Titre : | A smoking cessation intervention for the methadone-maintained |
Titre traduit : | (Intervention pour l'arrêt du tabac dans le cadre d'un traitement de maintenance à la méthadone.) |
Auteurs : | M. D. STEIN ; M. C. WEINSTOCK ; B. H. HERMAN ; B. J. ANDERSON ; J. L. ANTHONY ; NIAURA R. |
Type de document : | Périodique |
Année de publication : | 2006 |
Format : | 599-607 / tabl. |
Note générale : |
Addiction, 2006, 101, (4), 599-607 |
Langues: | Anglais |
Discipline : | TRA (Traitement et prise en charge / Treatment and care) |
Mots-clés : |
Thésaurus mots-clés ARRET DU TABAC ; METHADONE ; TRAITEMENT DE MAINTENANCE ; THERAPIE COMPORTEMENTALE ; TABAC ; ABSTINENCE |
Résumé : |
ENGLISH : Aim To test, in combination with the nicotine patch, the incremental efficacy of a maximal, tailored behavioral treatment over a minimal treatment for smoking cessation. Design Randomized clinical trial with 6-month follow-up. Setting Five methadone maintenance treatment centers in Rhode Island. Participants Three hundred and eighty-three methadone-maintained smokers. Intervention Participants were assigned randomly to nicotine patch (812 weeks) plus either (1) a baseline tailored brief motivational intervention, a quit date behavioral skills counseling session and a relapse prevention follow-up session (Max) or (2) brief advice using the National Cancer Institute's 4 As model (Min). An intent-to-treat analysis with those lost to follow-up assumed to smoke was used. Measurements Carbon monoxide (CO)-confirmed 7-day point smoking cessation prevalence at 3 and 6 months, and self-reported numbers of cigarettes smoked per day. Findings Participants had a mean age of 40 years, were 53% male, 78% Caucasian, smoked 26.7 (+ 12.2) cigarettes/day and had a mean methadone dose of 95.5 mg. At 3 months, 317 (83%) were reinterviewed; at 6 months, 312 (82%) were reinterviewed. The intent-to-treat, 7-day point prevalence estimate of cessation was 5.2% in the Max group and 4.7% in the Min group (P = 0.81) at 6 months. In logistic models with treatment condition, age, gender, race, Fagerström Test for Nicotine Dependence and cigarettes per day as covariates, males were more likely to be abstinent at 3 months (OR 4.67; P = 0.003) and 6 months (OR 4.01; P = 0.015). Conclusion A tailored behavioral intervention did not increase quit rates over patch and minimal treatment. Smoking cessation rates in methadone-maintained smokers are low, with men having greater success. (Author' s abstract) |
Note de contenu : | tabl. |
Domaine : | Plusieurs produits / Several products |
Refs biblio. : | 38 |
Affiliation : |
Rhode Island Hospital, Div. of General Internal Medicine, Multiphasic Bldg, Room 146, 593 Eddy Street, Providence, RI 02903. Email : msteinlifespan.org Etats-Unis. United States. |
Numéro Toxibase : | 208806 |
Centre Emetteur : | 02 Coordonnateur |
Exemplaires
Disponibilité |
---|
aucun exemplaire |
Accueil