The rapid-smoking technique: Therapeutic effectiveness

Poole, A. Desmond; Sanson‐Fisher, Rob; German, Gene A.

doi:10.1016/0005-7967(81)90127-3

Cited by 16 publications

(3 citation statements)

References 17 publications

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“…To maximize impact, we clustered the sessions and made the required amount of smoking per session greater than that of previous rapid smoking protocols. Prior studies showing the effectiveness of rapid smoking as an initial cessation strategy often involved a larger number of sessions spaced over a longer time frame with fewer trials per session (Best, Owen, & Trentadue, 1978; Lichtenstein et al, 1973; Norton & Barske, 1977; Poole, Sanson-Fisher, & German, 1981; Schmahl, Lichtenstein, & Harris, 1972). Thus, it is possible that other variations of the protocol or additional sessions based on individual needs may have been more effective (see Danaher, 1977).…”

Section: Discussionmentioning

confidence: 99%

A preliminary investigation of rapid smoking as a lapse-responsive treatment for tobacco dependence.

Juliano¹,

Houtsmuller²,

Stitzer³

2006

Experimental and Clinical Psychopharmacology

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Lapses within the first 2 weeks of a smoking cessation attempt are strongly associated with a return to regular smoking (S. L. Kenford et al., 1994). Unfortunately, little is known about how to prevent an initial lapse from progressing to a full relapse, and presently there are no validated lapse-responsive therapeutic interventions. The present study tested the efficacy and feasibility of rapid smoking plus counseling as a novel lapse-responsive intervention. Sixty-seven participants enrolled in a smoking treatment program involving brief counseling and a 9-week course of bupropion. Beginning on the quit day, participants' smoking behavior was tracked daily for 14 days. Once an early smoking lapse was identified, participants were randomly assigned to receive either 3 sessions of rapid smoking plus counseling or no intervention (usual care). Consistent with previous research, participants who smoked during the first 2 weeks of the quit attempt had significantly poorer 6-month outcomes (3% abstinent) than did those who did not smoke (64% abstinent). Compared with early abstainers, early lapsers were more nicotine dependent and reported greater cravings and lower confidence in their ability to abstain from smoking during the first 48 hours of abstinence. As expected, rapid smoking produced a variety of aversive effects, including increased nausea, dizziness, and vomiting as well as sharply decreased cravings to smoke. However, rapid smoking did not improve abstinence outcomes relative to usual care. Although rapid smoking has been shown to be an effective treatment for initial smoking cessation, in this preliminary study the authors failed to demonstrate its effectiveness as a lapse-responsive treatment.

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Section: Discussionmentioning

confidence: 99%

A preliminary investigation of rapid smoking as a lapse-responsive treatment for tobacco dependence.

Juliano¹,

Houtsmuller²,

Stitzer³

2006

Experimental and Clinical Psychopharmacology

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“…to decay rapidly (i.e. rapid smoking, Poole, Sanson-Fisher, and German, 1981). In some cases, strategies intended to enhance maintenance have yielded poorer outcome {Relinger, Bornstein, Carmody & Zohn, 1977).…”

Section: Smoking Cessation Methodsmentioning

confidence: 99%

Nicotine fading, behavioral contracting, and extended treatment: Effects on smoking cessation

Bowers

Winett

Frederiksen

1987

Addictive Behaviors

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Twenty-eight subjects were randomly allocated to either a nicotine fading or a maintenance condition. The maintenance condition utilized behavioral contracting and extended treatment in addition to the nicotine fading to improve treatment outcome and avoid relapse. The maintenance condition achieved superior outcome on smoking measures at post-treatment and follow-up periods for self-reported smoking levels. Carbon monoxide levels were significantly lower for the maintenance condition at post-treatment, three month and six month follow-up. Saliva thiocyanate levels were significantly lower for the maintenance condition at the three month follow-up. Changes in health functioning indicated significantly lower diastolic and systolic blood pressure at six month follow-up for the maintenance condition. Additional research on nicotine regulation during nicotine fading and thiocyanate levels during experimental smoking would be useful. The use of behavioral contracting to enhance maintenance without therapeutic support warrants further research as well.

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“…Although outcome studies of rapid smoking have not matched the successful abstinence rates of the original work (Lichtenstein, Harris, Birchler, Wahl, & Schmahl, 1973;Schmahl, Lichtenstein, & Harris, 1972), departure from the original method may be the cause (Danaher, 1977). Studies of the rapid smoking method since 1973 have invariably restricted or controlled the number of sessions (Best, Owen, & Trentadue, 1978;Elliott & Denney, 1978;Glasgow, 1978;Lando, 1975;Norton & Barske, 1977;Poole, Sanson-Fisher, & German, 1981;Raw & Russell, 1980;Relinger, Bornstein, Bugge, Carmody, & Zohn, 1977), conducted treatment in groups (Barkley, Hastings, & Jackson, 1977;Lando, 1975;Norton & Barske, 1977;Poole et al, 1981;Raw & Russell, 1980;Relinger et al, 1977), added additional components and/or booster sessions (Danaher, 1977;Elliott & Denney, 1978;Poole etal., 1981;Relinger etal., 1977), or had clients rapid smoke at home (Best et al, 1978;Danaher, Jeffery, Zimmerman, & Nelson, 1980). Our work, which replicated the (a) single client, (b) warm client-therapist relationship, (c) positive expectations of success, (d) individualized treatment scheduling, (e) office-based treatment, and (f) the admonition that the client was not to smoke between rapid smoking sessions, achieved levels of abstinence (60% at 6 months) comparable to Lichtenstein and colleagues .…”

mentioning

confidence: 99%

Two-year efficacy and safety of rapid smoking therapy in patients with cardiac and pulmonary disease.

Hall¹,

Sachs²,

Hall³

et al. 1984

Journal of Consulting and Clinical Psychology

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Eighteen smokers with documented cardiopulmonary disease underwent rapid smoking therapy with follow-up visits 12-and 24-months posttreatment. Biochemically verified self-report showed 50% of all subjects had not smoked from posttreatment through the 2-year follow-up visit, whereas a waiting-list control group had 0% abstinent subjects at the 2-year follow-up visit (p < .0001). The same 18 smokers and an additional 3 smokers all with documented cardiac and/or pulmonary disease underwent extensive cardiac testing and monitoring after 12 hr of tobacco abstinence, normal smoking, and rapid smoking. No subject developed evidence of myocardial ischemia or significant cardiac arrhythmia during normal or rapid smoking. These findings support the use of the original method and its safe and effective use in patients with mild to moderate cardiopulmonary disease and those who have had previous, uncomplicated heart attacks.

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The rapid-smoking technique: Therapeutic effectiveness

Cited by 16 publications

References 17 publications

A preliminary investigation of rapid smoking as a lapse-responsive treatment for tobacco dependence.

A preliminary investigation of rapid smoking as a lapse-responsive treatment for tobacco dependence.

Nicotine fading, behavioral contracting, and extended treatment: Effects on smoking cessation

Two-year efficacy and safety of rapid smoking therapy in patients with cardiac and pulmonary disease.

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