Elsevier

Behavior Therapy

Volume 15, Issue 3, June 1984, Pages 234-248
Behavior Therapy

Nicotine gum and self-regulation training in smoking relapse prevention*,**

https://doi.org/10.1016/S0005-7894(84)80026-XGet rights and content

Participants were assigned randomly to one of three maintenance treatment conditions: 1—nicotine gum (n=22); 2—skills training (n=20); 3—combined (skills training + nicotine gum) (n=22). Prior to maintenance training, groups met on four consecutive days to receive aversion training and skills training. Those in Conditions 1 and 3 began using gum to manage withdrawal symptoms. During the maintenance phase, participants in Condition 1 attended a weekly 20 min drop-in clinic for 7 weeks to receive nicotine gum and complete assessments. Those in Conditions 2 and 3 received self-regulatory skills training. Abstinence rates at a 10.5 month follow-up were: Condition 1–23%; Condition 2–30%; Condition 3–50%. Expired air carbon monoxide (CO) and serum thiocyanate (SCN) levels verified participants' self-reports. Significant increases in perceived self-regulatory efficacy were observed from baseline to follow-up. Nicotine gum users reported less severe withdrawal symptoms than nonusers.

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    *

    This research was conducted by the first author in partial fulfillment of the Ph.D. requirements at Stanford University.

    **

    The study was supported by a gift from Merrell-Dow Pharmaceuticals Inc.

    1

    Dr. Killen was supported in part by NIH training grant HL07034.

    2

    The authors would like to thank the following persons for their help in conducting the study: Ted Fong, Fritz Bottjer, John Bachman, Ellie Gelb-Caustin, Shela Fisk, and Kim Bloomfield. The authors would like to thank the following persons for their helpful comments on the manuscript: John W. Farquhar, Stephen Fortmann, and Thomas Coates.

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