Trajectories of Situational Temptations in Pregnant Smokers participating in a Scheduled Gradual Reduction Cessation Trial.
Trajectories of Situational Temptations in Pregnant Smokers participating in a Scheduled Gradual Reduction Cessation Trial.
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DOI：
10.1007/s10995-021-03321-1
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发表时间：
2022-01
影响因子：
2.3
通讯作者：
Pollak KI
中科院分区：
文献类型：
--
作者：
Noonan D;Lyna P;Kennedy DL;Gao X;Bejarano Hernandez S;Fish LJ;Pollak KI
本文的目的是调查参加一项短信试验以帮助她们戒烟的妊娠早期到晚期女性的吸烟情境诱惑的变化。我们比较了 1) 干预组、2) 戒烟组、3) 减少 50% 或以上的组、以及 4) 减少量低于 50% 的组之间的变化。我们还检查了干预组中超时的渴望以及通过短信评估的实时渴望与情境诱惑之间的关系。这是对 Baby Steps 试验的二次分析，该试验是一项随机对照试验，测试基于文本的计划逐步减少 (SGR) 干预对戒烟的功效。我们使用 t 检验来检查干预组之间的变化，并使用重复测量的混合过程来探索情境诱惑和渴望的变化。在所有女性中，从怀孕早期到怀孕晚期，情境诱惑的积极、消极和习惯分量表均有所下降（ps<0.001）。我们发现不同手臂的情境诱惑没有差异。我们发现，在干预的第 2 周和第 3 周，负面情境诱惑与平均渴望之间存在正相关关系。第 2 周，烟瘾每增加一个单位，负 ST 就会增加 0.11。随着女性在怀孕期间的进展，她们对吸烟的诱惑会减少。可能存在不同的关系，但是在负面影响的情况下，女性报告了更高的渴望，但对其他诱惑没有反应。未来的工作可能会特别关注负面影响与促进怀孕期间戒烟的渴望和诱惑的交叉点。
The purpose of this paper was to examine changes in situational temptations to smoke among women in early to late pregnancy enrolled in a texting trial to help them quit smoking. We compared changes between 1) intervention arms, 2) those who quit, 3) those who reduced by 50% or more, and 4) those who reduced by less than 50%. We also examined cravings overtime in the intervention arm and the relationship between real-time cravings assessed via text message and situational temptations. This was a secondary analysis of the Baby Steps trial, a randomized controlled trial testing the efficacy of a text-based scheduled gradual reduction (SGR) intervention on cessation. We used t-tests to examine changes across intervention arms and repeated measured proc mixed to explore changes in situational temptations and cravings. Among all women, situational temptations decreased from early to late pregnancy for the positive, negative, and habitual subscales, (ps<0.001). We found no difference in situational temptations across arms. We found a positive relationship between negative situational temptation and average craving during the Weeks 2 and Weeks 3 of the intervention. Negative ST increased by 0.11 for each unit increase of craving at Week 2. As women progress through pregnancy their temptation to smoke reduces. A different relationship might exist, however with negative affect situations in which women reported higher craving but not in response to other temptations. Future work might have a particular focus on the intersection of negative affect with cravings and temptations to promote cessation during pregnancy.
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影响因子：
4.6
作者：
Shiffman, Saul;Dunbar, Michael;Kirchner, Thomas;Li, Xiaoxue;Tindle, Hilary;Anderson, Stewart;Scholl, Sarah
通讯作者：
Scholl, Sarah
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作者：
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通讯作者：
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作者：
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通讯作者：
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