Ensaio clínico randomizado: Efetividade da abordagem cognitivo-comportamental e uso de adesivos transdérmicos de reposição de nicotina, na cessação de fumar, em adultos residentes no Município do Rio de Janeiro, Brasil

Translated title of the contribution: Randomized clinical trial: Effectiveness of the cognitive-behavioral approach and the use of nicotine replacement transdermal patches for smoking cessation among adults in Rio de Janeiro, Brazil

Ubirani Barros Otero, Cristina De Abreu Perez, Moysés Szklo, Gilcenira Ataliba Esteves, Mariana Marques De Pinho, André Salem Szklo, Silvana Rubano B. Turci

Research output: Contribution to journalArticlepeer-review

Abstract

Randomized clinical trial carried out to investigate the effectiveness of the cognitive-behavioral approach and nicotine replacement therapy with nicotine patches for smoking cessation. Participated 1,199 adults, volunteers, in Rio de Janeiro, Brazil, randomly assigned to 10 different groups: intensive brief counseling group (GB), with 1 or 2 sessions (G1-G2), and with 3 or 4 sessions (G3-G4), with/without nicotine replacement therapy (NRT). Abstinence proportions were estimated during 12 months. These proportions among participants not assigned to NRT were 20% (GB), 17% (G1-G2), and 23% (G3-G4); and among assigned NRT groups were 30% (GBA), 34% (G1A-G2A), and 33% (G3A-G4A). After multiple adjustments, the abstinence proportions ratios seemed to follow a "dose-response" pattern: compared to GB, the ratios were 0.85 (G1-G2), 1.13 (G3-G4), 1.51 (GBA), 1.66 (G1A-G2A), and 1.75 (G3A-G4A). The results suggest that use of NRT increases the abstinence proportion for cessation. The "dose-response" pattern suggests that cognitive-behaviorial could be the reasonable option in the smoking cessation therapy.

Translated title of the contributionRandomized clinical trial: Effectiveness of the cognitive-behavioral approach and the use of nicotine replacement transdermal patches for smoking cessation among adults in Rio de Janeiro, Brazil
Original languagePortuguese
Pages (from-to)439-449
Number of pages11
JournalCadernos de saude publica
Volume22
Issue number2
DOIs
StatePublished - Feb 2006

Keywords

  • Nicotine
  • Smoking
  • Smoking Cessation

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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