Effect of smoking reduction on later cessation: A pilot experimental study

被引:51
作者
Carpenter, MJ [1 ]
Hughes, JR [1 ]
Keely, JP [1 ]
机构
[1] Univ Vermont, Dept Psychiat, Burlington, VT USA
关键词
D O I
10.1080/146222003100007385
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
It is unclear whether reducing the number of cigarettes in smokers not trying to quit increases or decreases the likelihood of future quitting. In a pilot study, smokers not currently interested in quitting (n = 67) were randomized to two groups. Experimental participants received behavioral treatment and nicotine replacement therapy (choice of gum, patch, or inhaler) to reduce smoking by 50% over 4 weeks, followed by brief advice to quit. Usual-care participants received only brief advice to quit and nicotine replacement if they decided to quit. During the 4-week treatment period, nonabstaining reduction participants decreased from 23 to 14 cigarettes per day (p <.01) and maintained their reduction over the 6-month follow-up period. At the 6-month follow-up, 35% of usual-care and 41% of reduction participants (nonsignificant [ns]) moved forward in their stage of change. Over the 6 months, 34% of usual-care participants had at least one 24-h quit attempt, compared with 25% of reduction participants (ns). A total of 9% of usual-care participants remained quit at 6 months vs. 13% in the reduction group (ns). These preliminary results suggest that adding a reduction option neither increases nor undermines interest. in cessation. Higher than expected rates of attempted cessation and quitting in the usual-care group suggest that we recruited smokers whose motivation to quit was above average. Thus, a replication test in a less-motivated group of smokers is needed.
引用
收藏
页码:155 / 162
页数:8
相关论文
共 35 条
[1]  
[Anonymous], 1996, AHCPR PUBLICATION
[2]   THE CONTEMPLATION LADDER - VALIDATION OF A MEASURE OF READINESS TO CONSIDER SMOKING CESSATION [J].
BIENER, L ;
ABRAMS, DB .
HEALTH PSYCHOLOGY, 1991, 10 (05) :360-365
[3]   Smoking reduction with oral nicotine inhalers:: double blind, randomised clinical trial of efficacy and safety [J].
Bolliger, CT ;
Zellweger, JP ;
Danielsson, T ;
van Biljon, X ;
Robidou, A ;
Westin, Å ;
Perruchoud, AP ;
Säwe, U .
BMJ-BRITISH MEDICAL JOURNAL, 2000, 321 (7257) :329-333
[4]   Scheduled reduced smoking: Effects on smoking abstinence and potential mechanisms of action [J].
Cinciripini, PM ;
Wetter, DW ;
McClure, JB .
ADDICTIVE BEHAVIORS, 1997, 22 (06) :759-767
[5]   THE EFFECTS OF SMOKING SCHEDULES ON CESSATION OUTCOME - CAN WE IMPROVE ON COMMON METHODS OF GRADUAL AND ABRUPT NICOTINE WITHDRAWAL [J].
CINCIRIPINI, PM ;
LAPITSKY, L ;
SEAY, S ;
WALLFISCH, A ;
KITCHENS, K ;
VANVUNAKIS, H .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 1995, 63 (03) :388-399
[6]   Smokers in four stages of readiness to change [J].
Dijkstra, A ;
Roijackers, J ;
De Vries, H .
ADDICTIVE BEHAVIORS, 1998, 23 (03) :339-350
[7]   Subtypes of precontemplating smokers defined by different long-term plans to change their smoking behavior [J].
Dijkstra, A ;
De Vries, H .
HEALTH EDUCATION RESEARCH, 2000, 15 (04) :423-434
[8]  
Fagerstrom K O, 1997, Tob Control, V6, P311
[9]  
Fagerstrom K O, 1996, Tob Control, V5, P52, DOI 10.1136/tc.5.1.52
[10]  
Farkas AJ, 1996, ADDICTION, V91, P1271, DOI 10.1111/j.1360-0443.1996.tb03608.x