Effect of smoking cessation counseling on recovery from alcoholism: Findings from a randomized community intervention trial

Janet Kay Bobo, Helen E. Mcilvain, Harry A. Lando, Roger (Dale) Walker, Amber Leed-Kelly

Research output: Contribution to journalArticle

155 Citations (Scopus)

Abstract

Aims. To assess the effects of a smoking cessation program for recovering alcoholics on use of alcohol, tobacco and illicit drugs after discharge from residential treatment. Design and Setting. A randomized community intervention trial design was employed in which 12 residential drug treatment centers in Iowa, Kansas and Nebraska were matched and then randomly assigned to the intervention or control condition. Participants. Approximately 50 adult residents (inpatients) from each site were followed for 12 months after treatment discharge. Intervention. Participating residents in the six intervention centers received a 4-part, individually tailored, smoking cessation program, while those in the six control sites received usual care. Findings. Both moderate and heavy drinking rates were reduced in the intervention group. Intervention site participants were significantly more likely than controls to report alcohol abstinence at both the 6-month (OR = 1.59, 95% CI: 1.09-2.35) and 12-month assessment (OR = 1.84, 95% CI: 1.28-2.92). Illicit drug use rates were comparable. Effect of the intervention on tobacco quit rates was not statistically significant. Conclusions. Counseling alcoholics in treatment to quit smoking does not jeopardize the alcohol recovery process. However low-intensity tobacco interventions are unlikely to yield high tobacco quit rates.

Original languageEnglish (US)
Pages (from-to)877-887
Number of pages11
JournalAddiction
Volume93
Issue number6
StatePublished - 1998

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Smoking Cessation
Alcoholism
Residential Treatment
Tobacco
Counseling
Street Drugs
Alcoholics
Substance Abuse Treatment Centers
Alcohols
Alcohol Abstinence
Tobacco Use
Drinking
Inpatients
Smoking
Therapeutics

ASJC Scopus subject areas

  • Medicine (miscellaneous)

Cite this

Effect of smoking cessation counseling on recovery from alcoholism : Findings from a randomized community intervention trial. / Bobo, Janet Kay; Mcilvain, Helen E.; Lando, Harry A.; Walker, Roger (Dale); Leed-Kelly, Amber.

In: Addiction, Vol. 93, No. 6, 1998, p. 877-887.

Research output: Contribution to journalArticle

Bobo, Janet Kay ; Mcilvain, Helen E. ; Lando, Harry A. ; Walker, Roger (Dale) ; Leed-Kelly, Amber. / Effect of smoking cessation counseling on recovery from alcoholism : Findings from a randomized community intervention trial. In: Addiction. 1998 ; Vol. 93, No. 6. pp. 877-887.
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