Smoking
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Having diagnosis of dependence Tobacco according to the DSM-5 V and the "Smoking Treatment Guide" by INCA; Want to quit smoking (the patient should be in the contemplation or action stage )
Exclusion criteria
Exclusion criteria: Patients with a mental disorder that compromises the decision making about treatment; patients who have criteria for abuse and / or dependence on other drugs that compromise the decision-making about treatment; patients who in the moment are in treatment for smoking (Patients transferred).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Absolute risk reduction (ARR) of nonadherent patients rate to cognitive behavioral therapy (CBT) using shared decision (intervention group) compared to the control group. They will be considered adherent patient at patients who participated in four sessions during four initial weeks (all sessions during the first 4 weeks) and at the end of 12 weeks more than 8 session (over 70% of sessions). With RAR, we will calculate the number needed to treat (NNT) to have one adherent patient to CBT. Absolute risk reduction (ARR) of cognitive behavioral therapy (CBT) dropout using shared decision (intervention group) compared to control group, will be declared as dropout if patients participate under 6 sessions (50% of CBT) in end of treatment. With RAR, we will calculate the number needed to treat (NNT) to have one patient that not dropout therapy. Absolute risk reduction (ARR) nonadherent patients to drug therapy, verified by Moriski Green Portuguese version scale, participants with score of 0 will be considered as adherents and the different values of 0 will be considered nonadherents. With RAR, we will calculate the number needed to treat (NNT) to have one adherent patient to drug therapy | — |
Secondary
| Measure | Time frame |
|---|---|
| Means difference self reported number of cigarettes smoked at the end of treatment at least less than 50% of the initial consumption. Number needed to treat NNT to have a abstinent patient using shared decision-employment (intervention group) compared to the control group, patients will be considered abstinent with self-reported quit smoking during cognitive behavioral therapy. concordance rate between the type of treatment chosen in both groups front National Cancer Institute of Brazil protocol; values equals 0 = no agreement, 0-.19 = poor agreement, from .20 to .39 = poor agreement .40 to .59 moderate agreement, 0.60 to 0.79 substantial agreement, 0, 80-1 = perfect agreement. | — |
Countries
Brazil
Contacts
Programa de Pos-graduação em Medícina e Saude