The effects of a multicomponent smoking cessation program with chronic obstructive pulmonary disease outpatients

While a number of multicomponent treatments have been utilized to control smoking, many of these are not suitable for some populations such as chronic obstructive pulmonary disease (COPD) patients because they consist of aversion procedures which can stress the body's cardiovascular system. Little research has been published regarding nonaversive approaches to smoking control in a COPD patient population. This study examined the long-term effects of a nonaversive multicomponent smoking cessation program consisting of brand fading and stimulus control with a COPD outpatient population as measured by self-report. Using four COPD outpatients, this study employed a multiple baseline design across subjects for a visual analysis of treatment effects. At 3- and 6-month follow-up, one subject had quit smoking. Two subjects who continued to smoke reduced their smoking frequency and drastically reduced their nicotine intake by brand fading to a cigarette containing lower amounts of nicotine. A fourth subject returned to her original brand of cigarettes, although she reduced her smoking frequency. Collaborators and measurements of thiocyanate levels were used as reliability checks on subjects' self-report.