TY - JOUR
T1 - A Randomized Clinical Trial of a Palmtop Computer-Delivered Treatment for Smoking Relapse Prevention Among Women
AU - Wetter, David W.
AU - McClure, Jennifer B.
AU - Cofta-Woerpel, Ludmila
AU - Costello, Tracy J.
AU - Reitzel, Lorraine R.
AU - Businelle, Michael S.
AU - Cinciripini, Paul M.
PY - 2011/6
Y1 - 2011/6
N2 - Relapse is the rule rather than the exception among smokers attempting to quit, and compared to men, women may have higher relapse rates. The current study was a randomized clinical trial testing a palmtop computer-delivered treatment (CDT) for smoking relapse prevention among women. The intervention was individualized based on key theoretical constructs that were measured using ecological momentary assessment (EMA). All participants (N = 302) received standard smoking cessation treatment consisting of nicotine replacement therapy and group counseling, and completed EMA procedures for one week after quitting. At the completion of the group counseling sessions and EMA procedures, participants were randomized to either CDT or no further computer-delivered treatment or assessment (EMA-Only). CDT participants received a palmtop computer-delivered relapse prevention treatment for one additional month. CDT did not improve abstinence rates relative to EMA-Only. Process analyses suggested that heavier smokers were more likely to use CDT and that greater use among CDT participants may be associated with more positive outcomes. The rapid pace of technological advances in mobile computer technology and the ubiquity of such devices provide a novel platform for developing new and potentially innovative treatments. However, the current study did not demonstrate the efficacy of such technology in improving treatment outcomes.
AB - Relapse is the rule rather than the exception among smokers attempting to quit, and compared to men, women may have higher relapse rates. The current study was a randomized clinical trial testing a palmtop computer-delivered treatment (CDT) for smoking relapse prevention among women. The intervention was individualized based on key theoretical constructs that were measured using ecological momentary assessment (EMA). All participants (N = 302) received standard smoking cessation treatment consisting of nicotine replacement therapy and group counseling, and completed EMA procedures for one week after quitting. At the completion of the group counseling sessions and EMA procedures, participants were randomized to either CDT or no further computer-delivered treatment or assessment (EMA-Only). CDT participants received a palmtop computer-delivered relapse prevention treatment for one additional month. CDT did not improve abstinence rates relative to EMA-Only. Process analyses suggested that heavier smokers were more likely to use CDT and that greater use among CDT participants may be associated with more positive outcomes. The rapid pace of technological advances in mobile computer technology and the ubiquity of such devices provide a novel platform for developing new and potentially innovative treatments. However, the current study did not demonstrate the efficacy of such technology in improving treatment outcomes.
KW - Computer-delivered treatment
KW - Relapse prevention
KW - Smoking cessation
KW - Women
UR - http://www.scopus.com/inward/record.url?scp=79959321684&partnerID=8YFLogxK
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U2 - 10.1037/a0022797
DO - 10.1037/a0022797
M3 - Article
C2 - 21500879
AN - SCOPUS:79959321684
SN - 0893-164X
VL - 25
SP - 365
EP - 371
JO - Psychology of Addictive Behaviors
JF - Psychology of Addictive Behaviors
IS - 2
ER -