Mindfulness training for smokers via web-based video instruction with phone support: a prospective observational study.
Mindfulness training for smokers via web-based video instruction with phone support: a prospective observational study.
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DOI：
10.1186/s12906-015-0618-3
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发表时间：
2015-03-29
影响因子：
--
通讯作者：
Smith SS
中科院分区：
文献类型：
--
作者：
Davis JM;Manley AR;Goldberg SB;Stankevitz KA;Smith SS
由于地理位置、经济限制、日程安排、交通问题或其他原因，许多吸烟者无法获得有效的行为戒烟疗法。我们报告了一项前瞻性观察研究的结果，在该研究中，通过基于网络的视频教学和基于电话的咨询支持，为吸烟者提供了一种有前景的新型行为干预--正念训练。收集了26名社会经济地位较低的吸烟者的数据。参与者被要求观看八个基于视频的课程，描述正念技能以及如何使用这些技能来克服烟草依赖的各种核心挑战。参与者每周都会收到戒烟教练打来的八个电话，他们提供一般支持，并回答有关视频的问题。戒烟当天，参与者收到了为期两周的尼古丁贴片。参与者的平均年龄为40.5岁，21.88年来每天吸烟16.31支，平均6.81次戒烟失败。参与者平均完成了8个在线视频课程中的5.55个，平均每次登录23.33分钟，平均完成了8个电话教练电话中的3.19个，并报告了平均每天12.17分钟的冥想练习时间。戒烟被定义为在吸烟日历上自我报告戒烟，并通过一氧化碳呼气试验在百万分之7以下进行生化确认。意向治疗分析显示，戒烟后4个月和6个月的7d时点戒烟率分别为23.1%和15.4%。受试者在干预前和干预后的五因素正念问卷中显示出显著的正念增加，而抑郁焦虑和压力量表中的焦虑子量表在干预前和干预后的显著下降。结果表明，吸烟者的正念训练可以通过基于网络的视频教学和电话支持来提供，并产生合理的参与者对干预实践的参与度，干预的效果和作用机制值得进一步研究。ClinicalTrials.gov：NCT02164656，注册日期2014年6月13日。
Many smokers are unable to access effective behavioral smoking cessation therapies due to location, financial limitations, schedule, transportation issues or other reasons. We report results from a prospective observational study in which a promising novel behavioral intervention, Mindfulness Training for Smokers was provided via web-based video instruction with telephone-based counseling support. Data were collected on 26 low socioeconomic status smokers. Participants were asked to watch eight video-based classes describing mindfulness skills and how to use these skills to overcome various core challenges in tobacco dependence. Participants received eight weekly phone calls from a smoking cessation coach who provided general support and answered questions about the videos. On the quit day, participants received two weeks of nicotine patches. Participants were a mean of 40.5 years of age, smoked 16.31 cigarettes per day for 21.88 years, with a mean of 6.81 prior failed quit attempts. Participants completed a mean of 5.55 of 8 online video classes with a mean of 23.33 minutes per login, completed a mean of 3.19 of 8 phone coach calls, and reported a mean meditation practice time of 12.17 minutes per day. Smoking abstinence was defined as self-reported abstinence on a smoking calendar with biochemical confirmation via carbon monoxide breath-test under 7 parts per million. Intent-to-treat analysis demonstrated 7-day point prevalence smoking abstinence at 4 and 6-months post-quit of 23.1% and 15.4% respectively. Participants showed a significant pre- to post-intervention increase in mindfulness as measured by the Five-Factor Mindfulness Questionnaire, and a significant pre- to post-intervention decrease in the Anxiety Sub-scale of the Depression Anxiety and Stress Scale. Results suggest that Mindfulness Training for Smokers can be provided via web-based video instruction with phone support and yield reasonable participant engagement on intervention practices and that intervention efficacy and mechanism of effect deserve further study. ClinicalTrials.gov: NCT02164656, Registration Date June 13, 2014.
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