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

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  • Additional Information
    • Source:
      Publisher: Pergamon Press Country of Publication: United States NLM ID: 8500909 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-6483 (Electronic) Linking ISSN: 07405472 NLM ISO Abbreviation: J Subst Abuse Treat Subsets: MEDLINE
    • Publication Information:
      Original Publication: New York : Pergamon Press, c1984-
    • Subject Terms:
    • 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 (χ 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.
      (Published by Elsevier Inc.)
    • Contributed Indexing:
      Keywords: Alcohol use disorder*; Contingency management*; Randomized clinical trial*; Smoking cessation*; Tobacco use disorder*
    • Publication Date:
      Date Created: 20160821 Date Completed: 20171215 Latest Revision: 20191210
    • Publication Date:
      20200827
    • Accession Number:
      10.1016/j.jsat.2016.07.002
    • Accession Number:
      27542442
  • 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=mdc&AN=27542442. Acesso em: 25 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 25 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 25];72:89–96. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=mdc&AN=27542442