Voucher-based contingency management and in-treatment behaviors in smoking cessation treatment

  1. Carla López-Núñez 1
  2. Víctor Martínez-Loredo 1
  3. Sara Weidberg 1
  4. Irene Pericot-Valverde 1
  5. Roberto Secades-Villa 1
  1. 1 Universidad de Oviedo
    info

    Universidad de Oviedo

    Oviedo, España

    ROR https://ror.org/006gksa02

Revista:
International journal of clinical and health psychology

ISSN: 1697-2600

Año de publicación: 2016

Volumen: 16

Número: 1

Páginas: 30-38

Tipo: Artículo

DOI: 10.1016/J.IJCHP.2015.05.003 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: International journal of clinical and health psychology

Resumen

Un alto porcentaje de pacientes recae en cuestión de meses después de un intento para dejar de fumar. Por esta razón, es necesaria una mayor comprensión de los determinantes del éxito para dejar de fumar. Este estudio evaluó el efecto del Manejo de Contingencias (MC) combinado con un Tratamiento Cognitivo-Conductual (TCC) sobre ciertas conductas intra-tratamiento (tasas de retención, abstinencia durante el tratamiento y reducción semanal de los niveles de cotinina) y examinó los efectos de estas conductas sobre el consumo de tabaco a los 6 meses de seguimiento. Un total de 154 pacientes que buscaban tratamiento en un entorno comunitario fueron asignados aleatoriamente a TCC, TCC más MC para Abstinencia (MCA) o TCC más MC con Moldeamiento (MCM). Ambos procedimientos de TCC + MC mejoraron las conductas intra-tratamiento en comparación con TCC solo. Estas conductas (particularmente abstinencia durante el tratamiento) se asociaron con la abstinencia a largo plazo. El efecto del MC sobre las conductas intra-tratamiento puede explicar parcialmente los resultados positivos a largo plazo de este procedimiento. Nuestros hallazgos amplían el conocimiento previo acerca del efecto del MC sobre la conducta de fumar.

Información de financiación

Work on this manuscript was supported by the Spanish Ministry of Science and Innovation (MICINN) Grant (PSI2011-22804) and by the Predoctoral Grants BP12-037 and BP11-031, from the Foundation for the Promotion of Applied Scientific Research and Technology in Asturias (FICYT) and BES-2012-053988, from the Spanish Ministry of Economy and Competitiveness.

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