Cognitive behavioral skills training seeks to help people build skills for quitting and preventing relapse through counseling strategies that emphasize practical tools, such as self-talk strategies, ways to cope with stress and smoking triggers, and collaborating on a plan for quitting. "While motivational interviewing increases a person's motivation to quit, cognitive behavioral skills training gives them the resources and the confidence they need to be successful," Kealey said.
Adolescent smoking cessation studies conducted in the past 20 years have been largely unsuccessful in getting teens to quit. These studies have identified significant challenges. To date, only two other randomized controlled trials with smaller numbers of teen smokers than the Hutchinson Study and conducted in medical settings have shown promise in achieving significant teen quit rates.
So what makes the Hutchinson Study so effective? The researchers hypothesize that the reason is threefold:
The intervention was proactive, reaching out and engaging teens "Past research has shown that, for a multitude of reasons, many teen smokers do not seek out help with quitting. However, our study demonstrates that if we reach out to teens, without pressuring them to quit, many will talk to counselors about their smoking and some of those teens will decide to quit," Peterson said.
The counseling was offered by telephone "This allowed for private, confidential, one-to-one counseling and allowed the counselors to explore and focus on issues specific to the individual smoker," he said. Telephone counseling also gave teens control over the timing and length of the counseling sessions.
The counselors used motivational interviewing techniques in all communications with the teens "It seemed quite appropriate for us to test this deferential strategy in
|Contact: Kristen Woodward|
Fred Hutchinson Cancer Research Center