Treating cigarette smoking in drug-abusing clients

Area of Science:

• Addiction Medicine
• Public Health
• Behavioral Science

Background:

• Substance abuse clients exhibit higher smoking rates and are at increased risk for smoking-related illnesses.
• Common myths hinder smoking cessation interventions within addiction treatment settings.
• Addressing smoking cessation is crucial for comprehensive recovery and health outcomes.

Purpose of the Study:

• To evaluate the effectiveness of a cognitive-behavioral group program with nicotine patches for smoking cessation in substance abuse clients.
• To assess client interest and participation in smoking cessation services within a treatment agency.
• To explore the feasibility of integrating smoking cessation support into existing addiction treatment programs.

Main Methods:

• A 16-week cognitive-behavioral group program incorporating nicotine patches was implemented.
• The study involved 106 smokers interested in quitting from a substance abuse treatment agency.
• Participants included clients from methadone maintenance, residential, and outpatient drug-free services.

Main Results:

• 74% of participants who began the program quit smoking for at least one day.
• 23% achieved continuous abstinence for at least four weeks.
• 11% remained abstinent at the 16-week program's conclusion; no control subjects quit spontaneously.

Conclusions:

• Smoking cessation is achievable for individuals in substance abuse treatment.
• Cognitive-behavioral group therapy combined with nicotine replacement therapy is an effective intervention.
• Integrating smoking cessation services into addiction treatment agencies is feasible and beneficial.