期刊
DRUG AND ALCOHOL DEPENDENCE
卷 128, 期 1-2, 页码 171-174出版社
ELSEVIER IRELAND LTD
DOI: 10.1016/j.drugalcdep.2012.08.010
关键词
Smoking cessation; Tobacco; Relapse; Harm reduction
资金
- US National Institute on Drug Abuse [1R01 DA025089]
- National Institute on Health
- Pfizer
- Alere
- American Academy of Addiction Psychiatry
- American Psychiatric Association
- American Psychiatric Institute for Research and Education
- Cambridge Hospital
- Dartmouth College
- Dartmouth-Hitchcock
- DLA Piper
- Embera
- Embrex
- Equinox
- European Respiratory Society
- Free and Clear
- Glaxo-Smith Kline
- Golin Harris
- Health-wise
- Integrated Communication
- Maine Health
- McGill University Medical School, McNeil Pharmaceuticals
- Medical University of South Carolina
- Novartis Pharmaceuticals
- Ottawa Heart Institute, Pfizer Pharmaceuticals
- Propagate Pharmaceuticals
- Scientia
- Selecta
- University of Arkansas for Medical Sciences
- University of California-San Francisco
- University of Medicine and Dentistry of New Jersey
- University of Wisconsin
- US National Institutes of Health
- Wolters Publishing
Background: In a prior study, we found changing tobacco use was more complex than previously thought, with users often transitioning between intending to quit and not intending to quit, and among typical use, abstinence, and reduction, on multiple occasions. The current study attempted to replicate those results. Methods: A convenience sample of 40 tobacco smokers who intended to quit within the next 3 months called in nightly for 28 days to an interactive voice response system to report cigs/day and daily intentions to smoke or not for the next day. We provided no treatment. Results: Within the month of the study, 32% of smokers had multiple episodes of intentions to not smoke, and 64% transitioned among smoking as usual, abstinence, and reduction status on multiple occasions. When participants reported that they intended not to smoke the next day, 56% of the time they did not make a quit attempt the next day. Just under half (44%) of quit attempts occurred on days with no intentions to quit the night before. Most quit attempts (69%) lasted less than a day. Reduction in cigs/day was as common as abstinence. Conclusions: Our prospective results replicated retrospective findings that most attempts to stop smoking result in a complex pattern of changes in smoking. These results suggest treatments should accommodate (a) multiple quit attempts over a short period, (b) reduction episodes, (c) unplanned quit attempts, and (d) immediate relapse. (C) 2012 Elsevier Ireland Ltd. All rights reserved.
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