Group-based Cognitive-Behavioral Therapy among African Smokers: An Efficacy Test

非洲吸烟者的团体认知行为疗法：功效测试

• 批准号: 7294238
• 负责人: MONICA WEBB HOOPER
• 金额: $ 7.16万
• 依托单位: SYRACUSE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-28 至 2008-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7294238
• 关键词: Abstinence; Address; Adjuvant; Adult; Affect; African; African American; Age; American; Attention; Behavior; Behavior Therapy; Behavioral; Caucasians; Caucasoid Race; Centers for Disease Control and Prevention (U.S.); Cessation of life; Characteristics; Class; Clinical Trials; Cognitive; Cognitive Therapy; Condition; Contracts; Control Locus; Data; Development; Diabetes Mellitus; Disease; Education; Educational Intervention; Expectancy; Funding; Future; Gender; Group Psychotherapy; Health; Health Services; Health education; High Prevalence; Hour; Hypertension; Infant Mortality; Intervention; Interview; Life; Low Birth Weight Infant; Low income; Malignant Neoplasms; Malignant neoplasm of lung; Meta-Analysis; Monitor; Morbidity - disease rate; Nicotine Dependence; Nicotine Withdrawal; Outcome; Participant; Phase; Population; Positive Reinforcements; Prevalence; Protocols documentation; Public Health; Qualifying; Randomized; Randomized Clinical Trials; Rate; Reporting; Research; Risk; Sampling; Self Efficacy; Smoke; Smoker; Smoking; Staging; Testing; Time; Tobacco; Tobacco Dependence; Tobacco smoking; Tobacco use; Transcend; Treatment Efficacy; Treatment outcome; United States; Week; Withholding Treatment; Woman; Work; attributable mortality; base; behavior test; cancer diagnosis; coping; day; design; group counseling; health care service utilization; health disparity; interest; men; mortality; nicotine patch; nicotine replacement; programs; psychosocial; satisfaction; skills training; smoking cessation; smoking intervention; success; therapy adherence

DESCRIPTION (provided by applicant): Tobacco smoking is the leading cause of preventable death and disease in the United States. Tobacco use claims the lives of over 176,000 Americans due to cancer each year. Compared to Caucasians, African American smokers suffer disproportionately from smoking-related illnesses. Few studies have tested the efficacy of smoking cessation treatments with representative samples of African Americans. A recent meta- analysis suggested that group counseling is among the most efficacious treatments for this population; yet, this conclusion was based on only two studies. The current application will test of the feasibility and efficacy of an established cognitive-behavioral smoking intervention among African American adults. Identifying whether this treatment is also beneficial for African Americans has theoretical and applied implications that transcend this project. The specific aims of the study will be (1) to examine the feasibility of conducting an intensive group cognitive behavioral intervention plus nicotine replacement in a sample of African American smokers, (2) to test the efficacy of the intervention, and (3) to begin exploratory analyses of predictors of successful smoking cessation (nicotine dependence, smoking outcome expectancies, health locus of control, cessation self-efficacy, and treatment utilization). To accomplish this, 80 smokers will be randomized to receive either a two-week group cognitive behavioral smoking intervention plus nicotine patch therapy (NPT), or a two-week health education intervention plus nicotine patch therapy. The group treatment will be based on an efficacious cognitive behavioral treatment (CBT) that includes education on tobacco addiction, the time-course of nicotine withdrawal, positive reinforcement, self-monitoring, identification of high-risk situations, coping skills training, and contingency contracting. The health education intervention (HE), a time and attention matched control condition, will present didactic information on a variety of health topics other than smoking cessation. Our primary outcomes will be point-prevalence abstinence, both 24-hour and 7- day, and 28-day continuous abstinence. Participants will be assessed post treatment (two weeks), and at three and six months post treatment. Thus, we will use a 2 (intervention) x 3 (time) design. It is hypothesized that the CBT plus NPT condition will demonstrate greater smoking cessation at each assessment compared to the HE plus NPT condition. It is also expected that baseline nicotine dependence, positive smoking outcome expectancies, and external health locus of control will be negatively associated with smoking cessation success. Intervention utilization will be positively associated with smoking cessation. The long term objective of this work is to advance the field by informing the development of smoking cessation treatments for African American smokers. This has important public health implications related to reducing smoking-related health disparities.

描述（由申请人提供）：吸烟是美国可预防的死亡和疾病的主要原因。每年有超过 176,000 名美国人因吸烟而死于癌症。与白种人相比，非裔美国吸烟者患与吸烟相关疾病的比例更高。很少有研究用非裔美国人的代表性样本测试戒烟治疗的功效。最近的一项荟萃​​分析表明，团体咨询是针对这一人群最有效的治疗方法之一。然而，这一结论仅基于两项研究。当前的应用程序将测试非裔美国成年人中已建立的认知行为吸烟干预措施的可行性和有效性。确定这种治疗是否也对非裔美国人有益具有超越该项目的理论和应用意义。该研究的具体目的是（1）检查对非裔美国吸烟者样本进行强化团体认知行为干预加尼古丁替代的可行性，（2）测试干预的效果，（3）开始对成功戒烟的预测因素（尼古丁依赖、吸烟结果预期、健康控制点、戒烟自我效能和治疗）进行探索性分析。 利用率）。为了实现这一目标，80 名吸烟者将被随机分配接受为期两周的团体认知行为吸烟干预加尼古丁贴片疗法 (NPT)，或接受为期两周的健康教育干预加尼古丁贴片疗法。团体治疗将基于有效的认知行为治疗（CBT），包括烟草成瘾教育、尼古丁戒断时程、积极强化、自我监控、高风险情况识别、应对技能培训和应急合同。健康教育干预（HE）是一种时间和注意力匹配的控制条件，将提供除戒烟之外的各种健康主题的教学信息。我们的主要结果是点流行率戒烟，包括 24 小时和 7 天以及 28 天连续戒烟。参与者将在治疗后（两周）以及治疗后三个月和六个月接受评估。因此，我们将使用 2（干预）x 3（时间）设计。据推测，与 HE 加 NPT 条件相比，CBT 加 NPT 条件在每次评估时都会表现出更好的戒烟效果。还预计基线尼古丁依赖、积极的吸烟结果预期和外部健康控制点将与戒烟成功呈负相关。干预措施的利用与戒烟呈正相关。这项工作的长期目标是通过为非裔美国吸烟者提供戒烟治疗的发展信息来推动该领域的发展。这对于减少与吸烟相关的健康差异具有重要的公共卫生影响。

项目成果

Psychosocial factors associated with weight control expectancies in treatment-seeking African American smokers.

与寻求治疗的非洲裔美国吸烟者体重控制预期相关的心理社会因素。

• DOI: 10.1016/s0027-9684(15)31008-7
• 发表时间: 2009
• 期刊: Journal of the National Medical Association
• 影响因子: 3.3
• 作者: Webb,MonicaS;Carey,MichaelP
• 通讯作者: Carey,MichaelP

The early health consequences of smoking: relationship with psychosocial factors among treatment-seeking Black smokers.

吸烟的早期健康后果：寻求治疗的黑人吸烟者与心理社会因素的关系。

• DOI: 10.1093/ntr/ntp043
• 发表时间: 2009
• 期刊: Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco
• 作者: Webb,MonicaS;Carey,MichaelP
• 通讯作者: Carey,MichaelP

Acculturation predicts 7-day smoking cessation among treatment-seeking African-Americans in a group intervention.

在一项团体干预中，文化适应预测寻求治疗的非裔美国人将在 7 天内戒烟。

• DOI: 10.1007/s12160-011-9304-y
• 发表时间: 2012
• 期刊: Annals of behavioral medicine : a publication of the Society of Behavioral Medicine
• 作者: Hooper,MonicaWebb;Baker,ElizabethA;deYbarra,DeniseRodríguez;McNutt,Marcia;Ahluwalia,JasitS
• 通讯作者: Ahluwalia,JasitS