Abstract
Introduction: Relatively few well-designed smoking cessation studies have been conducted with teen smokers. This study examined the efficacy of extended cognitive-behavioral treatment in promoting longer term smoking cessation among adolescents. Methods: Open-label smoking cessation treatment consisted of 10 weeks of school-based, cognitive-behavioral group counseling along with 9 weeks of nicotine replacement (nicotine patch). A total of 141 adolescent smokers in continuation high schools in the San Francisco Bay Area were randomized to either 9 additional group sessions over a 14-week period (extended group) or 4 monthly smoking status calls (nonextended group). Intention-to-treat logistic regression analysis was used to assess the primary outcome of biologically confirmed (carbon monoxide <9 ppm) point prevalence abstinence at Week 26 (6-month follow-up from baseline). Results: At Week 26 follow-up, the extended treatment group had a significantly higher abstinence rate (21%) than the nonextended treatment (7%; OR = 4.24, 95% CI: 1.20-15.02). Females also were more likely to be abstinent at the follow-up than males (OR = 4.15, 95% CI: 1.17-14.71). Conclusions: The significantly higher abstinence rate at follow-up for the extended treatment group provides strong support for continued development of longer term interventions for adolescent smoking cessation.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1655-1662 |
| Number of pages | 8 |
| Journal | Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco |
| Volume | 15 |
| Issue number | 10 |
| DOIs | |
| State | Published - Oct 2013 |
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ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health
Cite this
A randomized clinical trial of the efficacy of extended smoking cessation treatment for adolescent smokers. / Bailey, Steffani; Hagen, Sarah A.; Jeffery, Christina J.; Harrison, Christopher T.; Ammerman, Seth; Bryson, Susan W.; Killen, Diana T.; Robinson, Thomas N.; Killen, Joel D.
In: Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, Vol. 15, No. 10, 10.2013, p. 1655-1662.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - A randomized clinical trial of the efficacy of extended smoking cessation treatment for adolescent smokers
AU - Bailey, Steffani
AU - Hagen, Sarah A.
AU - Jeffery, Christina J.
AU - Harrison, Christopher T.
AU - Ammerman, Seth
AU - Bryson, Susan W.
AU - Killen, Diana T.
AU - Robinson, Thomas N.
AU - Killen, Joel D.
PY - 2013/10
Y1 - 2013/10
N2 - Introduction: Relatively few well-designed smoking cessation studies have been conducted with teen smokers. This study examined the efficacy of extended cognitive-behavioral treatment in promoting longer term smoking cessation among adolescents. Methods: Open-label smoking cessation treatment consisted of 10 weeks of school-based, cognitive-behavioral group counseling along with 9 weeks of nicotine replacement (nicotine patch). A total of 141 adolescent smokers in continuation high schools in the San Francisco Bay Area were randomized to either 9 additional group sessions over a 14-week period (extended group) or 4 monthly smoking status calls (nonextended group). Intention-to-treat logistic regression analysis was used to assess the primary outcome of biologically confirmed (carbon monoxide <9 ppm) point prevalence abstinence at Week 26 (6-month follow-up from baseline). Results: At Week 26 follow-up, the extended treatment group had a significantly higher abstinence rate (21%) than the nonextended treatment (7%; OR = 4.24, 95% CI: 1.20-15.02). Females also were more likely to be abstinent at the follow-up than males (OR = 4.15, 95% CI: 1.17-14.71). Conclusions: The significantly higher abstinence rate at follow-up for the extended treatment group provides strong support for continued development of longer term interventions for adolescent smoking cessation.
AB - Introduction: Relatively few well-designed smoking cessation studies have been conducted with teen smokers. This study examined the efficacy of extended cognitive-behavioral treatment in promoting longer term smoking cessation among adolescents. Methods: Open-label smoking cessation treatment consisted of 10 weeks of school-based, cognitive-behavioral group counseling along with 9 weeks of nicotine replacement (nicotine patch). A total of 141 adolescent smokers in continuation high schools in the San Francisco Bay Area were randomized to either 9 additional group sessions over a 14-week period (extended group) or 4 monthly smoking status calls (nonextended group). Intention-to-treat logistic regression analysis was used to assess the primary outcome of biologically confirmed (carbon monoxide <9 ppm) point prevalence abstinence at Week 26 (6-month follow-up from baseline). Results: At Week 26 follow-up, the extended treatment group had a significantly higher abstinence rate (21%) than the nonextended treatment (7%; OR = 4.24, 95% CI: 1.20-15.02). Females also were more likely to be abstinent at the follow-up than males (OR = 4.15, 95% CI: 1.17-14.71). Conclusions: The significantly higher abstinence rate at follow-up for the extended treatment group provides strong support for continued development of longer term interventions for adolescent smoking cessation.
UR - http://www.scopus.com/inward/record.url?scp=84894240128&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84894240128&partnerID=8YFLogxK
U2 - 10.1093/ntr/ntt017
DO - 10.1093/ntr/ntt017
M3 - Article
C2 - 23460656
AN - SCOPUS:84894240128
VL - 15
SP - 1655
EP - 1662
JO - Nicotine and Tobacco Research
JF - Nicotine and Tobacco Research
SN - 1462-2203
IS - 10
ER -