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

  • Robert A. Schnoll
  • Randi L. Rothman
  • Dustin B. Wielt
  • Holly Pedri
  • Hao Wang
  • James Babb
  • Suzanne M. Miller
  • Benjamin Movasas
  • Eric Sherman
  • John A. Ridge
  • Michael Unger
  • Corey Langer
  • Melvyn Goldberg
  • Walter Scott
  • Jonathan Cheng
  • Caryn Lerman
Article

DOI: 10.1207/s15324796abm3001_1

Cite this article as:
Schnoll, R.A., Rothman, R.L., Wielt, D.B. et al. ann. behav. med. (2005) 30: 1. doi:10.1207/s15324796abm3001_1

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.

Copyright information

© The Society of Behavioral Medicine 2005

Authors and Affiliations

  • Robert A. Schnoll
    • 1
  • Randi L. Rothman
    • 1
  • Dustin B. Wielt
    • 1
  • Holly Pedri
    • 1
  • Hao Wang
    • 1
  • James Babb
    • 1
  • Suzanne M. Miller
    • 1
  • Benjamin Movasas
    • 1
  • Eric Sherman
    • 1
  • John A. Ridge
    • 1
  • Michael Unger
    • 1
  • Corey Langer
    • 1
  • Melvyn Goldberg
    • 1
  • Walter Scott
    • 1
  • Jonathan Cheng
    • 1
  • Caryn Lerman
    • 3
  1. 1.Fox Chase Cancer CenterPhiladelphia
  2. 2.Division of Population ScienceFox Chase Cancer CenterCheltenham
  3. 3.Abramson Cancer CenterUniversity of PennsylvaniaUSA