Outcomes and adherence in Syria's first smoking cessation trial.

Asfar T, Weg MV, Maziak W, Hammal F, Eissenberg T, Ward KD. Outcomes and adherence in Syria's first smoking cessation trial. American Journal of Health Behavior. 2008 Mar 1; 32(2):146-56.

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Abstract:

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.