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Free keywords:
Smoking cessation, Tobacco, Nicotine dependence, Substance abuse po
Abstract:
Aims: The present study investigated the feasibility, acceptance and
efficacy of a newly developed cognitive behavioral program for smoking
cessation/reduction ('Rethink your Smoking' program, RSP) in inpatients
with substance use disorder (SUD). Method: One hundred ninety-nine
inpatients with SUD were randomly assigned to either the RSP (n = 101)
or a minimal intervention (MI) program (n = 98). In addition,
participants were offered optional nicotine replacement therapy. Data
from a group of patients with SUD without any intervention (control
group, n = 78) were included in the analyses for comparison. Assessments
were performed at admission, discharge and follow-up after 3 and 6
months. Results: RSP proved to be feasible and was well accepted by
participants. Patients in both interventions showed lower scores for
physical nicotine dependence and number of cigarettes smoked per day and
higher scores for various motivational parameters at discharge and 3
months later. Both interventions were superior to no intervention, but
no differences were found between the RSP and MI. Conclusion: A smoking
cessation/reduction program is feasible for substance-dependent
in-patients undergoing detoxification. Although the RSP appears to be
effective in terms of harm reduction in in-patients with SUD, more
cost-and time-efficient programs might also be suitable for this
population. (C) 2016 S. Karger AG, Basel
