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Outcomes and Adherence in Syria's First Smoking Cessation Trial

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Objective : To determine the feasibility of implementing cessation interventions in Syria.

Methods : We randomized 50 smokers to either a brief or intensive behavioral cessation intervention. Adherence to treatment and cessation through 3 months postcessation were calculated.

Results : Adherence in the intensive group was only moderate and was associated with smoking for more years and higher self-efficacy. Cessation rates in the brief and intensive intervention groups were 16% and 4%, respectively. Nicotine dependence predicted abstinence at 3 months.

Conclusion : Important barriers to cessation included perceived dependence, lack of access to pharmacotherapy, poor social support, and water pipe smoking.

Keywords: Syria; adherence; clinical trials; smoking; water pipe

Document Type: Research Article


Affiliations: 1 Head, Smoking Cessation Intervention Program, Syrian Center for Tobacco Studies (SCTS), Aleppo, Syria.

Publication date: March 1, 2008

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  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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