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Contingency management for smoking cessation in adolescent smokers
Suchitra Krishnan-Sarin1, Amy M Duhig, Sherry A McKee
1Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06519, USA. suchitra.krishnan-saran@yale.edu
Experimental and Clinical Psychopharmacology
|August 9, 2006
Summary
Contingency management combined with cognitive-behavioral therapy significantly improved adolescent smoking cessation rates. This school-based program shows promise for helping teens quit smoking.
Area of Science:
- Public Health
- Behavioral Science
- Adolescent Medicine
Background:
- Adolescent smoking remains a significant public health concern.
- Effective, school-based interventions are needed for smoking cessation in youth.
- Cognitive-behavioral therapy (CBT) is a common approach, but its efficacy can be enhanced.
Purpose of the Study:
- To evaluate the efficacy of combining contingency management (CM) with CBT for adolescent smoking cessation.
- To assess the feasibility of implementing a CM+CBT program in a school setting.
Main Methods:
- A pilot study involving 28 adolescent smokers in a 1-month school-based program.
- Random assignment to either CM+CBT or CBT alone.
- Biochemical verification of abstinence (urine cotinine) and monetary reinforcement for abstinence in the CM+CBT group.
Main Results:
- Higher abstinence rates were observed in the CM+CBT group compared to the CBT-alone group at 1 week (76.7% vs. 7.2%) and 1 month (53.0% vs. 0%).
- Biochemical verification confirmed significantly greater success with the combined intervention.
- The school-based implementation of CM+CBT was feasible.
Conclusions:
- Contingency management procedures, when combined with CBT, show significant promise for improving smoking cessation outcomes in adolescents.
- This integrated approach offers a viable and effective strategy for school-based youth smoking cessation programs.
- Further research with larger cohorts is warranted to confirm these preliminary findings.
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