A randomized controlled trial of smartphone-based mindfulness training for smoking cessation: a study protocol
A randomized controlled trial of smartphone-based mindfulness training for smoking cessation: a study protocol
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DOI：
10.1186/s12888-015-0468-z
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发表时间：
2015-04-14
期刊：
影响因子：
4.4
通讯作者：
Brewer, Judson A.
中科院分区：
文献类型：
--
作者：
Garrison, Kathleen A.;Pal, Prasanta;Brewer, Judson A.
背景：烟草使用导致全球约十分之一的人死亡。正念训练已经显示出作为戒烟行为治疗的初步效果。移动健康领域的最新进展表明，基于智能手机的戒烟治疗具有优势，包括基于智能手机的正念训练。这项研究评估了基于智能手机APP的正念训练计划在6个月的随访中提高戒烟率的效果。方法/设计：两组平行随机临床试验，分配隐藏。小组作业将对研究人员隐瞒，直至后续。这项研究将通过智能手机和在线进行。有兴趣戒烟并拥有智能手机(n=140)的日常吸烟者将通过发布在网上的研究广告进行招募。在完成基线调查后，参与者将被随机分配到对照组或干预组。两组参与者都将接受为期22天的基于智能手机的吸烟治疗计划。干预组的参与者将接受移动正念训练和经验抽样。控制组的参与者将只接受体验抽样。主要的结果衡量标准将是通过一氧化碳呼吸监测评估戒烟一周的时点戒烟率(在6个月的随访期)，这将通过基于智能手机的视频聊天进行验证。讨论：这是第一项评估基于智能手机的戒烟正念训练的干预研究。这样的干预可能会在现实世界中提供手头治疗，帮助个人戒烟。
Background: Tobacco use is responsible for the death of about 1 in 10 individuals worldwide. Mindfulness training has shown preliminary efficacy as a behavioral treatment for smoking cessation. Recent advances in mobile health suggest advantages to smartphone-based smoking cessation treatment including smartphone-based mindfulness training. This study evaluates the efficacy of a smartphone app-based mindfulness training program for improving smoking cessation rates at 6-months follow-up.Methods/Design: A two-group parallel-randomized clinical trial with allocation concealment will be conducted. Group assignment will be concealed from study researchers through to follow-up. The study will be conducted by smartphone and online. Daily smokers who are interested in quitting smoking and own a smartphone (n = 140) will be recruited through study advertisements posted online. After completion of a baseline survey, participants will be allocated randomly to the control or intervention group. Participants in both groups will receive a 22-day smartphone-based treatment program for smoking. Participants in the intervention group will receive mobile mindfulness training plus experience sampling. Participants in the control group will receive experience sampling-only. The primary outcome measure will be one-week point prevalence abstinence from smoking (at 6-months follow-up) assessed using carbon monoxide breath monitoring, which will be validated through smartphone-based video chat.Discussion: This is the first intervention study to evaluate smartphone-based delivery of mindfulness training for smoking cessation. Such an intervention may provide treatment in-hand, in real-world contexts, to help individuals quit smoking.