Evidence map›Paper›PMID 25462659›Full record

ArticleAddictive behaviors2015

Contingency management improves smoking cessation treatment outcomes among highly impulsive adolescent smokers relative to cognitive behavioral therapy.

Meghan E Morean, Grace Kong, Deepa R Camenga, Dana A Cavallo, Kathleen M Carroll, Brian Pittman, Suchitra Krishnan-Sarin

Open access · greenAbstract readComparative Study
In one paragraph

Article in Addictive behaviors, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 pooled it
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. A scoping review and meta-analysis of psychosocial and pharmacological treatments for cannabis and tobacco use among African Americans.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2017
    Pooled it
  2. Tobacco cessation interventions for young people.The Cochrane database of systematic reviews · 2017
    Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Review
  9. Article
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  12. A Self-Reflection Program for Smoking Cessation in Adolescents: A Phenomenological Study.International journal of environmental research and public health · 2020
    Article
  13. Review
  14. Article
  15. Article
  16. Article
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  18. Article
  19. Withdrawal-Related Changes in Delay Discounting Predict Short-Term Smoking Abstinence.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2017
    Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Meghan E MoreanDepartment of Psychology, Oberlin College, 120 West Lorain Street, Oberlin, OH 44074, United States; Department of Psychiatry, Yale University School of Medicine, 34 Park Street, New Haven, CT 06519, United States. Electronic address: meghan.morean@gmail.com.
Grace KongDepartment of Psychiatry, Yale University School of Medicine, 34 Park Street, New Haven, CT 06519, United States.
Deepa R CamengaDepartment of Pediatrics, Yale University School of Medicine, 1 Long Wharf, New Haven, CT 06519, United States.
Dana A CavalloDepartment of Psychiatry, Yale University School of Medicine, 34 Park Street, New Haven, CT 06519, United States.
Kathleen M CarrollDepartment of Psychiatry, Yale University School of Medicine, 950 Campbell Avenue, MIRECC 151D, West Haven, CT 06516, United States.
Brian PittmanDepartment of Psychiatry, Yale University School of Medicine, 34 Park Street, New Haven, CT 06519, United States.
Suchitra Krishnan-SarinDepartment of Psychiatry, Yale University School of Medicine, 34 Park Street, New Haven, CT 06519, United States.
Yale University · US

Funding

TSF to enhance treatment of cocaine dependenceP50DA009241 · NIDA · YALE UNIVERSITY · PI CARROLL, KATHLEEN M. · 1994 to 2018
$40.5M
NIDA NIH HHS P50 DA009241NIDA NIH HHS P50DA009241
6 · The paper itself

Abstract

backgroundImpulsive adolescents have difficulty quitting smoking. We examined if treatments that provide behavioral incentives for abstinence improve treatment outcomes among impulsive adolescent smokers, who have been shown to be highly sensitive to reward.

methodsWe ran secondary data analyses on 64 teen smokers (mean age=16.36 [1.44]; cigarettes/day=13.97 [6.61]; 53.1% female; 90.6% Caucasian) who completed a four-week smoking cessation trial to determine whether impulsive adolescents differentially benefit from receiving cognitive behavioral therapy (CBT), contingency management (CM), or the combination of the two (CM/CBT). Indices of treatment efficacy included self-report percent days abstinent and end of treatment biochemically-confirmed 7-day point prevalence abstinence (EOT abstinence). We assessed self-reported impulsivity using the Brief Barratt Impulsiveness Scale. We used univariate Generalized Linear Modeling to examine main effects and interactions of impulsivity and treatment condition as predictors of self-reported abstinence, and exact logistic regression to examine EOT abstinence.

resultsCM/CBT and CM were comparably effective in promoting abstinence, so analyses were conducted comparing the efficacy of CBT to treatments with a CM component (i.e., CM and CM/CBT). CBT and deficient self-regulation predicted lower self-reported abstinence rates within the total analytic sample. Treatments containing CM were more effective than CBT in predicting 1) self-reported abstinence among behaviorally impulsive adolescents (% days abstinent: CM 77%; CM/CBT 81%; CBT 30%) and 2) EOT point prevalence abstinence among behaviorally impulsive adolescents and adolescents with significant deficits in self-regulation.

conclusionCM-based interventions may improve the low smoking cessation rates previously observed among impulsive adolescent smokers.

Indexed as

Impulsive BehaviorAdolescentBehavior TherapyCognitive Behavioral TherapyFemaleHumansLinear ModelsLogistic ModelsMaleSmokingSmoking CessationTreatment OutcomeAdolescentCognitive behavioral therapyContingency managementImpulsivitySmoking cessation

Identifiers

PMID25462659
PMCPMC4285343
OpenAlexW2039040917

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.