Voucher-based contingency management and in-treatment behaviors in smoking cessation treatment

详细信息    查看全文

• 作者：Carla Ló ; pez-Nú ; ñ ; ez ; Ví ; ctor Martí ; nez-Loredo ; Sara Weidberg ; Irene Pericot-Valverde ; Roberto Secades-Villa ; ^{secades@uniovi.es" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Smoking ; Contingency management ; In-treatment behaviors ; Experimental study
• 刊名：International Journal of Clinical and Health Psychology
• 出版年：2016
• 出版时间：January-April 2016
• 年：2016
• 卷：16
• 期：1
• 页码：30-38
• 全文大小：580 K

文摘

A high percentage of patients relapse within months following an attempt to quit smoking. For this reason, greater understanding of the determinants of successful smoking cessation is needed. The present study assessed the effect of Contingency Management (CM) combined with Cognitive-Behavioral Treatment (CBT) on certain in-treatment behaviors (treatment retention, in-treatment smoking abstinence, and weekly decrease of cotinine levels) and examined the effects of these in-treatment behaviors on smoking status at a 6-month follow-up. A total of 154 treatment-seeking patients in a community setting were randomly assigned to a CBT, CBT plus CM for Abstinence (CMA) or to a CBT plus CM for Shaping cessation (CMS) group. Both CBT + CM procedures improved the in-treatment behaviors compared to CBT alone. These in-treatment behaviors (particularly in-treatment smoking abstinence) were associated with long-term abstinence. The effect of CM on in-treatment behaviors may partially explain the positive long-term outcomes of this procedure. Our findings extend previous knowledge about the effect of CM on smoking behavior.