BEHAVIORAL ANTISMOKING TRIAL IN CHRONIC OBSTRUCTIVE PULMONARY-DISEASE PATIENTS

被引:59
作者
CROWLEY, TJ
MACDONALD, MJ
WALTER, MI
机构
[1] Addiction Research and Treatment Service, Department of Psychiatry, University of Colorado School of Medicine, Denver, 80262, Colorado
关键词
CARBON MONOXIDE; REINFORCEMENT; NICOTINE GUM; SMOKING SELF-REPORT;
D O I
10.1007/BF02246161
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Smoking causes chronic obstructive pulmonary disease (COPD), but few controlled studies have tested anti-smoking treatments in CORD. With procedures likely to attract unmotivated persons we recruited 49 quite-ill, smoking COPD patients. During one or two daily home visits for 85 days, breath carbon monoxide (CO) and self-reports of daily smoking were obtained. Patients, given quit dates and nicotine gum (2-mg pieces, up to 30 per day), were assigned randomly to three groups: Experimentals were reinforced with lottery tickets for CO < 10 ppm. Cigarette Self Report (CSR) patients were reinforced for reporting no smoking that day. Controls received non-contingent payments. Each group's mean CO level fell at the quit date. Thereafter, reinforced patients maintained significantly lower CO levels than Controls. Although many more 24-h abstentions occurred in the intervention period than in baseline, few patients sustained abstinence; the groups did not differ in that regard. Outcome was predicted by decisions to throw away cigarettes when intervention began, but not by motivation scales nor Fagerstrom dependence scores. Pay schedules apparently exaggerated self-reports of reduced smoking. Although results are statistically significant, there is still no proven, practical treatment for smoking in advanced COPD.
引用
收藏
页码:193 / 204
页数:12
相关论文
共 51 条
[41]  
*SPSS INC, 1990, SPSS ADV STAT US GUI
[42]   CONTINGENT PAYMENT PROCEDURES FOR SMOKING REDUCTION AND CESSATION [J].
STITZER, ML ;
RAND, CS ;
BIGELOW, GE ;
MEAD, AM .
JOURNAL OF APPLIED BEHAVIOR ANALYSIS, 1986, 19 (02) :197-202
[43]   CONTINGENT REINFORCEMENT FOR CARBON-MONOXIDE REDUCTION - WITHIN-SUBJECT EFFECTS OF PAY AMOUNT [J].
STITZER, ML ;
BIGELOW, GE .
JOURNAL OF APPLIED BEHAVIOR ANALYSIS, 1984, 17 (04) :477-483
[44]   CONTINGENT PAYMENT FOR CARBON-MONOXIDE REDUCTION - EFFECTS OF PAY AMOUNT [J].
STITZER, ML ;
BIGELOW, GE .
BEHAVIOR THERAPY, 1983, 14 (05) :647-656
[45]   CONTINGENT REINFORCEMENT FOR REDUCED BREATH CARBON-MONOXIDE LEVELS - TARGET-SPECIFIC EFFECTS ON CIGARETTE-SMOKING [J].
STITZER, ML ;
BIGELOW, GE .
ADDICTIVE BEHAVIORS, 1985, 10 (04) :345-349
[46]   CONTINGENT REINFORCEMENT FOR REDUCED CARBON-MONOXIDE LEVELS IN CIGARETTE SMOKERS [J].
STITZER, ML ;
BIGELOW, GE .
ADDICTIVE BEHAVIORS, 1982, 7 (04) :403-412
[47]  
TASHKIN DP, 1984, AM REV RESPIR DIS, V130, P707
[48]   EFFECT OF NICOTINE CHEWING GUM IN COMBINATION WITH GROUP-COUNSELING ON THE CESSATION OF SMOKING [J].
TONNESEN, P ;
FRYD, V ;
HANSEN, M ;
HELSTED, J ;
GUNNERSEN, AB ;
FORCHAMMER, H ;
STOCKNER, M .
NEW ENGLAND JOURNAL OF MEDICINE, 1988, 318 (01) :15-18
[49]   ASSESSING OUTCOME IN SMOKING CESSATION STUDIES [J].
VELICER, WF ;
PROCHASKA, JO ;
ROSSI, JS ;
SNOW, MG .
PSYCHOLOGICAL BULLETIN, 1992, 111 (01) :23-41
[50]   LONG-TERM REPRODUCIBILITY OF TESTS OF SMALL AIRWAYS FUNCTION - COMPARISONS WITH SPIROMETRY [J].
VOLLMER, WM ;
MCCAMANT, LE ;
JOHNSON, LR ;
BUIST, AS .
CHEST, 1990, 98 (02) :303-307