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Development and evaluation of a smokeless tobacco cessation program: a pilot study
E Eakin1, H Severson, R E Glasgow
1Oregon Research Institute, Eugene 97401.
NCI Monographs : a Publication of the National Cancer Institute
|January 1, 1989
Summary
A cognitive-behavioral intervention helped adolescent males reduce smokeless tobacco use. While some achieved abstinence, others significantly decreased consumption without increasing cigarette use.
Area of Science:
- Addiction Research
- Adolescent Health
- Behavioral Science
Background:
- Adolescent smokeless tobacco use presents significant health risks.
- Effective interventions for chronic adolescent smokeless tobacco users are needed.
Purpose of the Study:
- To evaluate a multicomponent, cognitive-behavioral intervention for adolescent males using smokeless tobacco.
- To assess the efficacy of the intervention in achieving abstinence and reducing use.
Main Methods:
- A 3-session program included self-monitoring, health risk education, coping strategies, phone contact, and relapse prevention.
- Biochemical verification (carbon monoxide, cotinine) of self-reports was used.
- A 3-month follow-up was conducted.
Main Results:
- 21 of 25 participants completed treatment.
- 9 participants were abstinent at program conclusion; 4 remained abstinent at 3-month follow-up.
- Non-abstinent participants showed substantial reductions in smokeless tobacco use; no increase in cigarette consumption was observed.
Conclusions:
- The cognitive-behavioral intervention shows promise for reducing smokeless tobacco use in adolescents.
- Factors such as lower baseline use and involvement in school athletics may predict successful cessation.
- Further research is warranted to optimize interventions for this population.