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

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  • Source:
    Journal of substance abuse treatment. (no pagination), 2016 2016 Date of Publication: February 01 Published by: Elsevier Inc. (E-mail: [email protected]) United States
  • Additional Information
    • Author(s):
      Cooney JL, Cooper S, Grant C, Sevarino K, Krishnan-Sarin S, Gutierrez IA, Cooney NL
    • Contact Information:
      J.L. Cooney, VA Connecticut Healthcare System, 555 Willard Avenue, Newington, CT 06111, USA
    • Review Group(s):
      Cochrane Tobacco Addiction Group Trials in the Group's Specialized Register
    • Language:
      English
    • Publication Type:
      Journal: Article In Press
    • Record Status:
      This record is updated this issue.
    • 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 (chi 2(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. Copyright © 2016.
    • EMBASE keywords:
      alcohol abstinence; alcohol abuse; *alcoholism; case report; clinical trial; cognitive behavioral therapy; controlled clinical trial; *controlled study; counseling; drug therapy; follow up; human; nicotine replacement therapy; *outpatient; randomized controlled trial; *smoking cessation; *tobacco dependence; *alcohol; carbon monoxide; nicotine
    • Accession Number:
      613401877
    • Source:
      This document should be cited as: Cooney JL Cooper S Grant C Sevarino K Krishnan-Sarin S Gutierrez IA Cooney NL. A Randomized Trial of Contingency Management for Smoking Cessation During Intensive Outpatient Alcohol Treatment 2016 (The Cochrane Controlled Trials Register (CCTR/CENTRAL). DOI: 10.1016/j.jsat.2016.07.002. Oxford: Update Software. Updated quarterly.
    • Accession Number:
      CN-01244505
  • Citations
    • ABNT:
      COONEY JL et al. A Randomized Trial of Contingency Management for Smoking Cessation During Intensive Outpatient Alcohol Treatment. Journal of substance abuse treatment. (no pagination), 2016, [s. l.], v. Date of Publication: February 01, 2016. DOI 10.1016/j.jsat.2016.07.002. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=cgh&AN=CN-01244505. Acesso em: 5 dez. 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 (no pagination), 2016. 2016;Date of Publication: February 01. doi:10.1016/j.jsat.2016.07.002
    • APA:
      Cooney JL, Cooper S, Grant C, Sevarino K, Krishnan-Sarin S, Gutierrez IA, & Cooney NL. (2016). A Randomized Trial of Contingency Management for Smoking Cessation During Intensive Outpatient Alcohol Treatment. Journal of Substance Abuse Treatment. (No Pagination), 2016, Date of Publication: February 01. https://doi.org/10.1016/j.jsat.2016.07.002
    • Chicago/Turabian: Author-Date:
      Cooney JL, Cooper S, Grant C, Sevarino K, Krishnan-Sarin S, Gutierrez IA, and Cooney NL. 2016. “A Randomized Trial of Contingency Management for Smoking Cessation During Intensive Outpatient Alcohol Treatment.” Journal of Substance Abuse Treatment. (No Pagination), 2016 Date of Publication: February 01 (January). doi:10.1016/j.jsat.2016.07.002.
    • Harvard:
      Cooney JL et al. (2016) ‘A Randomized Trial of Contingency Management for Smoking Cessation During Intensive Outpatient Alcohol Treatment’, Journal of substance abuse treatment. (no pagination), 2016, Date of Publication: February 01. 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 2016, ‘A Randomized Trial of Contingency Management for Smoking Cessation During Intensive Outpatient Alcohol Treatment’, Journal of substance abuse treatment. (no pagination), 2016, vol. Date of Publication: February 01, viewed 5 December 2020, .
    • MLA:
      Cooney JL, et al. “A Randomized Trial of Contingency Management for Smoking Cessation During Intensive Outpatient Alcohol Treatment.” Journal of Substance Abuse Treatment. (No Pagination), 2016, vol. Date of Publication: February 01, Jan. 2016. EBSCOhost, doi:10.1016/j.jsat.2016.07.002.
    • Chicago/Turabian: Humanities:
      Cooney JL, Cooper S, Grant C, Sevarino K, Krishnan-Sarin S, Gutierrez IA, and Cooney NL. “A Randomized Trial of Contingency Management for Smoking Cessation During Intensive Outpatient Alcohol Treatment.” Journal of Substance Abuse Treatment. (No Pagination), 2016 Date of Publication: February 01 (January 1, 2016). 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 (no pagination), 2016 [Internet]. 2016 Jan 1 [cited 2020 Dec 5];Date of Publication: February 01. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=cgh&AN=CN-01244505