TY - JOUR
T1 - A randomized pilot study of cognitive-behavioral therapy versus basic health education for smoking cessation among cancer patients
AU - Schnoll, Robert A.
AU - Rothman, Randi L.
AU - Wielt, Dustin B.
AU - Lerman, Caryn
AU - Pedri, Holly
AU - Wang, Hao
AU - Babb, James
AU - Miller, Suzanne M.
AU - Movsas, Benjamin
AU - Sherman, Eric
AU - Ridge, John A.
AU - Unger, Michael
AU - Langer, Corey
AU - Goldberg, Melvyn
AU - Scott, Walter
AU - Cheng, Jonathan
PY - 2005
Y1 - 2005
N2 - Background: Previously, we have linked theoretically based cognitive and emotional variables to the ability of cancer patients to quit smoking. Purpose: In this study, we evaluated the impact of cognitive-behavioral therapy (CBT), which addressed these theoretically derived cognitive and emotional variables linked to tobacco use in this population, for promoting smoking cessation in a sample of cancer patients and assessed longitudinal predictors of smoking cessation. Methods: Cancer patients (N = 109) were randomized to either the theoretically based CBT intervention or to a general health education (GHE) condition, and all patients received nicotine replacement therapy. Results: Contrary to our expectation, no significant difference in 30-day point-prevalence abstinence between the CBT and GHE conditions was detected at either a 1-month (44.9% vs. 47.3%, respectively) or 3-month (43.2% vs. 39.2%, respectively) follow-up evaluation. Higher quit motivation and lower cons of quitting were related to smoking cessation. Conclusions: Implications for the implementation of smoking cessation behavioral treatments in the oncologic context are discussed, as are directions for future research in this area.
AB - Background: Previously, we have linked theoretically based cognitive and emotional variables to the ability of cancer patients to quit smoking. Purpose: In this study, we evaluated the impact of cognitive-behavioral therapy (CBT), which addressed these theoretically derived cognitive and emotional variables linked to tobacco use in this population, for promoting smoking cessation in a sample of cancer patients and assessed longitudinal predictors of smoking cessation. Methods: Cancer patients (N = 109) were randomized to either the theoretically based CBT intervention or to a general health education (GHE) condition, and all patients received nicotine replacement therapy. Results: Contrary to our expectation, no significant difference in 30-day point-prevalence abstinence between the CBT and GHE conditions was detected at either a 1-month (44.9% vs. 47.3%, respectively) or 3-month (43.2% vs. 39.2%, respectively) follow-up evaluation. Higher quit motivation and lower cons of quitting were related to smoking cessation. Conclusions: Implications for the implementation of smoking cessation behavioral treatments in the oncologic context are discussed, as are directions for future research in this area.
KW - Cognitive Behavioral Therapy
KW - Head and Neck Neoplasms/complications
KW - Humans
KW - Motivation
KW - Patient Education as Topic
KW - Smoking Cessation/methods
KW - Tobacco Use Disorder/psychology
KW - Treatment Outcome
UR - http://www.scopus.com/inward/record.url?scp=23944484924&partnerID=8YFLogxK
UR - https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=purepublist2023&SrcAuth=WosAPI&KeyUT=WOS:000231616600001&DestLinkType=FullRecord&DestApp=WOS
U2 - 10.1207/s15324796abm3001_1
DO - 10.1207/s15324796abm3001_1
M3 - Article
C2 - 16097900
SN - 0883-6612
VL - 30
SP - 1
EP - 11
JO - Annals of Behavioral Medicine
JF - Annals of Behavioral Medicine
IS - 1
ER -