Contingency management and motivational enhancement: A randomized clinical trial for college student smokers

被引：46

作者：

Tevyaw, Tracy O'L. ^{[1
,2
]}

Colby, Suzanne M. ^{[1
]}

Tidey, Jennifer W. ^{[1
]}

Kahler, Christopher W. ^{[1
]}

Rohsenow, Damaris J. ^{[1
,2
]}

Barnett, Nancy P. ^{[1
]}

Gwaltney, Chad J. ^{[1
]}

Monti, Peter M. ^{[1
,2
]}

机构：

[1] Brown Univ, Ctr Alcohol & Addict Studies, Providence, RI 02912 USA

[2] Vet Affairs Med Ctr, Providence, RI USA

来源：

NICOTINE & TOBACCO RESEARCH | 2009年 / 11卷 / 06期

关键词：

CARBON-MONOXIDE LEVELS; CIGARETTE-SMOKING; ADOLESCENT SMOKERS; TOBACCO USE; ABSTINENCE REINFORCEMENT; NICOTINE DEPENDENCE; BRIEF INTERVENTIONS; CESSATION; THERAPY; VERIFICATION;

D O I：

10.1093/ntr/ntp058

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：

The efficacy of contingency-management (CM) and motivational enhancement therapy (MET) for college student smoking cessation was examined. Nontreatment-seeking daily smokers (N = 110) were randomly assigned to 3 weeks of CM versus noncontingent reinforcement (NR) and to three individual sessions of MET versus a relaxation control in a 2 x 2 experimental design. Expired carbon monoxide (CO) samples were collected twice daily for 3 weeks. Participants earned U.S.$5 for providing each sample; additionally, those randomized to CM earned escalating monetary rewards based on CO reductions (Week 1) and smoking abstinence (Weeks 2-3). Compared with NR, CM resulted in significantly lower CO levels and greater total and consecutive abstinence during the intervention. Those in the CM and MET groups reported greater interest in quitting smoking posttreatment, but rates of confirmed abstinence at follow-up were very low (4% at 6-month follow-up) and did not differ by group. Findings support the short-term efficacy of CM for reducing smoking among college students. Future research should explore enhancements to CM in this population, including a longer intervention period and the recruitment of smokers who are motivated to quit.

引用

页码：739 / 749

页数：11

共 58 条

[11] A POWER PRIMER [J].

COHEN, J .

PSYCHOLOGICAL BULLETIN, 1992, 112 (01) :155-159

[12] Brief motivational interviewing in a hospital setting for adolescent smoking: A preliminary study [J].

Colby, SM ;

Monti, PM ;

Barnett, NP ;

Rohsenow, DJ ;

Weissman, K ;

Spirito, A ;

Woolard, RH ;

Lewander, WJ .

JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 1998, 66 (03) :574-578

[13] Brief motivational intervention for adolescent smokers in medical settings [J].

Colby, SM ;

Monti, PM ;

Tevyaw, TO ;

Barnett, NP ;

Spirito, A ;

Rohsenow, DJ ;

Riggs, S ;

Lewander, W .

ADDICTIVE BEHAVIORS, 2005, 30 (05) :865-874

[14] Contingency management interventions for treating the substance abuse of adolescents: A feasibility study [J].

Corby, EA ;

Roll, JM ;

Ledgerwood, DM ;

Schuster, CR .

EXPERIMENTAL AND CLINICAL PSYCHOPHARMACOLOGY, 2000, 8 (03) :371-376

[15] The use of contingency management to reduce cigarette smoking among college students [J].

Correia, Christopher J. ;

Benson, Trisha A. .

EXPERIMENTAL AND CLINICAL PSYCHOPHARMACOLOGY, 2006, 14 (02) :171-179

[16] An Internet-based abstinence reinforcement treatment for cigarette smoking [J].

Dallery, Jesse ;

Glenn, Irene M. ;

Raiff, Bethany R. .

DRUG AND ALCOHOL DEPENDENCE, 2007, 86 (2-3) :230-238

[17] The proximal association between smoking and alcohol use among first year college students [J].

Dierker, L ;

Lloyd-Richardson, E ;

Stolar, M ;

Flay, B ;

Tiffany, S ;

Collins, L ;

Bailey, S ;

Nichter, M ;

Clayton, R .

DRUG AND ALCOHOL DEPENDENCE, 2006, 81 (01) :1-9

[18]

Donatelle RJ, 2000, TOB CONTROL, V9, P67

[19] The use of brief interventions adapted from motivational interviewing across behavioral domains: a systematic review [J].

Dunn, C ;

Deroo, L ;

Rivara, FP .

ADDICTION, 2001, 96 (12) :1725-1742

[20] MEASURING DEGREE OF PHYSICAL-DEPENDENCE TO TOBACCO SMOKING WITH REFERENCE TO INDIVIDUALIZATION OF TREATMENT [J].

FAGERSTROM, KO .

ADDICTIVE BEHAVIORS, 1978, 3 (3-4) :235-241

← 1 2 3 4 5 6 →