Voucher-based contingency management and in-treatment behaviors in smoking cessation treatment

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2016

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International Journal of Clinical and Health Psychology




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Carla López-Núñez et al., « Voucher-based contingency management and in-treatment behaviors in smoking cessation treatment », International Journal of Clinical and Health Psychology, ID : 10670/1.hdpklj


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"A high percentage of patients relapse within months following an attempt to quitsmoking. For this reason, greater understanding of the determinants of successful smokingcessation is needed. The present study assessed the effect of Contingency Management (CM)combined with Cognitive-Behavioral Treatment (CBT) on certain in-treatment behaviors (treatmentretention, in-treatment smoking abstinence, and weekly decrease of cotinine levels) andexamined the effects of these in-treatment behaviors on smoking status at a 6-month followup.A total of 154 treatment-seeking patients in a community setting were randomly assignedto a CBT, CBT plus CM for Abstinence (CMA) or to a CBT plus CM for Shaping cessation (CMS)group. Both CBT + CM procedures improved the in-treatment behaviors compared to CBT alone.These in-treatment behaviors (particularly in-treatment smoking abstinence) were associatedwith long-term abstinence. The effect of CM on in-treatment behaviors may partially explainthe positive long-term outcomes of this procedure. Our findings extend previous knowledgeabout the effect of CM on smoking behavior."

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