Prospective evaluation of three smoking interventions in 205 recovering alcoholics: One-year results of project SCRAP-tobacco

John E. Martin, Karen J. Calfas, Christi A. Patten, Mark Polarek, C. Richard Hofstetter, James Noto, Diane Beach

Research output: Contribution to journalArticle

126 Scopus citations

Abstract

A total of 205 (113 male, 92 female) nonhospitalized recovering alcoholics with >3 months of continuous abstinence from alcohol and drugs and relatively heavy tobacco dependence (Fagerstrom Tolerance Questionnaire score = 7.7; mean number of cigarettes per day, 26.8; mean number of years smoked, 24.4) were randomized to standard treatment (ST) American Lung Association quit program plus nicotine anonymous meetings (n = 70), behavioral counseling plus physical exercise (BEX; n = 72), or behavioral counseling plus nicotine gum (BNIC; n = 63). A 3 x 4 repeated measures design was used to evaluate the effectiveness of the interventions on smoking outcome at baseline, posttreatment, and 6- and 12-month follow-ups. Self-reported smoking status was verified with biochemical and informant report. Verified self-report indicated that significantly more smokers in BEX quit by posttreatment (60%) than in either BNIC (52%) or ST (31%), χ 2 (2, N = 205) = 17.85, p < .01, but not at the 6-month (29%, 27%, and 21%, respectively) or 12-month (27%, 27%, and 26%, respectively) follow-up. Only 4% (7 of 188) relapsed to alcohol or drugs. Alcohol relapse did not differ by treatment group or smoking status. Length of alcohol abstinence was not associated with smoking cessation outcome.

Original languageEnglish (US)
Pages (from-to)190-194
Number of pages5
JournalJournal of Consulting and Clinical Psychology
Volume65
Issue number1
DOIs
StatePublished - Feb 1 1997

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

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