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A controlled smoking cessation trial for substance-dependent inpatients
T A Burling1, A S Burling, D Latini
1Palo Alto Veterans Affairs Health Care System and American Institutes for Research, Domiciliary Service, California 94304, USA.
Journal of Consulting and Clinical Psychology
|June 8, 2001
Summary
Multicomponent smoking treatment (MST) significantly improved continuous smoking abstinence in recovering drug and alcohol-dependent individuals compared to usual care. However, MST alone showed better drug and alcohol abstinence rates than MST plus generalization training.
Area of Science:
- Addiction Medicine
- Behavioral Psychology
- Public Health
Background:
- Individuals with drug and alcohol dependence often have high rates of comorbid nicotine dependence.
- Smoking cessation is frequently overlooked in residential rehabilitation programs for substance use disorders.
- Addressing smoking may impact overall recovery outcomes.
Purpose of the Study:
- To evaluate the effectiveness of multicomponent smoking treatment (MST) for smokers in residential rehabilitation.
- To compare MST with MST plus generalization training (MST+G) and usual care (UC).
- To assess the impact of smoking treatment on drug and alcohol abstinence.
Main Methods:
- Randomized controlled trial with three conditions: MST, MST+G, and UC.
- Participants were newly recovering drug and alcohol-dependent smokers.
- Smoking and substance use abstinence were assessed at 12-month follow-up.
Main Results:
- Both MST and MST+G achieved significantly higher continuous smoking abstinence rates (12% and 10%) than UC (0%).
- The MST condition showed a higher continuous drug and alcohol abstinence rate (40%) compared to MST+G (20%), though neither differed significantly from UC (33%).
- Smoking treatment is feasible and effective for this population.
Conclusions:
- Multicomponent smoking treatment is a viable intervention for individuals in residential rehabilitation for substance use disorders.
- Integrating smoking cessation into addiction treatment programs is recommended.
- Further research is needed to optimize treatment components for dual recovery.