Does Using Relapse Prevention Increase the Efficacy of a Program for Smoking Cessation?: An Empirical Study

1997 ◽  
Vol 81 (1) ◽  
pp. 291-296 ◽  
Author(s):  
Elisardo Becoña ◽  
Fernando L. Vázquez
Keyword(s):  
Smoking Cessation ◽  
Problem Solving ◽  
Relapse Prevention ◽  
Treatment Session ◽  
Self Control ◽  
Control Group ◽  
Self Monitoring ◽  
Behavioral Program ◽  
End Of Treatment ◽  
Multicomponent Program

The aim of this study was to assess the effectiveness of relapse prevention taught as a problem-solving procedure in increasing the efficacy of a behavioral program for smoking cessation at short- and longer-term, 12-mo. follow-up. 75 smokers were assigned randomly to two treatment groups, using an additional 40 smokers who attended an information session but did not receive any treatment session as a control group. The first group ( n = 40) received the standard behavioral multicomponent program of Becoña. The program included motivational contract, self-monitoring, information on smoking, nicotine fading, stimulus control, avoidance of withdrawal symptoms, physiological feedback, and progressive self-control. The second group ( n = 36), the relapse prevention group, were given the above program and an additional component of relapse prevention using a problem solving procedure. Both groups had 8 sessions of treatment. Analysis showed that at the end of treatment abstinence in the two groups was 80.0% and 61.1%, respectively, at the 12-mo. follow-ups 30.0% and 36.1%. These differences were not significant; however, both groups were significantly different from the control group at the end of treatment (0% abstinence) and at 12-mo. follow-ups (2.5% abstinence). These results show that the addition of this relapse prevention does not increase the number of smokers who quit or decrease the number who relapse. Further research should focus on the process of relapse and develop more effective procedures to help maintain abstinence.

scholarly journals Evaluation of the Amount of Therapist Contact in a Smoking Cessation Program

2000 ◽  
Vol 3 ◽  
pp. 28-36 ◽  
Author(s):  
María del Pilar García ◽  
Elisardo Becoña
Keyword(s):  
Control Group ◽  
Self Monitoring ◽  
Treatment Groups ◽  
Self Help ◽  
End Of Treatment ◽  
Behavioral Techniques ◽  
Manual Group ◽  
Multicomponent Program ◽  
Effective Group

This research tested a multicomponent self-help manual that contained nicotine fading and some behavioral techniques. It also evaluated the incremental effects of using higher amounts of therapist contact on quitting rates. 114 smokers were randomly assigned to one of four treatment groups: (1) A 10-session multicomponent program (n = 25); (2) a 5-session multicomponent program (n = 31); (3) a 5-session multicomponent plus a self-help manual program (n = 25); and (4) a self-help-manual-only program (n = 33). A control group (n = 48) did not receive any treatment. The distinctive characteristic of the treatments was the different amount of therapist contact. Common components of the programs were a refundable deposit, self-monitoring, information on smoking, stimulus control, CO feedback, nicotine fading, and strategies to avoid withdrawal symptoms. End-of- treatment quit rates ranged from 36% (self-help manual) to 68% (10-session multicomponent program). At 12-month follow-up there were significant differences between groups, and the most effective group was the 5-session plus manual group, with an abstinence rate of 48%.

Personal Power Imagery and Relaxation Techniques Used in Smoking Cessation Programs

1992 ◽  
Vol 6 (3) ◽  
pp. 184-196 ◽  
Author(s):  
Christine A. Wynd
Keyword(s):  
Smoking Cessation ◽  
Relapse Rate ◽  
Repeated Measures ◽  
Self Control ◽  
Abstinence Rate ◽  
Control Group ◽  
Placebo Control ◽  
Relaxation Techniques ◽  
Convenience Sample ◽  
Imagery Group

Background. Theoretically-based interventions are necessary for enhancing the power of self-control behaviors in smokers attempting to quit smoking cigarettes. The purpose of this study was to examine the use of guided imagery and relaxation techniques as interventions for smoking cessation. The relationship of imagery and self-control was also examined. Methods. A convenience sample of 84 adult smokers participated in one of three treatment conditions: power imagery (n = 28), relaxation imagery (n =29), and “placebo” control (n = 27). Treatment group members were taught imagery during a six-session smoking cessation program, and the control group was provided imagery training upon study completion. Results. Smoking quit rates were 67% for the power imagery group, 69 % for the relaxation group, and 27% for the control group. At a three-month follow-up, the power imagery group had a continued abstinence rate of 52 % (relapse rate = 48 %), the relaxation group had an abstinence rate of 55% (relapse rate = 45 %), and the control group cessation rate remained at 27% (relapse rate = 73%). One-way and repeated measures MANOVAs demonstrated significant differences among the three groups at posttreatment, F (8, 158) = 13.92, p < .05, and revealed that the practice of imagery treatments over time produced changes in power test scores and smoking rates, F(3, 127) = 24.67, p < .05. Discussion. This study demonstrated that power and relaxation imagery treatments were equally effective in reducing smoking rates. Further investigations into the therapeutic uses of imagery are recommended.

scholarly journals Effectiveness of a Dyadic Buddy App for Smoking Cessation: Randomized Controlled Trial

10.2196/27162 ◽  
2021 ◽  
Vol 23 (9) ◽  
pp. e27162
Author(s):  
Philipp Schwaninger ◽  
Corina Berli ◽  
Urte Scholz ◽  
Janina Lüscher
Keyword(s):  
Randomized Controlled Trial ◽  
Smoking Cessation ◽  
Controlled Trial ◽  
Intervention Group ◽  
The Self ◽  
Daily Smoking ◽  
Control Group ◽  
Smoking Abstinence ◽  
Self Monitoring ◽  
Randomized Controlled

Background Tobacco smoking is one of the biggest public health threats. Smartphone apps offer new promising opportunities for supporting smoking cessation in real time. This randomized controlled trial investigated the effectiveness of an app that encourages individuals to quit smoking with the help of a social network member (buddy) in daily life. Objective The objective of this study is to test the effectiveness of the SmokeFree buddy app compared with a control group with self-reported smoking abstinence and carbon monoxide (CO)–verified smoking abstinence as primary outcomes and self-reports of smoked cigarettes per day (CPD) as a secondary outcome. Methods A total of 162 adults who smoked participated in this single-blind, two-arm, parallel-group, intensive longitudinal randomized controlled trial. Around a self-set quit date (ie, 7 days before the self-set quit date and 20 days after) and 6 months later, participants of the intervention and control groups reported on daily smoking abstinence and CPD in end-of-day diaries. Daily smoking abstinence was verified via daily exhaled CO assessments. This assessment was administered via an app displaying results of exhaled CO, thus addressing self-monitoring in both groups. In addition, participants in the intervention group used the SmokeFree buddy app, a multicomponent app that facilitates social support from a buddy of choice. Results A significant reduction in CPD from baseline to the 6-month follow-up was observed among participants in both groups. Multilevel analyses revealed no significant intervention effect on self-reported and CO-verified daily smoking abstinence at the quit date and 3 weeks later. However, CPD was lower at the quit date and 3 weeks later in the intervention group than in the control group. No significant differences between groups were found for any outcome measures 6 months after the quit date. Overall, low app engagement and low perceived usefulness were observed. Conclusions Despite some encouraging short-term findings on the amount of smoking, the SmokeFree buddy app did not have beneficial effects on smoking abstinence over and above the self-monitoring control condition. Future studies should examine whether and what support processes can be effectively stimulated and how app use can be improved to better achieve this goal. Trial Registration ISRCTN Registry 11154315; https://www.isrctn.com/ISRCTN11154315 International Registered Report Identifier (IRRID) RR2-10.1186/s12889-019-7723-z

scholarly journals Effectiveness of a Dyadic Buddy App for Smoking Cessation: Randomized Controlled Trial (Preprint)

2021 ◽  
Author(s):  
Philipp Schwaninger ◽  
Corina Berli ◽  
Urte Scholz ◽  
Janina Lüscher
Keyword(s):  
Randomized Controlled Trial ◽  
Smoking Cessation ◽  
Controlled Trial ◽  
Intervention Group ◽  
The Self ◽  
Daily Smoking ◽  
Control Group ◽  
Smoking Abstinence ◽  
Self Monitoring ◽  
Randomized Controlled

BACKGROUND Tobacco smoking is one of the biggest public health threats. Smartphone apps offer new promising opportunities for supporting smoking cessation in real time. This randomized controlled trial investigated the effectiveness of an app that encourages individuals to quit smoking with the help of a social network member (<i>buddy</i>) in daily life. OBJECTIVE The objective of this study is to test the effectiveness of the SmokeFree buddy app compared with a control group with self-reported smoking abstinence and carbon monoxide (CO)–verified smoking abstinence as primary outcomes and self-reports of smoked cigarettes per day (CPD) as a secondary outcome. METHODS A total of 162 adults who smoked participated in this single-blind, two-arm, parallel-group, intensive longitudinal randomized controlled trial. Around a self-set quit date (ie, 7 days before the self-set quit date and 20 days after) and 6 months later, participants of the intervention and control groups reported on daily smoking abstinence and CPD in end-of-day diaries. Daily smoking abstinence was verified via daily exhaled CO assessments. This assessment was administered via an app displaying results of exhaled CO, thus addressing self-monitoring in both groups. In addition, participants in the intervention group used the SmokeFree buddy app, a multicomponent app that facilitates social support from a buddy of choice. RESULTS A significant reduction in CPD from baseline to the 6-month follow-up was observed among participants in both groups. Multilevel analyses revealed no significant intervention effect on self-reported and CO-verified daily smoking abstinence at the quit date and 3 weeks later. However, CPD was lower at the quit date and 3 weeks later in the intervention group than in the control group. No significant differences between groups were found for any outcome measures 6 months after the quit date. Overall, low app engagement and low perceived usefulness were observed. CONCLUSIONS Despite some encouraging short-term findings on the amount of smoking, the SmokeFree buddy app did not have beneficial effects on smoking abstinence over and above the self-monitoring control condition. Future studies should examine whether and what support processes can be effectively stimulated and how app use can be improved to better achieve this goal. CLINICALTRIAL ISRCTN Registry 11154315; https://www.isrctn.com/ISRCTN11154315 INTERNATIONAL REGISTERED REPORT RR2-10.1186/s12889-019-7723-z

USING A GENERALIZED CHECKLIST TO IMPROVE STUDENT ASSIGNMENT SUBMISSION TIMES IN AN ONLINE COURSE

2012 ◽  
Vol 16 (4) ◽  
Author(s):  
Terence William Cavanaugh ◽  
Marcia L. Lambkin ◽  
Haihong (Helen) Hu
Keyword(s):  
Online Courses ◽  
Academic Progress ◽  
Self Control ◽  
Course Satisfaction ◽  
Online Course ◽  
Control Group ◽  
Self Monitoring ◽  
Web Based ◽  
Significant Difference ◽  
Based Instruction

Learning environments such as web-based instruction require more learner self-control and proactive learning to construct knowledge and acquire skills. However, online students often fail to complete some components of their online work each week, damaging their overall academic progress in the course. To assist students in completion and submission of work, three professors at a public southeastern university implemented the use of a generalized assignments checklist to enhance student self-monitoring in their online courses. Data on the submission of assignments was analyzed for relative timeliness. The results of this study showed a statistically significant difference based on the checklist received students to the control group, with a marked improvement of assignment submission timeliness, improving course satisfaction for students and instructors.

scholarly journals Smoking Cessation Program for Inpatients with Substance Use Disorder: A Quasi-Randomized Controlled Trial of Feasibility and Efficacy

2016 ◽  
Vol 22 (5) ◽  
pp. 268-276 ◽  
Author(s):  
Tobias Rüther ◽  
Amelie Ruderer ◽  
Christina Wirth ◽  
Veronika Schuler ◽  
Verena Lang ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Substance Use ◽  
Substance Use Disorder ◽  
Controlled Trial ◽  
Control Group ◽  
Randomized Controlled ◽  
Behavioral Program ◽  
Substance Dependent ◽  
Cognitive Behavioral Program

Aims: The present study investigated the feasibility, acceptance and efficacy of a newly developed cognitive behavioral program for smoking cessation/reduction (‘Rethink your Smoking' program, RSP) in inpatients with substance use disorder (SUD). Method: One hundred ninety-nine inpatients with SUD were randomly assigned to either the RSP (n = 101) or a minimal intervention (MI) program (n = 98). In addition, participants were offered optional nicotine replacement therapy. Data from a group of patients with SUD without any intervention (control group, n = 78) were included in the analyses for comparison. Assessments were performed at admission, discharge and follow-up after 3 and 6 months. Results: RSP proved to be feasible and was well accepted by participants. Patients in both interventions showed lower scores for physical nicotine dependence and number of cigarettes smoked per day and higher scores for various motivational parameters at discharge and 3 months later. Both interventions were superior to no intervention, but no differences were found between the RSP and MI. Conclusion: A smoking cessation/reduction program is feasible for substance-dependent in-patients undergoing detoxification. Although the RSP appears to be effective in terms of harm reduction in in-patients with SUD, more cost- and time-efficient programs might also be suitable for this population.

scholarly journals EFEKTIVITAS LAYANAN INFORMASI DENGAN METODE PROBLEM SOLVING TERHADAP PENINGKATAN KONTROL DIRI SISWA

2018 ◽  
Author(s):  
Firman - Firman
Keyword(s):  
Problem Solving ◽  
Information Service ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Self Control ◽  
Control Group ◽  
Research Approach ◽  
Significant Difference ◽  
Before And After ◽  
Experimental Group

Today found some students lack the ability to control himself in school. It is seen from the discovery of some students in violation of the norms and rules that have been established in schools deliberately. The aim of thus study reveals : (1) Differences in students’ self-control experimental group before and after treatment are given information service with the method of problem solving; (2) Differences in students’ self-control before and after control group without treatment given by the information service of problem solving methods; (3) Differences in students’ self-control experimental group were given treatment information services with methods of problem solving with students of control group without treatment given by the information service of problem solving methods. This research is a quantitative research approach Quasy-Experiment. Population in this research that the students MTsN Lubuk Buaya Padang and samples of this study were selected using simple random sampling technique. The instruments used were questionnaires. (angket). Data were analyzed using the Wilcoxon Signed Ranks Test and Kolmogorov-Smirnov Two Independet Sample with the help of the program Statistical Product and Service Solution (SPSS) versi 20. The result of this research found that: (1) there are significant differences increase student self control before and after the service information by the method of problem solving in the expwrimental group, (2) there is no significant difference in the increase of self-control students in the control group, (3) there are significant differences increase self-control students in the expwerimental group and control group.

scholarly journals The Effects of Problem-Solving Skills Training on Self-control Behaviors and Psychotic Symptoms Among Community-Dwelling Patients With Schizophrenia

2018 ◽  
Vol 3 (2) ◽  
pp. 51
Author(s):  
Kuen-Tai Lee ◽  
Jiin-Ru Rong ◽  
Su-Ping Hsu ◽  
Chieh-Yu Liu ◽  
Chian-Jue Kuo
Keyword(s):  
Problem Solving ◽  
Negative Symptoms ◽  
Skills Training ◽  
Community Dwelling ◽  
The Self ◽  
Self Control ◽  
Psychotic Symptoms ◽  
Control Group ◽  
Problem Solving Skills ◽  
Experimental Group

Purpose: Our aim was to evaluate the effects of problem-solving skills training (PSST) on self-control behaviors and the positive and negative psychotic symptoms of schizophrenia in community-dwelling patients.Method: This quasi-experimental study was conducted in 63 adult community-dwelling outpatients with schizophrenia in Taiwan. The control group (n=28) received routine life skills training alone, while the experimental group (n=35) received both routine life-skills and problem-solving training. The data were collected at four time points (at baseline, and at week 6, 12, and 16 [4 weeks after training ended]). This study measured outcome variables including problem-solving skills (using the Self-control Schedule [SCS]), and psychiatric syndromes (using the Positive and Negative Syndrome Scale [PANSS]).Results: Our generalized estimating equation (GEE) model showed a significant improvement in the self-control behavior score in the experimental group at week 12 and 4 weeks after training ended, compared with the control group. In addition, the negative symptoms score was significantly improved at week 12 and 4 weeks after training end, compared with baseline.Conclusion: These results demonstrated that PSST and routine living skills training have a positive impact on the negative symptoms of schizophrenia patients and could improve their problem-solving capacity and skills for dealing with daily life and health problems and could moderate negative psychotic symptom severity.

scholarly journals Preliminary efficacy of the Quit Together Couple focused pregnancy smoking cessation intervention in Romania

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
C Meghea ◽  
R Bandici ◽  
M D Dascal
Keyword(s):  
Smoking Cessation ◽  
Problem Solving ◽  
Intervention Group ◽  
Telephone Counseling ◽  
Smoking Cessation Intervention ◽  
Control Group ◽  
Prenatal Smoking ◽  
Eligibility Criteria ◽  
Cessation Intervention ◽  
Pregnant Smokers

Abstract Significance Smoking rates before and during pregnancy are high in Romania and other low- and middle-income countries. We report on the efficacy of a smoking cessation intervention for couples during and after pregnancy in Romania. Methods The Quit Together trial enrolled participants between 2017-2019. The target population was comprised of pregnant smokers and their life partners in Romania. Eligibility criteria included age &gt; =18; pregnant; smoker; married or with a stable partner; willing to share partner contact info to be invited as participants as well. Participants self-enrolled through the Quit Together project webpage responding to Facebook ads and Google AdWords ad campaigns, and promotion through emails, online discussion groups, and printed materials distributed nationally by perinatal educators in ObGyn clinics and other relevant locations. Quit Together is a telephone counselling program building on the Motivation and Problem Solving (MAPS) approach enhanced by targeting the couples' smoking behavior and focusing on dyadic efficacy for smoking cessation. We report preliminary efficacy results of Quit Together. Preliminary Results There were 130 pregnant smokers with confirmed enrollment in the Quit Together trial. Among those who completed the intervention, the postpartum follow-up rate was close to 87% (N = 47/52). The mean age was 28, ranging from 18 to 42. Over 42% graduated college. Over 62% of the pregnant smokers had moderate-high nicotine dependence. Interim smoking cessation efficacy analyses on the first 52 participants indicate that the self-reported quit rate was 29.6% in the intervention group (8/27) vs 20% in the control group (5/25). Biochemically confirmed quit rates were 11.1% (3/27) vs 8% (2/25). Conclusions Motivation and problem-solving telephone counseling with couples can increase smoking cessation during pregnancy. These interim findings suggest that Quit Together may be an efficacious program for prenatal smoking cessation.

Diary of self-monitoring of the patient as a way to increase adherence to the treatment of patients with chronic heart failure

2019 ◽  
Vol 23 (2) ◽  
pp. 21-26
Author(s):  
Elena V. Frolova ◽  
Alena I. Ogorelysheva ◽  
Ekaterina S. Spasenova ◽  
Tamara R. Khalilova
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Self Control ◽  
Control Group ◽  
Adherence To Treatment ◽  
Self Monitoring ◽  
Phone Calls ◽  
Sequential Sample ◽  
Adherence To Therapy

Chronic heart failure (CHF) is the most frequent and severe complication of cardiovascular disease (CVD). One of the most important aspects of management of patients with CHF remains to ensure adherence to treatment. The purpose of the study was to assess the effectiveness of therapy of patients with CHF with the use of a diary of self-control as a way of enhancing adherence to therapy. Materials and methods. A continuous sequential sample was used to select 40 patients with diagnosed Heart Failure II-IV FC (NYHA), who were then randomized into two groups: the follow-up group (n = 20) and the control group (n = 20). The study duration was 8 weeks. Patients of the observation group received materials on self-control (“Diary of a patient with heart failure”). For them, 3 control visits and 8 phone calls were organized once a week. The participants of the control group were observed in the usual conditions of practical health care; 3 control visits to the doctor were provided for them. The results obtained at week 8 of the study showed that the number of complaints of foot and Shin edema decreased by 2 times compared to the initial data; in the control group, the frequency of complaints did not have a positive dynamic. Conclusion. Use of a diary of self-control is the easiest method of improving adherence of patients with CHF to treatment.

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