Cargando…
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...
Autores principales: | , , |
---|---|
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 |
_version_ | 1784718591531155456 |
---|---|
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. |
format | Online Article Text |
id | pubmed-9157212 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Asociacion Espanola de Psicologia Conductual |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT secadesvillaroberto arandomizedcontrolledtrialofcontingencymanagementforsmokingcessationinsubstanceusetreatmentpatients AT aonsodiegogema arandomizedcontrolledtrialofcontingencymanagementforsmokingcessationinsubstanceusetreatmentpatients AT gonzalezrozalba arandomizedcontrolledtrialofcontingencymanagementforsmokingcessationinsubstanceusetreatmentpatients AT secadesvillaroberto randomizedcontrolledtrialofcontingencymanagementforsmokingcessationinsubstanceusetreatmentpatients AT aonsodiegogema randomizedcontrolledtrialofcontingencymanagementforsmokingcessationinsubstanceusetreatmentpatients AT gonzalezrozalba randomizedcontrolledtrialofcontingencymanagementforsmokingcessationinsubstanceusetreatmentpatients |