Table 2 Summary of session-by-session outline of intervention procedures
Ss | Cognitive-behavioral Smoking Cessation Treatment (CBSCT) | CBSCT + Behavioral Activation |
|---|---|---|
1 | Overview of treatment Smoking cessation treatment rationale Review self-monitoring (tracking cigarettes and smoking antecedents and consequences) Indications about how to graphically represent the No. of cigarettes/day Reasons for smoking and for quitting Discuss smoking history and quit experiences Explain and provide written materials about tobacco, nicotine dependence, smoking health consequences and quit smoking benefits Explain nicotine fading through brand change Physiological feedback (CO) As homework: - Brand change - Communicate to at least one person [family, friend, coworker, etc.) that he/she is trying to quit smoking in the next 30 days - Not smoke more cigarettes than the average of those smoked the previous week - Leave a third of the cigarette without smoking - Refuse cigarette offers | Overview of treatment Smoking cessation treatment rationale Review self-monitoring (tracking cigarettes and smoking antecedents and consequences) Indications about how to graphically represent the No. of cigarettes/day Reasons for smoking and for quitting Discuss smoking history and quit experiences Explain and provide written materials about tobacco, nicotine dependence, smoking health consequences and quit smoking benefits Explain nicotine fading through brand change Physiological feedback (CO) As homework: - Brand change - Communicate to at least one person (family, friend, coworker, etc.) that he/she is trying to quit smoking in the next 30 days - Not smoke more cigarettes than the average of those smoked the previous week - Leave a third of the cigarette without smoking - Refuse cigarette offers |
2 | Check homework and nicotine fading compliance Continue smoking self-monitoring and analyze smoking behavior during the week Physiological feedback (CO) Discuss brand change difficulties New brand change and reduce No. of cigarettes Review importance of social support Introduce stimulus control technique to remove situations conditioned to smoking Nicotine withdrawal and strategies to avoid it Breathing exercises and relaxation techniques (practice as homework) | Check homework and nicotine fading compliance Continue smoking self-monitoring and analyze smoking behavior during the week Physiological feedback (CO) Discuss brand change difficulties New brand change and reduce No. of cigarettes Review importance of social support Introduce stimulus control technique to remove situations conditioned to smoking Nicotine withdrawal and strategies to avoid it Breathing exercises and relaxation techniques (practice as homework) |
3 | Check nicotine fading, cigarette reduction and stimulus control compliance Check breathing exercises compliance and strategies to avoid withdrawal symptoms Physiological feedback (CO) Continue cigarette self-monitoring and analyze smoking behavior New brand change and reduce No. of cigarettes Continue stimulus control technique Explain and provide written materials for weight control and exercise Continue with breathing exercises and strategies to avoid withdrawal symptoms | Check nicotine fading, cigarette reduction and stimulus control compliance Check breathing exercises compliance and strategies to avoid withdrawal symptoms Physiological feedback (CO) Continue cigarette self-monitoring and analyze smoking behavior New brand change and reduce No. of cigarettes Continue stimulus control technique Explain and provide written materials for weight control and exercise Continue with breathing exercises compliance and strategies to avoid withdrawal symptoms Rationale of mood influence in smoking cessation [provide written materials) Homework: daily activities self-monitoring |
4 | Check nicotine fading, cigarette reduction and stimulus control compliance Check breathing exercises compliance and strategies to avoid withdrawal symptoms Physiological feedback (CO) Continue smoking self-monitoring and analyze smoking behavior New brand change and reduction of No. of cigarettes Continue stimulus control technique Stress and anxiety management strategies Problem-solving training | Check nicotine fading, cigarette reduction and stimulus control compliance Check breathing exercises compliance and strategies to avoid withdrawal symptoms Physiological feedback (CO) Continue smoking self-monitoring and analyze smoking behavior New brand change and reduction of No. of cigarettes Continue stimulus control technique Stress and anxiety management strategies Check activity scheduling and encourage recognizing patterns of depressed behavior and the way in which engaging in enjoyable and important activities may impact their overall mood Homework: continue activity scheduling, create a pleasant activities list and choose one to do during the week |
5 | Check nicotine fading, cigarette reduction, and stimulus control compliance Physiological feedback (CO) Continue smoking self-monitoring and analyze smoking behavior New brand change and reduction of No. of cigarettes Management of anxiety and anger Self-reinforcing Changing tobacco-related misconceptions | Check nicotine fading, cigarette reduction, and stimulus control compliance Check activity scheduling, pleasant activities list elaboration, and pleasant activity compliance Physiological feedback (CO) Continue smoking self-monitoring and analyze smoking behavior New brand change and reduction of No. of cigarettes Management of anxiety and anger Self-reinforcing Changing tobacco-related misconceptions Problem-solving training Recognize avoidance behavior and impact on mood Activity scheduling and engagement in 2 pleasant activities/week |
6 | Quitting experience and withdrawal symptoms Physiological feedback (CO) Discuss and plan for high-risk lapse and relapse situations Motivating factors for maintaining abstinence Benefits of quitting smoking Common barriers for maintaining abstinence | Quitting experience and withdrawal symptoms Physiological feedback (CO) Discuss and plan for high-risk lapse and relapse situations Motivating factors for maintaining abstinence Benefits of quitting smoking Common barriers for maintaining abstinence Ruminative thoughts, smoking cessation process, and relapse Check activity scheduling and pleasant activity compliance Activity scheduling for the next week and engagement in 2 pleasant activities/week |
7 | Quitting experience and withdrawal symptoms Physiological feedback (CO) Discuss and plan for high-risk lapse and relapse situations Motivating factors for maintaining abstinence Benefits of quitting smoking Strategies for relapse prevention | Quitting experience and withdrawal symptoms Physiological feedback (CO) Discuss and plan for high-risk lapse and relapse situations Motivating factors for maintaining abstinence Benefits of quitting smoking Review how behavioral activation impacts their overall mood Review avoidance behavior and ruminative thoughts’ significance Strategies for relapse prevention |
8 | Physiological feedback (CO) Managing the future as ex-smokers Encouragement for abstinence maintenance Support for lapses and relapse Review motivating factors, lifestyle changes, physical and cognitive-behavioral health improvement Treatment conclusion and management of potential obstacles | Physiological feedback (CO) Managing the future as ex-smokers Encouragement for abstinence maintenance Support for lapses and relapse Review motivating factors, lifestyle changes, physical and cognitive-behavioral health improvement Review BA strategies Treatment conclusion and management of potential obstacles |