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Co-Directors: Varda Shoham &
Michael
Rohrbaugh |
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Family Consultation
(FAMCON) for Change-Resistant Smokers |
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National Institute on Drug Abuse (NIDA) |
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Grant # R21 DA13121 |
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Principal Investigator: |
Varda Shoham, Ph.D. Department of Psychology University of Arizona |
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Co-Principal Investigator: |
Michael J. Rohrbaugh, Ph.D. Department of Psychology University of Arizona |
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Co-Investigators: |
Myra Muramoto, M.D. Family and Community Medicine University of Arizona |
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Rodney Cate, Ph.D. Family and Consumer Science University of Arizona |
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Please do not
quote or cite without permission |
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Abstract |
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Although spousal support predicts the success of a smoker's
cessation efforts, "social support" interventions based on teaching
partners better support skills have had consistently disappointing results.
We examined the potential utility of a family-consultation (FAMCON)
intervention based on family-systems principles in a treatment-development
project involving 20 couples in which one partner (the primary smoker)
continued to smoke despite having or being at significant risk for heart or
lung disease. The 50% rate of stable abstinence achieved by primary smokers
over at least 6 months exceeds benchmark success rates reported in the
literature for other, comparably intensive interventions, suggesting that a
couple-focused intervention different in concept and format from social-support
interventions tested in the past may hold promise for health-compromised
smokers. The FAMCON approach appeared particularly well-suited to female
smokers and smokers whose partner also smoked – two sub-groups at high
risk for relapse. |
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Cessation Outcomes by Smoking
Status and Follow-up Interval |
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Follow-up interval |
Primary smokers (n=20) |
Secondary smokers (n=8) |
All
smokers (n=28) |
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30-day abstinence
(point prevalence) |
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1 month |
55% |
75% |
61% |
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6 months |
50 |
63 |
54 |
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12 months |
40 |
63 |
46 |
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Percent abstinent days
during follow-up interval |
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1 month |
M = 65 (SD = 43) |
M = 75 (SD = 46) |
M = 68 (SD = 43) |
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6 months |
53 (46) |
73 (46) |
58 (46) |
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12 months |
48 (47) |
68 (47) |
54 (47) |
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12-month point-prevalence cessation rates by gender and
partner smoking status (all smokers) |
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