What to read after A Contingency-management Intervention to Promote Smoking Cessation Among Opioid-maintained Patients?

Methadone and buprenorphine maintenance are the most widely used and effective treatments for opioid dependence. Prevalence of cigarette smoking among opioid-maintained patients is more than 3-fold that of the general population and associated with increased morbidity and mortality. Relatively few studies have aimed to develop or evaluate smoking-cessation interventions among opioid-maintained patients. The most promising work on this topic to date has used contingency management (CM), in which monetary-based incentives are delivered contingent upon biochemical evidence of drug abstinence. A recent pilot study by our group demonstrated the initial efficacy of a CM intervention for promoting smoking abstinence in a sample of methadone-maintained smokers (Dunn, Sigmon, Thomas, Heil & Higgins, 2008). The next step in this line of research was to conduct a larger-scale random ized trial to replicate and extend our pilot findings. Toward this end, in the present trial 40 methadone-or buprenorphinemaintained smokers were enrolled and visited the clinic daily for the 14-day intervention.