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A randomized pilot study of cognitive-behavioral therapy versus basic health education for smoking cessation among
Robert A Schnoll1, Randi L Rothman, Dustin B Wielt
1Fox Chase Cancer Center, Philadelphia, Cheltenham, Pennsylvania 19012, USA. RA_Schnoll@fccc.edu
Background:
Previously, we have linked theoretically based cognitive and emotional variables to the ability of cancer patients to quit smoking.
Purpose:
In this study, we evaluated the impact of cognitive-behavioral therapy (CBT), which addressed these theoretically derived cognitive and emotional variables linked to tobacco use in this population, for promoting smoking cessation in a sample of cancer patients and assessed longitudinal predictors of smoking cessation.
Methods:
Cancer patients (N=109) were randomized to either the theoretically based CBT intervention or to a general health education (GHE) condition, and all patients received nicotine replacement therapy.
Results:
Contrary to our expectation, no significant difference in 30-day point-prevalence abstinence between the CBT and GHE conditions was detected at either a 1-month (44.9 vs. 47.3%, respectively) or 3-month (43.2% vs. 39.2%, respectively) follow-up evaluation. Higher quit motivation and lower cons of quitting were related to smoking cessation.
Conclusions:
Implications for the implementation of smoking cessation behavioral treatments in the oncologic context are discussed, as are directions for future research in this area.