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Randomized Controlled Trial
. 2005 Aug;30(1):1-11.
doi: 10.1207/s15324796abm3001_1.

A randomized pilot study of cognitive-behavioral therapy versus basic health education for smoking cessation among cancer patients

Robert A Schnoll  1 , Randi L Rothman, Dustin B Wielt, Caryn Lerman, Holly Pedri, Hao Wang, James Babb, Suzanne M Miller, Benjamin Movsas, Eric Sherman, John A Ridge, Michael Unger, Corey Langer, Melvyn Goldberg, Walter Scott, Jonathan Cheng
Affiliations
Randomized Controlled Trial

A randomized pilot study of cognitive-behavioral therapy versus basic health education for smoking cessation among cancer patients

Robert A Schnoll et al. Ann Behav Med. 2005 Aug.

Abstract

Background: Previously, we have linked theoretically based cognitive and emotional variables to the ability of cancer patients to quit smoking.

Purpose: In this study, we evaluated the impact of cognitive-behavioral therapy (CBT), which addressed these theoretically derived cognitive and emotional variables linked to tobacco use in this population, for promoting smoking cessation in a sample of cancer patients and assessed longitudinal predictors of smoking cessation.

Methods: Cancer patients (N=109) were randomized to either the theoretically based CBT intervention or to a general health education (GHE) condition, and all patients received nicotine replacement therapy.

Results: Contrary to our expectation, no significant difference in 30-day point-prevalence abstinence between the CBT and GHE conditions was detected at either a 1-month (44.9 vs. 47.3%, respectively) or 3-month (43.2% vs. 39.2%, respectively) follow-up evaluation. Higher quit motivation and lower cons of quitting were related to smoking cessation.

Conclusions: Implications for the implementation of smoking cessation behavioral treatments in the oncologic context are discussed, as are directions for future research in this area.

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