Web-delivered Acceptance and Commitment Therapy (ACT) for smoking cessation: Is it engaging and efficacious for US Hispanic/Latinx adult smokers?
Web-delivered Acceptance and Commitment Therapy (ACT) for smoking cessation: Is it engaging and efficacious for US Hispanic/Latinx adult smokers?
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DOI：
10.1016/j.pmedr.2022.101952
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发表时间：
2022-10
影响因子：
2.8
通讯作者：
Bricker, Jonathan B.
中科院分区：
文献类型：
--
作者：
Kwon, Diana M.;Santiago -Torres, Margarita;Mull, Kristin E.;Sullivan, Brianna M.;Zvolensky, Michael J.;Bricker, Jonathan B.
关键词：
网络传播的干预措施有可能帮助美国拉美裔/拉丁裔吸烟者戒烟。WebQuit(Vs SmokeFree)网站在美国拉美裔/拉丁裔吸烟者中更具吸引力。在美国西班牙裔/拉丁裔吸烟者中，WebQuit(Vs SmokeFree)网站的戒烟率较高。与其他种族/民族相比，美国的西班牙裔/拉丁裔成年吸烟者在接受和使用以证据为基础的戒烟治疗方面面临障碍。这一人群缺乏有效和可获得的戒烟治疗，这进一步加剧了这种吸烟差距。在第二次分析中，我们探索了基于接受与承诺疗法(ACT)的网站(WebQuit.org)与基于美国临床实践指南(USCPG)的网站(Smokefre.gov)在WebQuit试验中登记的西班牙裔/拉丁裔成年人参与者中戒烟的有效性。在父母试验中随机抽取的2,637名参与者中，222名是西班牙裔/拉丁裔(WebQuit中n=1，SmokeFree中n=1,121)。在3个月、6个月和12个月时测量戒烟效果。主要结果是自我报告的完全病例30天点戒断(PPA)在12个月。治疗参与度和满意度，接受吸烟冲动的变化，以及戒烟的承诺在不同条件下进行了比较。12个月时保留率为88%。在12个月内，与不吸烟的参与者相比，WebQuit参与者戒烟的几率更高(40%比25%；OR=61.93，95%CI：1.04，3.59)。使用多重归因法得出的结果是相似的。WebQuit参与者通过多个参与度指标比不吸烟参与者更多地参与网站，包括使用网站的时间更长(IRR=2.32；95%CI：1.68，3.20)。虽然WebQuit参与者比不吸烟的参与者对网站的参与度更高，但没有证据表明参与度水平对戒烟率的影响起到了中介作用。这项研究提供了初步的经验证据，表明数字干预可能有效地帮助西班牙裔/拉丁裔成年人戒烟。
Web-delivered interventions have the potential to help US Hispanic/Latinx smokers quit. WebQuit (vs Smokefree) website was more engaging among US Hispanic/Latinx smokers. WebQuit (vs Smokefree) website had higher quit rates among US Hispanic/Latinx smokers. Hispanic/Latinx adult smokers in the United States (US) face barriers to receiving and utilizing evidenced-based cessation treatments compared with other racial/ethnic groups. The lack of efficacious and accessible smoking cessation treatments for this population further contributes to such smoking disparities. In a secondary analysis, we explored the efficacy of an Acceptance and Commitment Therapy (ACT)-based website (WebQuit.org) versus a US Clinical Practice Guidelines (USCPG)-based website (Smokefree.gov) for smoking cessation in a subset of Hispanic/Latinx adult participants enrolled in the WebQuit trial. Of the 2,637 participants who were randomized in the parent trial, 222 were Hispanic/Latinx (n = 101 in WebQuit, n = 121 in Smokefree). Smoking cessation outcomes were measured at 3, 6, and 12-months. The primary outcome was self-reported complete-case 30-day point prevalence abstinence (PPA) at 12-months. Treatment engagement and satisfaction, change in acceptance of urges to smoke, and commitment to quitting smoking were compared across conditions. Retention rate was 88% at 12-months. WebQuit participants had higher odds of smoking cessation compared to Smokefree participants at 12-months (40% vs. 25%; OR = 1.93 95% CI: 1.04, 3.59). Findings were similar using multiple imputation. WebQuit participants engaged more with the website than Smokefree participants through multiple indicators of engagement, including spending more time using the website (IRR = 2.32; 95% CI: 1.68, 3.20). Although WebQuit participants engaged more with the website than Smokefree participants, there was no evidence that differences in quit rates were mediated by engagement level. This study provides initial empirical evidence that digital interventions may be efficacious for helping Hispanic/Latinx adults quit smoking.
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