improved tobacco abstinence rates at the end-of-treatment (p = .049). Tobacco abstinence rates declined over time (p = .012), but no significant effects of treatment condition were observed across follow-ups (p = .260). Smoking cessation was not significantly related to substance abstinence (p ≥ .488). CONCLUSIONS: CM facilitates early abstinence in smokers with SUD, although effects subside after treatment termination. The lack of association between smoking abstinence and substance use suggests no jeopardizing effects as a result of quitting smoking. Asociacion Espanola de Psicologia Conductual 2022 2022-05-26 /pmc/articles/PMC9157212/ /pubmed/35662791 http://dx.doi.org/10.1016/j.ijchp.2022.100314 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Secades-Villa, Roberto
Aonso-Diego, Gema
González-Roz, Alba
A randomized controlled trial of contingency management for smoking cessation in substance use treatment patients
title A randomized controlled trial of contingency management for smoking cessation in substance use treatment patients
title_full A randomized controlled trial of contingency management for smoking cessation in substance use treatment patients
title_fullStr A randomized controlled trial of contingency management for smoking cessation in substance use treatment patients
title_full_unstemmed A randomized controlled trial of contingency management for smoking cessation in substance use treatment patients
title_short A randomized controlled trial of contingency management for smoking cessation in substance use treatment patients
title_sort randomized controlled trial of contingency management for smoking cessation in substance use treatment patients
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9157212/
https://www.ncbi.nlm.nih.gov/pubmed/35662791
http://dx.doi.org/10.1016/j.ijchp.2022.100314
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