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Treatment session frequency and smoking cessation

J M Schmitz1, J C Tate

  • 1University of Texas Medical School, Houston.

Journal of Substance Abuse
|January 1, 1994
PubMed
Summary
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Shorter, more frequent smoking cessation sessions (2-3 weeks) improved initial quitting, but longer-term success favored medium-frequency (3-week) programs. Tailoring treatment to individual smoking rates is key.

Area of Science:

  • Behavioral Medicine
  • Addiction Research
  • Public Health

Background:

  • Smoking cessation programs aim to reduce tobacco dependence.
  • Program effectiveness can be influenced by treatment structure and patient characteristics.
  • Optimizing clinic-based behavioral-pharmacological interventions requires understanding format impacts.

Purpose of the Study:

  • To evaluate smoking cessation and retention rates across different clinic-based program formats.
  • To compare abstinence rates at end-of-treatment and one-year follow-up.
  • To investigate patient-treatment interaction effects based on pretreatment smoking rates.

Main Methods:

  • Retrospective analysis of 78 smokers in 2-, 3-, or 6-week clinic-based programs.
  • Programs involved six sessions with varying frequencies.

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  • Abstinence rates assessed at end-of-treatment and one-year follow-up.

    • Main Results:

    • Higher retention and end-of-treatment cessation rates observed in 2- and 3-week formats.
    • One-year abstinence rates were highest for the 3-week format and lowest for the 2-week format.
    • Smokers with lower pretreatment rates showed greater end-of-treatment success with 2- and 3-week formats, though not significant at follow-up.

    Conclusions:

    • Treatment session frequency impacts short-term and long-term smoking cessation success differently.
    • A 3-week program format demonstrated the best one-year abstinence rates.
    • Further research is needed to optimize patient-to-treatment matching for smoking cessation programs.