Outcomes From a Patient-Centered Residential Treatment Plan for Tobacco Dependence

Hodgkin, John E.; Sachs, David P.L.; Swan, Gary E.; Jack, Lisa M.; Titus, Betsy L.; Waldron, Susan J.S.; Sachs, B.; Brigham, Janet

doi:10.1016/j.mayocp.2013.05.027

Cited by 18 publications

(27 citation statements)

References 24 publications

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“…These results are consistent with evidence from our uncontrolled pilot study that found 6-month abstinence rates of 50% for a residential smoking cessation therapy [44]. Comparatively high abstinence rates of up to 12 months have been reported in an American study with a 7-day residential smoking cessation (57% [40]) and in studies from Austria implementing a 21-day residential format (63.3% and 42.6% in studies with heavily dependent smokers [42,43]), but with all studies missing control groups. Lastly, a 5-day stepwise residential nicotine cessation program has shown satisfactory abstinence rates of 31% at follow-up exceeding 2 years, even when counting participants who could not be reached as smoking [41].…”

Section: Background and Rationale {6a}supporting

confidence: 91%

“…These relate to uncontrolled or cohort studies with limited methodological quality. However, outcomes suggest significantly increased 6-month or 12-month abstinence rates from 42.6 to 64.7% [21,[38][39][40][41][42][43]. In a large American cohort study with 226 residential smokers, Hays et al [21] reported significantly higher 6-month abstinence rates of 52% from 8-day residential smoking cessation therapy directly compared to 27% in outpatient therapy with 4327 patients, conducted from the same research group.…”

Section: Background and Rationale {6a}mentioning

confidence: 99%

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Efficacy of a short-term residential smoking cessation therapy versus standard outpatient group therapy (‘START-Study’): study protocol of a randomized controlled trial

Dickreuter

Schmoor

Bengel³

et al. 2020

Trials

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Background: In Germany, evidence-based outpatient smoking cessation therapies are widely available. Long-term abstinence rates, however, are limited. Studies suggest that short-term residential therapy enables a higher level of environmental control, more intense contact and greater support among patients and from therapists, which could result in higher abstinence rates. The aim of the current START-study is to investigate the long-term efficacy of a short-term residential therapy exclusively for smoking cessation, conducted by a mobile team of expert therapists. Methods: A randomized controlled trial (RCT) is conducted to examine the efficacy of residential behavior therapeutic smoking cessation therapy compared to standard outpatient behavior therapeutic smoking cessation group therapy. Adult smokers consuming 10 or more cigarettes per day, who are willing to stop smoking, are randomized in a ratio of 1:1 between therapy groups. The primary endpoint is sustained abstinence for 6-month and 12-month periods. Secondary endpoints include smoking status after therapy, 7-day point abstinence after the 6-month and 12-month follow-ups, level of physical dependence, cost-effectiveness, use of nicotine replacement products, health-related quality of life, self-efficacy expectation for tobacco abstinence, motivational and volitional determinants of behavior change, self-reported depressive symptom severity, adverse events and possible side effects. Assessments will take place at baseline, post-therapy, and at 6-month and 12-month intervals after smoking cessation. Discussion: There is a high demand for long-term effective smoking cessation therapies. This study represents the first prospective RCT to examine the long-term efficacy of a residential smoking cessation therapy program compared to standard outpatient group therapy as an active control condition. The residential therapeutic concept may serve as a new model to substantially enhance future cessation therapies and improve the understanding of therapeutic impact factors on tobacco abstinence. Utilizing a mobile team, the model could be applied efficiently to medical centers that do not have permanent and trained personnel for smoking cessation at their disposal.

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Section: Background and Rationale {6a}supporting

confidence: 91%

Section: Background and Rationale {6a}mentioning

confidence: 99%

Efficacy of a short-term residential smoking cessation therapy versus standard outpatient group therapy (‘START-Study’): study protocol of a randomized controlled trial

Dickreuter

Schmoor

Bengel³

et al. 2020

Trials

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“…A few studies on residential programs have demonstrated their effectiveness. However, these programs vary from 4 to 14 days, with different recruitment methods and sampling subjects 6,7,[16][17][18] . A 4-day residential program for tobacco dependence by Green et al 17 reported a 6-month abstinence rate of about 26%.…”

Section: Discussionmentioning

confidence: 99%

Pilot study of a 3-day residential treatment for smoking cessation in Hong Kong

Ho¹,

Fok²,

Chan³

2018

Tob. Prev. Cessation

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INTRODUCTION The Tung Wah Group of Hospitals Integrated Centre on Smoking Cessation has been providing free smoking cessation services since 2009. The average quit rate from 2009 to 2014 was 37%. In order to boost the quite rate, we have implemented a residential treatment program for smokers who volunteered to participate. Having run the program for two years, we conducted a retrospective cohort study to evaluate its effectiveness. METHODS We recruited the participants who had failed previous quit attempts and who came to seek our smoking cessation services. A 3-day residential program of activities were arranged for our participants. Intensive individual and group counseling was provided. Pharmacotherapy was also provided to alleviate withdrawal symptoms. This was followed by our usual treatment and follow-up program. Self-reported 7-day point prevalence abstinence rate at 26 weeks based on intention-to-treat (ITT) analysis was assessed. RESULTS A total of 40 clients volunteered to join the program, age 26 to 65 years old with a mean of 44.1 years. There were 25 (62.5%) males and 15 (37.5%) females. The quit rate at 26 weeks was 57.5%. Smokers older than 43 years, having cohabiting smokers, and smoking for more than 28 years, were more likely to quit and this was statistically significant. CONCLUSIONS This pilot study demonstrated that a 3-day residential program is effective in helping addicted smokers who volunteer to quit smoking and is cost effective compared to longer residential programs.

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“…Altogether, treatment interest and preference variability suggests that a more personalized treatment approach may be needed for heavy-drinking smokers, which is consistent with the priorities in medicine to be more patient-centered (Epstein & Street, 2011; Laine & Davidoff, 1996). A patient-centered approach to smoking cessation in this population may also yield higher smoking abstinence rates (Hodgkin et al, 2013). Previous clinical trials of concurrent or integrated smoking and alcohol treatment did not tailor interventions to patients’ treatment interests/preferences.…”

Section: Discussionmentioning

confidence: 99%

Heavy-Drinking Smokers' Treatment Needs and Preferences: A Mixed-Methods Study

Fucito

Hanrahan

2015

Journal of Substance Abuse Treatment

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The purpose of this mixed methods study was to describe the smoking and psychological characteristics of heavy-drinking smokers, their perceptions of smoking and drinking, and their smoking and alcohol treatment preferences to inform an integrated smoking and alcohol intervention. Heavy-drinking smokers (N = 26) completed standardized surveys and participated in semi-structured focus group interviews. Participants reported a strong association between their smoking and drinking. Participants were more motivated to quit smoking than to reduce their drinking but perceived greater barriers to smoking cessation. Stress/negative affect was closely linked with both behaviors. They expressed overall enthusiasm for a smoking and alcohol intervention but had specific format and content preferences. Half preferred an integrated treatment format whereas others preferred a sequential treatment model. The most preferred content included personalized health feedback and a way to monitor health gains after behavior changes.

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Outcomes From a Patient-Centered Residential Treatment Plan for Tobacco Dependence

Cited by 18 publications

References 24 publications

Efficacy of a short-term residential smoking cessation therapy versus standard outpatient group therapy (‘START-Study’): study protocol of a randomized controlled trial

Efficacy of a short-term residential smoking cessation therapy versus standard outpatient group therapy (‘START-Study’): study protocol of a randomized controlled trial

Pilot study of a 3-day residential treatment for smoking cessation in Hong Kong

Heavy-Drinking Smokers' Treatment Needs and Preferences: A Mixed-Methods Study

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