Randomized trial of telephone-delivered acceptance and commitment therapy versus cognitive behavioral therapy for smoking cessation: a pilot study

Journal Article

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Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco

Nicotine Tob.Res.

Nov

1446

1454

LR: 20151101; CI: (c) The Author 2014; GR: K23 DA026517/DA/NIDA NIH HHS/United States; GR: K23DA026517/DA/NIDA NIH HHS/United States; GR: R01 CA151251/CA/NCI NIH HHS/United States; GR: R01 CA166646/CA/NCI NIH HHS/United States; GR: R01CA151251/CA/NCI NIH

England

1469-994X; 1462-2203

PMID: 24935757

eng

Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural; IM

10.1093/ntr/ntu102 [doi]

Unknown(0)

24935757

OBJECTIVE: We conducted a pilot randomized trial of telephone-delivered acceptance and commitment therapy (ACT) versus cognitive behavioral therapy (CBT) for smoking cessation. METHOD: Participants were 121 uninsured South Carolina State Quitline callers who were adult smokers (at least 10 cigarettes/day) and who wanted to quit within the next 30 days. Participants were randomized to 5 sessions of either ACT or CBT telephone counseling and were offered 2 weeks of nicotine replacement therapy (NRT). RESULTS: ACT participants completed more calls than CBT participants (M = 3.25 in ACT vs. 2.23 in CBT; p = .001). Regarding satisfaction, 100% of ACT participants reported their treatment was useful for quitting smoking (vs. 87% for CBT; p = .03), and 97% of ACT participants would recommend their treatment to a friend (vs. 83% for CBT; p = .06). On the primary outcome of intent-to-treat 30-day point prevalence abstinence at 6 months postrandomization, the quit rates were 31% in ACT versus 22% in CBT (odds ratio [OR] = 1.5, 95% confidence interval [CI] = 0.7-3.4). Among participants depressed at baseline (n = 47), the quit rates were 33% in ACT versus 13% in CBT (OR = 1.2, 95% CI = 1.0-1.6). Consistent with ACT's theory, among participants scoring low on acceptance of cravings at baseline (n = 57), the quit rates were 37% in ACT versus 10% in CBT (OR = 5.3, 95% CI = 1.3-22.0). CONCLUSIONS: ACT is feasible to deliver by phone, is highly acceptable to quitline callers, and shows highly promising quit rates compared with standard CBT quitline counseling. As results were limited by the pilot design (e.g., small sample), a full-scale efficacy trial is now needed.

. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco

Bricker,J.B., Bush,T., Zbikowski,S.M., Mercer,L.D., Heffner,J.L.

Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA; Department of Psychology, University of Washington, Seattle, WA; jbricker@fhcrc.org.; Alere Wellbeing, Seattle, WA.; Alere Wellbeing, Seattle, WA.; Division of Public

20140616

PMC4200023

http://vp9py7xf3h.search.serialssolutions.com/?charset=utf-8&pmid=24935757

2014