Item request has been placed! ×
Item request cannot be made. ×
loading  Processing Request

A Randomized Trial of Contingency Management for Smoking Cessation During Intensive Outpatient Alcohol Treatment.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
  • Additional Information
    • Author-Supplied Keywords:
      Alcohol use disorder
      CBT cognitive behavioral therapy
      CM contingency management
      CO carbon monoxide
      Contingency management
      NRT nicotine replacement therapy
      Randomized clinical trial
      SCID Structured Clinical Interview for DSM-IV
      Smoking cessation
      Tobacco use disorder
    • NAICS/Industry Codes:
      623220 Residential Mental Health and Substance Abuse Facilities
      622210 Psychiatric and Substance Abuse Hospitals
      541712 Research and Development in the Physical, Engineering, and Life Sciences (except Biotechnology)
      621999 All Other Miscellaneous Ambulatory Health Care Services
      621990 All other ambulatory health care services
    • Abstract:
      Introduction: This randomized clinical trial was designed to evaluate the efficacy of contingency management (CM) for smoking cessation for smokers with alcohol abuse or dependence delivered concurrently with intensive outpatient alcohol treatment. The study also explored the indirect effects of CM smoking treatment and smoking cessation on alcohol and drug use outcomes.Methods: Alcohol abuse/dependent smokers were randomized to cognitive behavioral therapy plus nicotine replacement therapy plus contingency management (CBT+NRT+CM) or to cognitive behavior therapy plus nicotine replacement therapy (CBT+NRT) delivered concurrent with a three-week intensive outpatient alcohol treatment program.Results: Participants in the CBT+NRT+CM condition were significantly more likely to be cigarette abstinent at the end of treatment (χ2(1)=8.48, p=.004) with approximately double the carbon monoxide confirmed quit rate (60%) compared with the CBT+NRT condition (29%). At the one-month and six-month time-points there were nonsignificant differences in smoking abstinence outcomes by condition. Smoking treatment condition did not directly affect alcohol abstinence outcomes, but we observed an indirect effect of smoking treatment on alcohol and drug abstinence at one-month follow-up that was mediated by smoking cessation at the end of treatment.Conclusions: Adding CM to an evidence-based smoking cessation treatment that included medication and behavioral counseling doubled the quit rate at the end of treatment. This finding provides strong evidence for the efficacy of CM for helping alcohol dependent smokers reach the milestone of initial smoking abstinence. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Copyright of Journal of Substance Abuse Treatment is the property of Pergamon Press - An Imprint of Elsevier Science and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
    • Author Affiliations:
      1Veterans Affairs Connecticut Healthcare System, Newington, CT 06111, USA
      2University of Connecticut School of Medicine, Farmington, CT 06030, USA
      3Yale University School of Medicine, New Haven, CT 06510, USA
      4University of Connecticut, Storrs, CT 06269, USA
    • ISSN:
      0740-5472
    • Accession Number:
      10.1016/j.jsat.2016.07.002
    • Accession Number:
      120147625
  • Citations
    • ABNT:
      COONEY, J. L. et al. A Randomized Trial of Contingency Management for Smoking Cessation During Intensive Outpatient Alcohol Treatment. Journal of Substance Abuse Treatment, [s. l.], v. 72, p. 89–96, 2017. DOI 10.1016/j.jsat.2016.07.002. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=a9h&AN=120147625. Acesso em: 21 set. 2020.
    • AMA:
      Cooney JL, Cooper S, Grant C, et al. A Randomized Trial of Contingency Management for Smoking Cessation During Intensive Outpatient Alcohol Treatment. Journal of Substance Abuse Treatment. 2017;72:89-96. doi:10.1016/j.jsat.2016.07.002
    • APA:
      Cooney, J. L., Cooper, S., Grant, C., Sevarino, K., Krishnan-Sarin, S., Gutierrez, I. A., & Cooney, N. L. (2017). A Randomized Trial of Contingency Management for Smoking Cessation During Intensive Outpatient Alcohol Treatment. Journal of Substance Abuse Treatment, 72, 89–96. https://doi.org/10.1016/j.jsat.2016.07.002
    • Chicago/Turabian: Author-Date:
      Cooney, Judith L., Sharon Cooper, Christoffer Grant, Kevin Sevarino, Suchitra Krishnan-Sarin, Ian A. Gutierrez, and Ned L. Cooney. 2017. “A Randomized Trial of Contingency Management for Smoking Cessation During Intensive Outpatient Alcohol Treatment.” Journal of Substance Abuse Treatment 72 (January): 89–96. doi:10.1016/j.jsat.2016.07.002.
    • Harvard:
      Cooney, J. L. et al. (2017) ‘A Randomized Trial of Contingency Management for Smoking Cessation During Intensive Outpatient Alcohol Treatment’, Journal of Substance Abuse Treatment, 72, pp. 89–96. doi: 10.1016/j.jsat.2016.07.002.
    • Harvard: Australian:
      Cooney, JL, Cooper, S, Grant, C, Sevarino, K, Krishnan-Sarin, S, Gutierrez, IA & Cooney, NL 2017, ‘A Randomized Trial of Contingency Management for Smoking Cessation During Intensive Outpatient Alcohol Treatment’, Journal of Substance Abuse Treatment, vol. 72, pp. 89–96, viewed 21 September 2020, .
    • MLA:
      Cooney, Judith L., et al. “A Randomized Trial of Contingency Management for Smoking Cessation During Intensive Outpatient Alcohol Treatment.” Journal of Substance Abuse Treatment, vol. 72, Jan. 2017, pp. 89–96. EBSCOhost, doi:10.1016/j.jsat.2016.07.002.
    • Chicago/Turabian: Humanities:
      Cooney, Judith L., Sharon Cooper, Christoffer Grant, Kevin Sevarino, Suchitra Krishnan-Sarin, Ian A. Gutierrez, and Ned L. Cooney. “A Randomized Trial of Contingency Management for Smoking Cessation During Intensive Outpatient Alcohol Treatment.” Journal of Substance Abuse Treatment 72 (January 2017): 89–96. doi:10.1016/j.jsat.2016.07.002.
    • Vancouver/ICMJE:
      Cooney JL, Cooper S, Grant C, Sevarino K, Krishnan-Sarin S, Gutierrez IA, et al. A Randomized Trial of Contingency Management for Smoking Cessation During Intensive Outpatient Alcohol Treatment. Journal of Substance Abuse Treatment [Internet]. 2017 Jan [cited 2020 Sep 21];72:89–96. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=a9h&AN=120147625