Detecting smoking following smoking cessation treatment.

Abstract:

:Our study compared the results of self-report (SR) plus breath carbon monoxide (CO) monitoring to SR plus urine cotinine (COT) analysis of recent tobacco use for a recently completed smoking cessation study that compared the efficacy of different intensities of psychosocial treatments coupled with 8 weeks of patch treatment. Treatment outcomes were assessed 9, 26, and 52 weeks from treatment initiation in 200+ patients using both measurement types. COT was able to detect self-reported smoking in over 97% of the cases at all time points, while CO detected self-reported smoking 62, 84, and 89% of the time for the three follow-up assessments. Under 2% of those reporting nonsmoking were found to be smoking via CO, whereas COT found smoking to have occurred for 23, 15, and 7% of the 'nonsmoking' SRs at the three time points. Abstinence rates using SR plus CO were 49, 29, and 26%, contrasted with abstinence rates of 38, 26, and 25% for SR plus COT. These findings suggest that use of urine analysis for COT may lead to more accurate but lowered measured abstinence rates.

journal_name

Drug Alcohol Depend

authors

Gariti P,Alterman AI,Ehrman R,Mulvaney FD,O'Brien CP

doi

10.1016/s0376-8716(01)00162-4

keywords:

subject

Has Abstract

pub_date

2002-01-01 00:00:00

pages

191-6

issue

2

eissn

0376-8716

issn

1879-0046

pii

S0376871601001624

journal_volume

65

pub_type

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