Cognitive-Behavioral Therapy to Promote Smoking Cessation Among African American Smokers: A Randomized Clinical Trial

Monica W Hooper, Denise Rodríguez de Ybarra, Elizabeth A. Baker, Isildinha Reis, Michael P. Carey

Research output: Contribution to journalArticle

42 Citations (Scopus)

Abstract

Objective: The health consequences of tobacco smoking disproportionately affect African Americans, but research on whether efficacious interventions can be generalized to this population is limited. This study examined the efficacy of group-based cognitive-behavioral therapy (CBT) for smoking cessation among African Americans. Method: Participants (N = 154; 65% female, M = 44 years old, mean cigarettes/day = 13) were randomly assigned to either (a) group CBT or (b) group general health education (GHE). Participants in both conditions received 6 sessions of counseling and 8 weeks of transdermal nicotine patches. The primary outcome variable was 7-day point prevalence abstinence (ppa), assessed at the end of counseling (2 weeks) and at 3- and 6-month follow-ups. Secondary outcomes included 24-hr ppa and 28-day continuous abstinence (assessed at 3 and 6 months). Results: Intent-to-treat analyses demonstrated the hypothesized effects, such that 7-day ppa was significantly greater in the CBT than the GHE condition at the end of counseling (51% vs. 27%), at 3 months (34% vs. 20%), and at 6 months (31% vs. 14%). Results of a generalized linear mixed model demonstrated a significant effect of CBT versus GHE on 7-day ppa (odds ratio = 2.57, 95% CI [1.40, 4.71] and also an effect of time (p < .002). The Condition × Time interaction was not significant. Similar patterns of results emerged for 24-hour ppa and 28-day continuous abstinence. Results from per protocol analyses (i.e., participants who completed all aspects of the study) corroborate the intent-to-treat findings. Conclusions: These results demonstrate that intensive, group CBT smoking cessation interventions are efficacious among African American smokers.

Original languageEnglish
Pages (from-to)24-33
Number of pages10
JournalJournal of Consulting and Clinical Psychology
Volume78
Issue number1
DOIs
StatePublished - Feb 1 2010

Fingerprint

Cognitive Therapy
Smoking Cessation
African Americans
Randomized Controlled Trials
Health Education
Counseling
Tobacco Use Cessation Products
Tobacco Products
Linear Models
Smoking
Odds Ratio
Health
Research
Population

Keywords

  • African American
  • cognitive-behavioral therapy
  • randomized controlled trial
  • smoking
  • smoking cessation

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology

Cite this

Cognitive-Behavioral Therapy to Promote Smoking Cessation Among African American Smokers : A Randomized Clinical Trial. / Hooper, Monica W; de Ybarra, Denise Rodríguez; Baker, Elizabeth A.; Reis, Isildinha; Carey, Michael P.

In: Journal of Consulting and Clinical Psychology, Vol. 78, No. 1, 01.02.2010, p. 24-33.

Research output: Contribution to journalArticle

Hooper, Monica W ; de Ybarra, Denise Rodríguez ; Baker, Elizabeth A. ; Reis, Isildinha ; Carey, Michael P. / Cognitive-Behavioral Therapy to Promote Smoking Cessation Among African American Smokers : A Randomized Clinical Trial. In: Journal of Consulting and Clinical Psychology. 2010 ; Vol. 78, No. 1. pp. 24-33.
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