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Related Experiment Videos

A smoking cessation intervention for the methadone-maintained.

Michael D Stein1, Marjorie C Weinstock, Debra S Herman

  • 1Rhode Island Hospital, Division of General Internal Medicine, Brown University Medical School, Providence, RI 02903, USA. mstein@lifespan.org

Addiction (Abingdon, England)
|March 22, 2006
PubMed
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A tailored behavioral intervention combined with a nicotine patch did not significantly increase smoking cessation rates in methadone-maintained smokers. Men showed higher success rates in quitting smoking.

Area of Science:

  • Addiction Medicine
  • Behavioral Psychology
  • Public Health

Background:

  • Smoking is a significant public health issue, particularly among individuals undergoing methadone maintenance treatment.
  • Nicotine replacement therapy and behavioral interventions are established methods for smoking cessation.

Purpose of the Study:

  • To evaluate the incremental efficacy of a maximal, tailored behavioral treatment compared to a minimal treatment, when both are combined with a nicotine patch, for smoking cessation in methadone-maintained smokers.

Main Methods:

  • A randomized clinical trial with a 6-month follow-up was conducted across five methadone maintenance treatment centers.
  • 383 methadone-maintained smokers were randomized to receive nicotine patch plus either maximal (tailored behavioral intervention) or minimal (brief advice) treatment.

Related Experiment Videos

  • Carbon monoxide-confirmed 7-day point smoking cessation prevalence at 3 and 6 months was the primary outcome measure.
  • Main Results:

    • At 6 months, the 7-day point prevalence of smoking cessation was 5.2% in the maximal treatment group and 4.7% in the minimal treatment group (P=0.81).
    • Logistic regression analysis indicated that males were significantly more likely to be abstinent at both 3 and 6 months.
    • No significant difference in quit rates was observed between the maximal and minimal behavioral intervention groups.

    Conclusions:

    • A tailored behavioral intervention, in addition to a nicotine patch and minimal treatment, did not improve smoking cessation rates in this population.
    • Smoking cessation rates remain low among methadone-maintained smokers.
    • Men demonstrated a higher likelihood of successful smoking cessation compared to women in this study.