Document Detail


Residential smoking therapy.
MedLine Citation:
PMID:  12709094     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate a pilot 4-day residential smoking treatment program for smokers who had relapsed after participation in an outpatient smoking program.
DESIGN: A single-arm clinical trial. Participants stayed in a supportive, smoke-free environment for 4 days during which they attended educational sessions on nutrition, exercise, and psychology. Nicotine withdrawal was treated with nicotine inhalers and patches. After discharge, participants attended monthly outpatient group sessions for 6 months.
SETTING: The Durham, NC Veterans Affairs Medical Center residential unit.
PARTICIPANTS: Twenty-three medical outpatient smokers.
MEASUREMENTS: Seven-day point prevalence smoking abstinence was determined by self-report of zero cigarettes smoked and verified by exhaled carbon monoxide <8 parts per million.
MAIN RESULTS: Participants' mean age was 57.4 years; 100% were male; 61% were Caucasian; and 39% were African American. The mean score on the Fagerström Test for Nicotine Dependence was 7.1 (SD 2.3). Daily nicotine doses ranged from the nicotine inhaler alone to 56 mg of transdermal nicotine plus nicotine inhaler. Verified smoking abstinence on discharge (after 4 days) was 21/23 or 91.3% (95% confidence interval [95% CI], 73 to 100). At 6 months, the 7-day point abstinence rate was 6/23 or 26.1% (95% CI, 15 to 36).
CONCLUSIONS: This pilot residential smoking treatment program was designed to assist smokers who relapsed after outpatient treatment. Four days of residential smoking therapy successfully relieved smoking withdrawal. At 6 months after discharge, participants maintained an abstinence rate comparable to other medical therapies for smoking.
Authors:
Amanda Green; William S Yancy; Loretta Braxton; Eric C Westman
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  Journal of general internal medicine     Volume:  18     ISSN:  0884-8734     ISO Abbreviation:  J Gen Intern Med     Publication Date:  2003 Apr 
Date Detail:
Created Date:  2003-04-23     Completed Date:  2003-09-15     Revised Date:  2013-06-09    
Medline Journal Info:
Nlm Unique ID:  8605834     Medline TA:  J Gen Intern Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  275-80     Citation Subset:  IM    
Affiliation:
Received from Ambulatory Care Service, Durham VA Medical Center, Durham, NC 27705, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Attitude to Health*
Behavior Therapy / methods
Confidence Intervals
Diet Therapy / methods
Humans
Male
Middle Aged
North Carolina
Patient Education as Topic / methods*,  statistics & numerical data
Pilot Projects
Psychotherapy, Group
Questionnaires
Recurrence
Smoking / epidemiology,  prevention & control*
Smoking Cessation / methods*,  psychology*,  statistics & numerical data
Time Factors
Treatment Outcome
Veterans
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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