Overcoming limitations in previous research on exercise as a smoking cessation treatment: rationale and design of the "Quit for Health" trial.

Overcoming limitations in previous research on exercise as a smoking cessation treatment: rationale and design of the "Quit for Health" trial.
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克服先前关于运动作为戒烟治疗的研究的局限性:“为了健康而戒烟”试验的基本原理和设计。

DOI:
10.1016/j.cct.2013.11.005
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发表时间:
2014
影响因子:
2.2
通讯作者:
Emerson,Jessica
Emerson,Jessica
中科院分区:
医学4区
文献类型:
--
作者:
Williams,DavidM;Ussher,Michael;Dunsiger,Shira;MirandaJr,Robert;Gwaltney,ChadJ;Monti,PeterM;Emerson,Jessica

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有氧运动已经被提议作为一种独立的或辅助的戒烟治疗,但结果喜忧参半。实验室研究表明,个别锻炼可以减少戒断症状和对香烟的渴望,但由于缺乏后续行动和人为环境,这些研究结果受到限制。另一方面,戒烟治疗随机对照试验普遍未能显示运动对戒烟的积极效果,但一直受到运动计划遵从性差和/或未经验证的困扰。本文描述了戒烟健康(QFH)的原理和设计,这是一项旨在确定有氧运动作为女性戒烟辅助治疗的疗效的随机对照试验。为了克服以前研究的局限性,对锻炼(和健康接触控制)计划的遵从性进行了激励和直接观察,并使用生态瞬时评估来检查参与者自然环境中戒断症状和烟瘾随时间的变化。
Aerobic exercise has been proposed as a stand-alone or adjunct smoking cessation treatment, but findings have been mixed. Laboratory studies have shown that individual exercise sessions lead to decreases in withdrawal symptoms and cigarette cravings, but findings are limited by lack of follow-up and artificial settings. On the other hand, smoking cessation treatment RCTs have generally failed to show positive effects of exercise on smoking cessation, but have been plagued by poor and/or unverified compliance with exercise programs. This paper describes the rationale and design for Quit for Health (QFH)—an RCT designed to determine the efficacy of aerobic exercise as an adjunct smoking cessation treatment among women. To overcome limitations of previous research, compliance with the exercise (and wellness contact control) program is incentivized and directly observed, and ecological momentary assessment is used to examine change over time in withdrawal symptoms and cigarette cravings in participants' natural environments.