Behaviour therapy versus doctor's anti-smoking advice in diabetic patients

J Intern Med. 1993 Oct;234(4):407-9. doi: 10.1111/j.1365-2796.1993.tb00763.x.


Objectives: To evaluate the efficacy of a structured behaviour therapy programme on smoking cessation in diabetic patients.

Design: Prospective, randomized, controlled intervention study.

Setting: University out-patient diabetes clinic.

Subjects: A total of 794 consecutive insulin-treated smoking diabetic patients were invited to participate in a smoking cessation programme. Eighty-nine patients agreed to participate and were randomized in two groups.

Interventions: Forty-four patients were randomized to a structured extensive behaviour therapy anti-smoking intervention and 45 patients to a control group that received a single unstructured anti-smoking advice session given by a physician.

Main outcome measures: After 6 months, nine patients were confirmed not to be smoking (i.e. urine cotinine concentration below 20 ng ml-1, 2 [5%] in the behaviour therapy intervention group and 7 [16%] in the control group.

Conclusions: In diabetic patients an extensive behaviour therapy intervention for smoking cessation is no more successful than an unstructured physician's advice.

Publication types

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

MeSH terms

  • Adult
  • Behavior Therapy*
  • Counseling*
  • Diabetes Complications*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Prospective Studies
  • Smoking Cessation
  • Tobacco Use Disorder / complications
  • Tobacco Use Disorder / therapy*
  • Treatment Outcome