We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Positive Psychotherapy for Smoking Cessation: A Pilot Randomized Controlled Trial.
- Authors
Kahler, Christopher W.; Spillane, Nichea S.; Day, Anne M.; Cioe, Patricia A.; Parks, Acacia; Leventhal, Adam M.; Brown, Richard A.
- Abstract
<bold>Objective: </bold>Greater depressive symptoms and low positive affect (PA) are associated with poor smoking cessation outcomes. Smoking cessation approaches that incorporate a focus on PA may benefit smokers trying to quit. The purpose of this study was to conduct a pilot randomized clinical trial to compare standard smoking cessation treatment (ST) with smoking cessation treatment that targets positive affect, termed positive psychotherapy for smoking cessation (PPT-S).<bold>Method: </bold>Smokers who were seeking smoking cessation treatment were assigned by urn randomization to receive, along with 8 weeks of nicotine replacement therapy, either ST (n = 31) or PPT-S (n = 35). Seven-day point prevalence smoking abstinence was biochemically confirmed at 8, 16, and 26 weeks.<bold>Results: </bold>Compared to ST, a greater percentage of participants in PPT-S were abstinent at 8 weeks, 16 weeks, and 26 weeks, but these differences were nonsignificant. In a more statistically powerful longitudinal model, participants in PPT-S had a significantly higher odds of abstinence (adjusted odds ratio [AOR] = 2.75; 95% CI = 1.02, 7.42; p = .046) across follow-ups compared to those in ST. The positive effect of PPT-S was stronger for those higher in PA (OR = 6.69, 95% CI = 1.16, 38.47, p = .03). Greater use of PPT-S strategies during the initial 8 weeks of quitting was associated with a less steep decline in smoking abstinence rates over time (OR = 2.64, 95% CI = 1.06, 6.56, p =.04).<bold>Conclusion: </bold>This trial suggests substantial promise for incorporating PPT into smoking cessation treatment.
- Subjects
POSITIVE psychology; SMOKING cessation; PSYCHOTHERAPY; RANDOMIZED controlled trials; NICOTINE replacement therapy; LONGITUDINAL method; FOLLOW-up studies (Medicine); COMPARATIVE studies; COUNSELING; RESEARCH methodology; MEDICAL cooperation; RESEARCH; RESEARCH funding; SMOKING; PILOT projects; EVALUATION research; TREATMENT effectiveness
- Publication
Nicotine & Tobacco Research, 2015, Vol 17, Issue 11, p1385
- ISSN
1462-2203
- Publication type
journal article
- DOI
10.1093/ntr/ntv011