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Residential smoking therapy.

Amanda Green1, William S Yancy, Loretta Braxton

  • 1Received from Ambulatory Care Service, Durham VA Medical Center, Durham, NC 27705, USA.

Journal of General Internal Medicine
|April 24, 2003
PubMed
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This pilot residential smoking treatment program helped relapsed smokers achieve high abstinence rates initially. The 4-day program provided effective nicotine withdrawal relief, with outcomes comparable to other smoking cessation therapies at six months.

Area of Science:

  • Addiction Medicine
  • Behavioral Psychology
  • Public Health

Background:

  • Relapse is common among smokers who have previously undergone outpatient smoking cessation programs.
  • Intensive, short-term residential programs may offer a novel approach for managing smoking cessation in relapsed individuals.
  • Effective management of nicotine withdrawal symptoms is crucial for successful smoking cessation.

Purpose of the Study:

  • To evaluate the efficacy of a pilot 4-day residential smoking treatment program.
  • To assess the program's effectiveness for individuals who relapsed after prior outpatient smoking cessation efforts.
  • To determine the impact of residential therapy on nicotine withdrawal symptoms and long-term abstinence.

Main Methods:

  • A single-arm clinical trial was conducted at the Durham, NC Veterans Affairs Medical Center.

Related Experiment Videos

  • Twenty-three male smokers with a high nicotine dependence (mean Fagerström score 7.1) participated.
  • Participants received a 4-day residential stay with educational sessions, nicotine replacement therapy (patches, inhalers), followed by 6 months of outpatient group support.

    • Main Results:

    • Immediate verified smoking abstinence upon discharge was high at 91.3% (21/23).
    • At 6 months post-discharge, the 7-day point prevalence abstinence rate was 26.1% (6/23).
    • The program successfully managed nicotine withdrawal symptoms during the intensive 4-day phase.

    Conclusions:

    • The pilot 4-day residential smoking treatment program demonstrated initial success in assisting smokers who had relapsed.
    • Residential therapy effectively alleviated nicotine withdrawal symptoms, facilitating short-term abstinence.
    • The 6-month abstinence rates were comparable to those achieved with other established medical therapies for smoking cessation.