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Randomized Controlled Trial for Behavioral Smoking and Weight Control Treatment: Effect of Concurrent Versus Sequential Intervention

The authors compared simultaneous versus sequential approaches to multiple health behavior change in diet, exercise, and cigarette smoking. Female regular smokers ( N = 315) randomized to 3 conditions received 16 weeks of behavioral smoking treatment, quit smoking at Week 5, and were followed for 9...

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Published in:Journal of consulting and clinical psychology 2004-10, Vol.72 (5), p.785-796
Main Authors: Spring, Bonnie, Doran, Neal, Pagoto, Sherry, Schneider, Kristin, Pingitore, Regina, Hedeker, Don
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cited_by cdi_FETCH-LOGICAL-a696t-fc479d528638d544291dc13f8b44835e6b56271fe0a7f39450f3dc94e1150a83
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description The authors compared simultaneous versus sequential approaches to multiple health behavior change in diet, exercise, and cigarette smoking. Female regular smokers ( N = 315) randomized to 3 conditions received 16 weeks of behavioral smoking treatment, quit smoking at Week 5, and were followed for 9 months after quit date. Weight management was omitted for control and was added to the 1st 8 weeks for early diet (ED) and the final 8 weeks for late diet (LD). ED lacked lasting effect on weight gain, whereas LD initially lacked but gradually acquired a weight-suppression effect that stabilized ( p =.004). Behavioral weight control did not undermine smoking cessation and, when initiated after the smoking quit date, slowed the rate of weight gain, supporting a sequential approach.
doi_str_mv 10.1037/0022-006X.72.5.785
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Female regular smokers ( N = 315) randomized to 3 conditions received 16 weeks of behavioral smoking treatment, quit smoking at Week 5, and were followed for 9 months after quit date. Weight management was omitted for control and was added to the 1st 8 weeks for early diet (ED) and the final 8 weeks for late diet (LD). ED lacked lasting effect on weight gain, whereas LD initially lacked but gradually acquired a weight-suppression effect that stabilized ( p =.004). Behavioral weight control did not undermine smoking cessation and, when initiated after the smoking quit date, slowed the rate of weight gain, supporting a sequential approach.</description><subject>Adult</subject><subject>Behavior Change</subject><subject>Behavior Modification</subject><subject>Behavior Therapy - methods</subject><subject>Behavior therapy. Cognitive therapy</subject><subject>Behavioural psychology</subject><subject>Biological and medical sciences</subject><subject>Cessation</subject><subject>Desintoxication. Drug withdrawal</subject><subject>Diet</subject><subject>Dietetics</subject><subject>Diets</subject><subject>Exercise</subject><subject>Female</subject><subject>Females</subject><subject>Follow-Up Studies</subject><subject>Health Behavior</subject><subject>Health behaviour</subject><subject>Humans</subject><subject>Intervention</subject><subject>Medical sciences</subject><subject>Medical treatment</subject><subject>Obesity - diet therapy</subject><subject>Obesity - therapy</subject><subject>Physical activity</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Randomized controlled trials</subject><subject>Sequential Approach</subject><subject>Smoking</subject><subject>Smoking Cessation</subject><subject>Smoking Cessation - methods</subject><subject>Smoking Prevention</subject><subject>Therapy</subject><subject>Time Factors</subject><subject>Timing</subject><subject>Tobacco Smoking</subject><subject>Treatments</subject><subject>USA</subject><subject>Weight Control</subject><subject>Weight Gain</subject><subject>Women</subject><issn>0022-006X</issn><issn>1939-2117</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>7SW</sourceid><sourceid>7QJ</sourceid><sourceid>8BJ</sourceid><recordid>eNqFkl1rFDEUhoModq3-ARFZRL2RWU--MzeCLvWLQkEX9C5kM5nd1JnJmMwU6q83w67bVsReJeF93pPDOS9CjzEsMFD5GoCQAkB8X0iy4Aup-B00wyUtC4KxvItmB-AIPUjpHACwAH4fHWHOFMklZujsi-mq0PpfrpovQzfE0DT5uoreNPM6xPk7tzUXPsT8_NqGH77bzLNj_s35zXb4Y8m8M0PruuEhulebJrlH-_MYrd6frJYfi9OzD5-Wb08LI0oxFLVlsqw4UYKqijNGSlxZTGu1ZkxR7sSaCyJx7cDImpaMQ00rWzKHMQej6DF6syvbj-vWVTb_nDvUffStiZc6GK9vKp3f6k240AxAKSFygZf7AjH8HF0adOuTdU1jOhfGpIUoJcaC3gryjBEu4FaQqrwOoWQGn_0FnocxdnlaWmDGABPG_gcRDIIQyabeyA6yMaQUXX0YAAY9RURPCdBTArQkmusckWx6en10V5Z9JjLwYg-YZE1TR9NZn644gblkUGbuyY5z0duDfPJZKCbZJL_ayaY3uk-X1sTB28YlO8aYt6Kt7a939fzf9E3sN6TV55o</recordid><startdate>20041001</startdate><enddate>20041001</enddate><creator>Spring, Bonnie</creator><creator>Doran, Neal</creator><creator>Pagoto, Sherry</creator><creator>Schneider, Kristin</creator><creator>Pingitore, Regina</creator><creator>Hedeker, Don</creator><general>American Psychological Association</general><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>8BJ</scope><scope>FQK</scope><scope>JBE</scope><scope>7RZ</scope><scope>PSYQQ</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-2462-8797</orcidid></search><sort><creationdate>20041001</creationdate><title>Randomized Controlled Trial for Behavioral Smoking and Weight Control Treatment</title><author>Spring, Bonnie ; Doran, Neal ; Pagoto, Sherry ; Schneider, Kristin ; Pingitore, Regina ; Hedeker, Don</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a696t-fc479d528638d544291dc13f8b44835e6b56271fe0a7f39450f3dc94e1150a83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adult</topic><topic>Behavior Change</topic><topic>Behavior Modification</topic><topic>Behavior Therapy - methods</topic><topic>Behavior therapy. 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source Applied Social Sciences Index & Abstracts (ASSIA); International Bibliography of the Social Sciences (IBSS); PsycARTICLES; ERIC
subjects Adult
Behavior Change
Behavior Modification
Behavior Therapy - methods
Behavior therapy. Cognitive therapy
Behavioural psychology
Biological and medical sciences
Cessation
Desintoxication. Drug withdrawal
Diet
Dietetics
Diets
Exercise
Female
Females
Follow-Up Studies
Health Behavior
Health behaviour
Humans
Intervention
Medical sciences
Medical treatment
Obesity - diet therapy
Obesity - therapy
Physical activity
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Randomized controlled trials
Sequential Approach
Smoking
Smoking Cessation
Smoking Cessation - methods
Smoking Prevention
Therapy
Time Factors
Timing
Tobacco Smoking
Treatments
USA
Weight Control
Weight Gain
Women
title Randomized Controlled Trial for Behavioral Smoking and Weight Control Treatment: Effect of Concurrent Versus Sequential Intervention
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