Aversive smoking using printed instructions and audiotape adjuncts

Abstract

Two promising comprehensive smoking cessation programs emphasizing aversive smoking and self-management were tested using a modified format with reduced supervision. The aversive smoking procedures-rapid smoking (RS) or regular-paced aversive smoking RPAS)—were presented via audiotaped instructions practiced entirely in clients' homes as were the instructions for deep muscular relaxation. Meetings with the consultant were designed for discussion of problems and progress with the home-practice guided by audiotape and a printed workbook. Results of the 6-week program showed significant benefits at termination by both programs (RS=56.3% abstinence and RPAS=71.4% abstinence) with some recovery of baseline at the 8-month follow-up (RS=37.5% abstinence and RPAS=28.6% abstinence). A no-treatment comparison group was found to be smoking significantly more cigarettes at a time corresponding to termination (0% abstinent) but unexplained quitting in this group resulted in a nonsignificant difference at the follow-up (11.8%). Implications for community-based public health programs were explored.