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Guided Imagery for Smoking Cessation in Adults: A Randomized Pilot Trial

Center for Research on Health Care, 200 Meyran Avenue, Suite 200, Pittsburgh, PA 15213, tindleha{at}upmc.edu.

Elizabeth M. Barbeau, ScD, MPH

Roger B. Davis, ScD

David M. Eisenberg, MD

Elyse R. Park, PhD

Russell S. Phillips, MD

Nancy A. Rigotti, MD

This pilot study describes a randomized controlled trial of an audio CD—based interactive guided imagery program for smoking cessation for adults versus a wait-listed control. Feasibility, process measures, and biochemically validated abstinence were assessed at end of treatment (6 weeks) and 12 weeks, as well as at 52 weeks for intervention participants. Fifty-nine percent of intervention participants attended four of six guided imagery sessions, and 94% found the technique helpful for smoking cessation. Intervention participants had greater readiness to quit (Readiness to Quit Ladder, 8.3 vs. 7.2, p < .05) and lower state anxiety (Spielberger Index, 32 vs. 38, p < .05) at end of treatment than the control group. Abstinence rates in the intervention versus control groups were 36% versus 18% (p = .43) at 6 weeks and 30% versus 12% (p = .40) at 12 weeks, respectively. At 1 year, 24% of intervention participants remained abstinent. A guided imagery program for smoking cessation was feasible, perceived to be helpful, improved intermediate measures, and resulted in a trend toward smoking cessation.

Key Words: mindfulness • guided imagery • smoking cessation • randomized trial • complementary alternative medicine

Complementary Health Practice Review, Vol. 11, No. 3, 166-175 (2006)
DOI: 10.1177/1533210106296773


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