Titre : | Smoking cessation in methadone maintenance |
Titre traduit : | (Arrêt du tabac au cours d'un traitement de maintenance à la méthadone.) |
Auteurs : | S. SHOPTAW ; E. ROTHERAM-FULLER ; X. YANG ; FROSCH D. ; NAHOM D. ; JARVIK M. E. ; R. A. RAWSON ; W. LING |
Type de document : | Périodique |
Année de publication : | 2002 |
Format : | 1317-1328 / fig. ; tabl. |
Note générale : |
Addiction, 2002, 97, (10), 1317-1328 |
Langues: | Anglais |
Discipline : | TRA (Traitement et prise en charge / Treatment and care) |
Mots-clés : |
Thésaurus mots-clés ARRET DU TABAC ; TABAC ; ABSTINENCE ; TRAITEMENT DE MAINTENANCE ; METHADONE ; THERAPIE COMPORTEMENTALE ; SUBSTITUTS NICOTINIQUES ; EFFICACITE ; COMPARAISON |
Résumé : |
FRANÇAIS : L'étude compare chez 175 patients de 3 centres de traitement méthadone de Los Angeles l'efficacité de 4 protocoles de traitement de désintoxication du tabac : patch nicotinique seul ou patch associé à un programme comportemental de prévention de la rechute ou à un programme de gestion des contingences (fondé sur le principe de la récompense) ou aux 2 programmes. La gestion des contingences augmente les résultats des traitements substitutifs à la nicotine, mais ses effets ne durent pas à long terme. D'autre part, il existe un lien entre la réduction de consommation de cigarettes et la réduction de consommation de drogues au cours du traitement. ENGLISH : Aims: To evaluate relapse prevention (relapse prevention) and contingency management (contingency management) for optimizing smoking cessation outcomes using nicotine replacement therapy for methadone-maintained tobacco smokers. Design: Experimental, 2 (relapse prevention)x2 (contingency management) repeated measures design using a platform of nicotine replacement therapy featuring a 2-week baseline period, followed by randomization to 12 weeks of treatment, and 6- and 12-month follow-up visits. Setting: Three narcotic treatment Centers in Los Angeles. Participants: One hundred and seventy-five participants who met all inclusion and no exclusion criteria. Intervention: Participants received 12 weeks of nicotine replacement therapy and assignment to one of four conditions: patch-only, relapse prevention + patch, contingency management + patch and relapse prevention + contingency management + patch. Measurements: Thrice weekly samples of breath (analyzed for carbon monoxide) and urine (analyzed for metabolites of opiates and cocaine) and weekly self-reported numbers of cigarettes smoked. Findings: Participants (73.1%) completed 12 weeks of treatment. During treatment, those assigned to receive contingency management showed statistically higher rates of smoking abstinence than those not assigned to receive contingencies (F 3,4680 = 6.3, P = 0.0003), with no similar effect observed for relapse prevention. At follow-up evaluations, there were no significant differences between conditions. Participants provided more opiate and cocaine-free urines during weeks when they met criteria for smoking abstinence than during weeks when they did not meet these criteria (F 1,2054 = 14.38, P=0.0002; F 1,2419 = 16.52, P |
Note de contenu : | fig. ; tabl. |
Domaine : | Tabac / Tobacco / e-cigarette |
Refs biblio. : | 81 |
Affiliation : |
Friends Res. Inst., 11075 Santa Monica Blvd, Suite 200, Los Angeles, CA 90025 Etats-Unis. United States. |
Numéro Toxibase : | 206388 |
Centre Emetteur : | 02 Coordonnateur |
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