Feasibility and Acceptability of Mindfulness-Based Group Visits for Smoking Cessation in Low-Socioeconomic Status and Minority Smokers with Cancer
Feasibility and Acceptability of Mindfulness-Based Group Visits for Smoking Cessation in Low-Socioeconomic Status and Minority Smokers with Cancer
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DOI：
10.1089/acm.2019.0016
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发表时间：
2019-07-01
影响因子：
2.6
通讯作者：
Gardiner, Paula
中科院分区：
文献类型：
--
作者：
Charlot, Marjory;D'Amico, Salvatore;Gardiner, Paula
目的：针对低收入和少数民族癌症患者的戒烟研究有限。与白色和社会经济地位较高的吸烟者相比，非裔美国人和低社会经济地位（SES）吸烟者的癌症死亡率较高，并且不太可能使用循证戒烟治疗。正念训练是解决戒烟中种族和SES差异的一种有希望的方法。作者评估了基于正念的戒烟（MBSC）医疗小组访视对低收入和种族多样的癌症吸烟者的可行性和可接受性。设计和干预：作者采用了用于慢性疼痛的综合医疗小组访视模型，并纳入了研究中心烟草治疗中心使用的“你可以戒烟”戒烟课程。该计划进行了8个每周2小时的访问。然后，作者使用前后设计在两个试点组（N = 18）中测试了这种干预对积极吸烟的癌症患者和癌症幸存者的可行性和可接受性。研究地点：波士顿医疗中心，一家大型城市安全网学术教学医院。结果测量：作者使用医疗小组访问摄入表收集每周吸烟量和家庭实践的数据。他们还从焦点小组和深入访谈中收集了更多的定性数据。结果如下：超过50%的参与者（n = 10）自认为是黑人，56%的人报告年收入为20，000美元或更少。超过三分之二的参与者参加了八次团体访问中的四次或更多。每周吸烟量从基线时的75.1支显著降低至3个月时的44.3支（p = 0.039）。没有一个参与者戒烟。参与者对该计划感到满意，并报告了积极的生活方式改变。结论：MBSC组访视在种族多样性和低SES吸烟者中是可行的和可接受的，应在更大的队列中进一步研究。
Objective: Smoking cessation studies tailored for low-income and racial/ethnic minority cancer patients are limited. African American and low-socioeconomic status (SES) smokers have higher cancer mortality rates and are less likely to use evidence-based smoking cessation treatments compared with white and higher SES counterparts. Mindfulness training is a promising approach to address racial and SES disparities in smoking cessation. The authors assessed the feasibility and acceptability of a mindfulness-based smoking cessation (MBSC) medical group visit for low-income and racially diverse smokers with cancer. Design and intervention: The authors adapted the integrative medical group visit model used for chronic pain and included the You Can Quit smoking cessation curriculum used at the study site, Tobacco Treatment Center. The program was conducted in eight weekly 2-h visits. The authors then tested the feasibility and acceptability of this intervention for actively smoking cancer patients and cancer survivors in two pilot groups (N = 18) using a pre-post design. Setting/Location: This study took place at Boston Medical Center, a large urban safety net academic teaching hospital. Outcome measures: The authors used a medical group visit intake form to collect data on weekly cigarette intake and home practice. They also gathered additional qualitative data from focus groups and in-depth interviews. Results: Over 50% of participants (n = 10) self-identified as black and 56% reported an annual income of $20,000 or less. Over two-thirds of the participants attended four or more of the eight group visits. There was a significant decrease in weekly cigarette intake from 75.1 cigarettes at baseline to 44.3 at 3 months (p = 0.039). None of the participants quit smoking. Participants were satisfied with the program and reported positive lifestyle changes. Conclusion: MBSC group visits are feasible and acceptable among racially diverse and low-SES smokers with cancer and should be further studied in a larger cohort.