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Schnoll RA , Rothman RL , Wielt DB , Lerman C , Pedri H , Wang H , Babb J , Miller SM , Movsas B , Sherman E , Ridge JA , Unger M , Langer C , Goldberg M , Scott W , Cheng J
A randomized pilot study of cognitive-behavioral therapy versus basic health education for smoking cessation among cancer patients
Ann Behav Med. 2005 Aug;30(1) :1-11
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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.
Ca88610/ca/nci Ca95678/ca/nci Journal Article Randomized Controlled Trial Research Support, N.I.H., Extramural Research Support, U.S. Gov't, P.H.S. United States a publication of the Society of Behavioral Medicine