Partner support and relapse in smoking-cessation programs.

Mermelstein, Robin J.; Lichtenstein, Edward; McIntyre, Karen

doi:10.1037/0022-006x.51.3.465

Cited by 187 publications

(160 citation statements)

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“…7,8 Negative behaviors, such as nagging the smoker and complaining about smoking, are predictive of relapse. 9,10 Family interventions have become a standard part of most substance abuse programs.…”

Section: Does Enhancing Partner Support and Interaction Improve Smokimentioning

confidence: 99%

Does Enhancing Partner Support and Interaction Improve Smoking Cessation? A Meta-Analysis

Park¹

2004

The Annals of Family Medicine

134

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BACKGROUND We wanted to determine whether an intervention to enhance partner support helps as an adjunct to a smoking cessation program. METHODSWe undertook a meta-analysis of English-language, randomized controlled trials of smoking cessation interventions through July 2002 using the following data sources: Cochrane Tobacco Addiction Group specialized register, Cochrane controlled trials register, CDC Tobacco Information and Prevention Database, MEDLINE, Cancer Lit, EMBASE, CINAHL, PsycINFO, ERIC, PsycLIT, Dissertation Abstracts, SSCI and HealthSTAR, with reviews of bibliographies of included articles. Included were trials that assessed a partner support component with a minimum follow-up of 6 months. The outcomes measured were abstinence and biochemical assessment at 6 to 9 months and more than 12 months after treatment. Partner Interaction Questionnaire scores were primary and secondary outcomes.RESULTS Nine studies (31 articles) met inclusion criteria. Partner defi nition varied among studies. All studies included self-reported smoking cessation rates, but there was limited biochemical validation of abstinence. For self-reported abstinence at 6 to 9 months after treatment, the Peto odds ratio (OR) = 1.08 (95% confi dence interval [CI], 0.81-1.44) and at 12 months Peto OR = 1.0 (95% CI, 0.75-1.34). Sensitivity analysis of studies using live-in, married, and equivalentto-married partners found a higher odds ratio at 6 to 9 months after treatment, Peto OR = 1.64 (95% CI, 0.5-4.64). Sensitivity analysis of studies reporting signifi cant increases in partner support found at 6 to 9 months after treatment Peto OR = 1.83 (95% CI, 0.9-3.47); and at 12 months Peto OR =1.22 (95% CI, 0.67-2.23). CONCLUSIONSInterventions to enhance partner support showed the most promise for clinical practice when implemented with live-in, married, and equivalentto-married partners. Such interventions should focus on enhancing supportive behaviors, while minimizing behaviors critical of smoking. INTRODUCTIONS moking remains the leading cause of preventable disease and death in the United States, causing more than 400,000 deaths annually. 1Smoking cessation is an important behavior change that can have considerable effects on health outcomes. The initiation, maintenance, and cessation of smoking are strongly infl uenced by other family members. Smokers are more likely to marry smokers, to smoke the same number of cigarettes as their spouse, and to quit at the same time.2 In addition, married smokers have higher quit rates than those who are divorced, widowed, or have never married.3 Several studies have shown that support from the spouse is highly predictive of successful smoking cessation. [4][5][6][7] Family interventions have become a standard part of most substance abuse programs. Initial trials of partner support for smoking cessation, however, have been disappointing. In reviewing their own studies of social support interventions for smoking cessation, Lichtenstein and colleagues 11 stated that their interventions did not...

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Section: Does Enhancing Partner Support and Interaction Improve Smokimentioning

confidence: 99%

Does Enhancing Partner Support and Interaction Improve Smoking Cessation? A Meta-Analysis

Park¹

2004

The Annals of Family Medicine

134

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“…This may reflect a natural progression of online support groups; many groups dissipate after a few months. 21 Such groups require time investments, 22 which can cause participation to drop. Also, anecdotally, several group participants who successfully quit said they no longer wanted to affiliate with a quit-smoking group.…”

Section: Discussionmentioning

confidence: 99%

“…20,22 The support functions of such ties could be examined in relation to abstinence behavior and compared with the effects of support outside the study. Also of interest is whether the provision of free nicotine patches facilitates or complicates tweeting behavior.…”

Section: Discussionmentioning

confidence: 99%

Mapping Engagement in Twitter-Based Support Networks for Adult Smoking Cessation

et al. 2016

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We examined engagement in novel quit-smoking private social support networks on Twitter, January 2012 to April 2014. We mapped communication patterns within 8 networks of adult smokers (n = 160) with network ties defined by participants' tweets over 3 time intervals, and examined tie reciprocity, tie strength, in-degree centrality (popularity), 3-person triangles, 4-person cliques, network density, and abstinence status. On average, more than 50% of ties were reciprocated in most networks and most ties were between abstainers and nonabstainers. Tweets formed into more aggregated patterns especially early in the study. Across networks, 35.00% (7 days after the quit date), 49.38% (30 days), and 46.88% (60 days) abstained from smoking. We demonstrated that abstainers and nonabstainers engaged with one another in dyads and small groups. This study preliminarily suggests potential for Twitter as a platform for adult smoking-cessation interventions. (Am J

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“…Um estudo realizado por Thomas et al (2009) (Lawhon, Humfl eet, Hall, Reus, & Muñoz, 2009;Nollen et al, 2005), pode infl uenciar o fumante a deixar de fumar e a manter-se abstinente (Homish & Kenneth, 2005;Rüge et al, 2008), e é considerado preditivo do sucesso da desabituação tabágica. Este suporte do parceiro pode ser positivo (parceiro elogiar e apoiar de forma positiva o fumante) ou negativo (quando o parceiro tem uma atitude de vigilância constante e insistência para que o fumador pare de fumar; Cohen & Lichtenstein, 1990;Copotelli & Orleans, 1985;Mermelstein, Lichtenstein, & McIntyre, 1983;Roski, Schmid & Landom, 1996). Deste modo, a literatura realça a importância do suporte do parceiro na mudança do comportamento tabágico (Afonso, 2008;Mermelstein et al, 1983).…”

Section: Palabras Claveunclassified

Papel mediador das representações do tabaco e do suporte do parceiro em fumantes e ex-fumantes

Afonso¹,

Pereira²

2013

Temas Psicol

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ResumoEste estudo avaliou as representações associadas ao tabaco como variável mediadora na relação entre o ajustamento de casal e o suporte do parceiro em fumantes e ex-fumantes, bem como o papel do suporte do parceiro como mediador na relação entre as representações do tabaco e variáveis sócio-cognitivas para deixar de fumar. Participaram no estudo 224 fumantes e 169 ex-fumantes. Os fumantes fumavam há, pelo menos, 3 anos e os ex-fumantes tinham deixado de fumar há mais de 3 meses. Os resultados mostraram, nos fumantes, que o suporte do parceiro apresentou um efeito mediador parcial na relação entre as representações do tabaco e as variáveis sócio-cognitivas (atitudes, controle comportamental percebido e planejamento do coping/ação). As representações emocionais do tabaco não tiveram um papel mediador na relação entre o ajustamento de casal e o suporte do parceiro, em fumantes e ex-fumantes. Os resultados apontam para a importância do suporte do parceiro na intervenção junto de fumantes com intenção para deixar de fumar. Palavras-chaves:Representações do tabaco, suporte do parceiro, mediadores, fumantes, ex-fumantes. Mediator Role of Tobacco Representations and Partner Support in Smokers and Abstinents AbstractThis study evaluated the representations associated with tobacco as a mediator between couple´s adjustment and partner support in smokers and abstinents, as well as the role of the partner's support as a mediator in the relationship between the representations associated with tobacco and sociocognitive variables to quit smoking. 224 smokers and 169 abstinent participated in the study. Smokers smoked at least for 3 years and abstinents were smoke free for more than 3 months. Results revealed that partner support had a mediator effect on the relationship between the representations associated with tobacco and sociocognitive variables (attitudes, perceived behavioral control and planning of coping/action). The emotional representations of tobacco were not a mediator role in the relationship between the couple adjustment and partner support on smokers and abstinents. Results indicated the importance of including partner support during smoking cessation interventions among smokers with intention to quit smoking.

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Partner support and relapse in smoking-cessation programs.

Cited by 187 publications

References 0 publications

Does Enhancing Partner Support and Interaction Improve Smoking Cessation? A Meta-Analysis

Does Enhancing Partner Support and Interaction Improve Smoking Cessation? A Meta-Analysis

Mapping Engagement in Twitter-Based Support Networks for Adult Smoking Cessation

Papel mediador das representações do tabaco e do suporte do parceiro em fumantes e ex-fumantes

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