Mobile Delivery of Mindfulness-Based Smoking Cessation Treatment Among Low-Income Adults During the COVID-19 Pandemic: Pilot Randomized Controlled Trial.
Mobile Delivery of Mindfulness-Based Smoking Cessation Treatment Among Low-Income Adults During the COVID-19 Pandemic: Pilot Randomized Controlled Trial.
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DOI：
10.2196/25926
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发表时间：
2021-07-23
影响因子：
2.2
通讯作者：
Spears CA
中科院分区：
文献类型：
--
作者：
Mhende J;Bell SA;Cottrell-Daniels C;Luong J;Streiff M;Dannenfelser M;Hayat MJ;Spears CA
吸烟是导致过早死亡的主要原因，低收入成年人承受着不成比例的烟草负担。正念干预有望改善戒烟。一项名为“我认真戒烟”的短信项目被开发出来，为低收入成年人的戒烟提供及时的支持。2020年春季，在COVID-19大流行期间，在低收入和主要是非裔美国人吸烟者中进行了一项“谨慎戒烟”的试点研究。本试点研究考察了在COVID-19大流行期间通过移动医疗提供正念成瘾治疗的可接受性和可行性。参与者为成年吸烟者（n=23），其中8名（34.8%）为女性，19名（82.6%）为非洲裔美国人，18名（78.3%）年收入< 24000美元。他们被随机分配到8周的iQuit mindfulness作为全自动独立干预，或iQuit mindfulness与治疗师领导的面对面小组治疗相结合。为了参与者的安全，面对面的正念小组被转移到互联网上，评估也在互联网上进行。调查问题向参与者询问了他们的压力、吸烟习惯和戒烟尝试的变化，以及他们对大流行背景下正念和短信干预的看法。大多数参与者（n=15 / 21，占71.4%）表示，由于大流行，压力发生了变化，其中14人（93.3%）表示压力更高。与会者分享了对财政、无家可归、健康和社会孤立的担忧。大多数人（n=17 / 21，占80.9%）认为吸烟会增加感染COVID-19的风险，尽管这对一些人来说是有激励作用的，但由于压力更大，其他人表示戒烟的动机较低。大多数人（n=18 / 21, 85.7%）表示，在疫情期间练习正念是有帮助的。短信有用性的平均评分和他们向他人推荐该程序的程度分别为7.1（10分制中位数为8，标准差为2.9）和8.2（中位数为9，标准差为2.5）。通过开放式项目评估，参与者分享了正念练习和短信如何帮助他们在疫情期间管理压力和感受社会支持感的细节。此外，19名参与者中有10名（52.6%）实现了7天的戒烟，不同条件之间没有差异。这项研究支持在大流行期间使用短信和使用电话会议为服务不足的人群提供正念和戒烟服务的承诺。
Smoking is the leading cause of premature death, and low-income adults experience disproportionate burden from tobacco. Mindfulness interventions show promise for improving smoking cessation. A text messaging program “iQuit Mindfully” was developed to deliver just-in-time support for quitting smoking among low-income adults. A pilot study of iQuit Mindfully was conducted in spring 2020, during the COVID-19 pandemic, among low-income and predominantly African American smokers. This pilot study examined the acceptability and feasibility of delivering Mindfulness-Based Addiction Treatment via mHealth during the COVID-19 pandemic. Participants were adult cigarette smokers (n=23), of whom 8 (34.8%) were female, 19 (82.6%) were African American, and 18 (78.3%) had an annual income of <US $24,000. They were randomly assigned to either 8 weeks of iQuit Mindfully as a fully automated standalone intervention or iQuit Mindfully in combination with therapist-led in-person group treatment. For participant safety, in-person mindfulness groups were transitioned to the internet and assessments also took place over the internet. Survey questions asked participants about changes in their stress, smoking habits and quit attempts, and their perceptions of the mindfulness and text messaging intervention in the context of the pandemic. Most participants (n=15 of 21, 71.4%) indicated a change in stress due to the pandemic, of whom 14 (93.3%) indicated higher stress. Participants shared concerns about finances, homelessness, health, and social isolation. Most (n=17 of 21, 80.9%) believed that smoking increases the risk of contracting COVID-19, and although that was motivating for some, others expressed lower motivation to quit smoking because of higher stress. Most (n=18 of 21, 85.7%) stated that practicing mindfulness was helpful during the pandemic. Mean ratings of the helpfulness of text messages and the extent to which they would recommend the program to others were 7.1 (median 8 on a 10-point scale, SD 2.9) and 8.2 (median 9, SD 2.5), respectively. Through open-ended program evaluations, participants shared details about how mindfulness practices and the text messages helped them manage stress and feel a sense of social support during the pandemic. Moreover, 10 of 19 (52.6%) of participants achieved 7-day abstinence from smoking, with no differences between conditions. This study supports the promise of text messaging and the use of teleconferencing to provide mindfulness and smoking cessation services to underserved populations during a pandemic.
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DOI：
10.1037/tra0000889
发表时间：
2020-07
期刊：
Psychological trauma : theory, research, practice and policy
影响因子：
--
作者：
Fortuna LR;Tolou-Shams M;Robles-Ramamurthy B;Porche MV
通讯作者：
Porche MV
影响因子：
33.9
作者：
Babb, Stephen;Malarcher, Arm;Jamal, Ahmed
通讯作者：
Jamal, Ahmed
影响因子：
4.2
作者：
Elwafi, Hani M.;Witkiewitz, Katie;Brewer, Judson A.
通讯作者：
Brewer, Judson A.
影响因子：
4.2
作者：
Businelle, Michael S.;Kendzor, Darla E.;Reitzel, Lorraine R.;Costello, Tracy J.;Cofta-Woerpel, Ludmila;Li, Yisheng;Mazas, Carlos A.;Vidrine, Jennifer Irvin;Cinciripini, Paul M.;Greisinger, Anthony J.;Wetter, David W.
通讯作者：
Wetter, David W.
影响因子：
7.2
作者：
Creswell, J. David;Lindsay, Emily K.
通讯作者：
Lindsay, Emily K.