A controlled smoking cessation trial for substance-dependent inpatients

J Consult Clin Psychol. 2001 Apr;69(2):295-304. doi: 10.1037//0022-006x.69.2.295.


Smoking treatment for newly recovering drug and alcohol-dependent smokers in a residential rehabilitation program was examined. The randomly assigned conditions (n = 50 each) were multicomponent smoking treatment (MST), MST plus generalization training of smoking cessation to drug and alcohol cessation (MST+G), or usual care (UC). Fifty participants who declined smoking treatment (treatment refusers) also were studied. Both treatment conditions achieved continuous smoking abstinence rates (MST: 12%, MST+G: 10%, at 12-month follow-up) that were significantly higher than in the UC condition (0%). The MST condition had a continuous drug and alcohol abstinence rate that was significantly higher than that of the MST+G condition (40% vs. 20% at 12-month follow-up) although neither differed significantly from that of the UC condition (33%). These results support the feasibility of smoking treatment for this population and provide information regarding appropriate treatment components.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Alcoholism / psychology
  • Alcoholism / rehabilitation*
  • Cocaine-Related Disorders / psychology
  • Cocaine-Related Disorders / rehabilitation
  • Combined Modality Therapy
  • Female
  • Humans
  • Ill-Housed Persons / psychology
  • Male
  • Middle Aged
  • Outcome and Process Assessment, Health Care
  • Patient Admission
  • Smoking Cessation / psychology*
  • Substance-Related Disorders / psychology
  • Substance-Related Disorders / rehabilitation*
  • Veterans / psychology