Mindfulness-Based Smoking Cessation Delivered Through Telehealth and Text Messaging for Low-Income Smokers: Protocol for a Randomized Controlled Trial.
Mindfulness-Based Smoking Cessation Delivered Through Telehealth and Text Messaging for Low-Income Smokers: Protocol for a Randomized Controlled Trial.
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DOI：
10.2196/35688
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发表时间：
2022-08-01
影响因子：
1.7
通讯作者：
Wetter, David W.
中科院分区：
文献类型：
--
作者：
Spears, Claire A.;Mhende, Josephine;Hawkins, China;Vuong Van Do;Hayat, Matthew J.;Eriksen, Michael P.;Hedeker, Donald;Abroms, Lorien C.;Wetter, David W.
关键词：
烟草使用是可预防的发病率和死亡率的主要原因。低收入的成年人和某些种族和少数民族群体的成员戒烟的可能性较小，因此，他们经历了与烟草有关的严重健康差异。正念训练可以提高戒烟率和恢复率，远程医疗和短信有可能提供更方便的治疗。本研究旨在测试通过短信（iQuit Mindfully）和远程医疗（小组视频会议）提供基于正念的戒烟治疗的有效性，无论是作为独立干预还是组合。此外，它旨在研究正念治疗的潜在机制。在这项2×2随机对照试验中，参与者根据分配到iQuit Mindfully短信（是或否）和正念视频会议组（是或否）被随机分为4组。主要结果是在治疗开始后8周、12周和24周时经生物化学验证的戒烟。次要结果包括家庭正念练习的频率和自我报告的正念水平，情绪，渴望，退缩，依赖，自我效能和社会支持。招募、治疗和评估于2021年春季和夏季开始，数据收集预计将持续到2024年春季。该项目旨在通过基于正念的远程健康小组咨询和短信支持，改善低收入，种族和民族多样化吸烟者的戒烟结果。我们还旨在推进正念治疗作用机制的科学研究，这可以为开发更有效和更高效的治疗方法以减少烟草差异提供信息。Clinicaltrials.gov NCT 04965181; https://clinicaltrials.gov/ct2/show/NCT04965181 PRR1-10.2196/35688
Tobacco use is the leading cause of preventable morbidity and mortality. Adults with low income and members of certain racial and ethnic minority groups are less likely to quit, and therefore, they experience profound tobacco-related health disparities. Mindfulness training can increase the rates of smoking cessation and lapse recovery, and telehealth and SMS text messaging have the potential to provide more accessible treatment. This study aims to test the efficacy of delivering mindfulness-based smoking cessation treatment through text messaging (iQuit Mindfully) and telehealth (group videoconferencing), both as stand-alone interventions and in combination. In addition, it aims to examine the underlying mechanisms of mindfulness treatment. In this 2×2 randomized controlled trial, participants are randomized into 1 of 4 groups based on assignment to iQuit Mindfully text messages (yes or no) and mindfulness videoconference groups (yes or no). The primary outcomes are biochemically verified smoking abstinence at 8, 12, and 24 weeks after the start of treatment. Secondary outcomes include the frequency of home mindfulness practice and self-reported levels of mindfulness, emotions, craving, withdrawal, dependence, self-efficacy, and social support. Recruitment, treatment, and assessment began in spring and summer 2021, and data collection is expected to continue through spring 2024. This project aims to improve smoking cessation outcomes for low-income, racially and ethnically diverse smokers through mindfulness-based telehealth group counseling and text messaging support. We also aim to advance the scientific study of the mechanisms of action of mindfulness treatment, which could inform the development of more efficacious and efficient treatments to reduce tobacco disparities. Clinicaltrials.gov NCT04965181; https://clinicaltrials.gov/ct2/show/NCT04965181 PRR1-10.2196/35688
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