Mobile Mindfulness for Smoking Cessation

移动正念戒烟

基本信息

项目摘要

DESCRIPTION (provided by applicant): Smoking is the leading preventable cause of death in the U.S. A number of factor contribute to the challenge of quitting smoking, including the associative learning process whereby negative affect and stress-induced craving lead to smoking, and learned responses that are reinforced multiple times daily by smoking behavior. Many behavioral interventions have been developed to treat smoking, but success rates remain low. We have recently found that group-based mindfulness training, which specifically targets stress, craving and the learned responses, doubles abstinence rates compared to other behavioral treatments such as the American Lung Association's Freedom From Smoking. We have also found potential mechanisms for mindfulness training (MT): the decoupling of the link between craving and smoking. However, clinic group-based treatments are expensive and delivery is difficult to standardize due to variability in therapist experience and adherence to manualized training. Recent advances in mobile-phone applications have led to app-based interventions for smoking cessation that can reduce costs and optimize standardized delivery. To enhance delivery of MT, we have translated our manualized MT for smoking into a smartphone application (Craving To Quit, C2Q). Further, we have paired this with an online community, which can provide peer support and expert guidance. In the proposed study, The Primary Aim will assess the efficacy of mobile mindfulness training (C2Q). To achieve this, 1200 smokers will be randomized to receive C2Q, or The National Cancer Institute's NCIQuitPal. The primary endpoint will be self-reported 7-day point prevalence abstinence at 6 months after treatment initiation. Secondary Aim 1 will be to assess the short-term efficacy of the C2Q program. Secondary endpoints will include 7-day point prevalence abstinence at 3 months after treatment initiation. Secondary Aim 2 will be to determine the relationship between C2Q usage and tobacco abstinence at 3 and 6 months. C2Q program usage, measured by (1) the number of modules completed, (2) the amount of informal mindfulness practice completed, and (3) the number of visits to the online community will be used in regression analyses to determine the degree to which they predict smoking in the C2Q group. The proposed study provides potential benefits for society. First, this study will test the efficacy of a cost-effective treatment for smoking cessation, C2Q. Second, this study will test hypothesized predictors of outcomes which will improve our understanding and treatment of smoking cessation.
描述(由申请人提供):吸烟是美国主要的可预防死亡原因。许多因素导致戒烟面临挑战,包括负面情绪和压力引起的渴望导致吸烟的联想学习过程,以及吸烟行为每天多次强化的习得反应。人们已经开发出许多行为干预措施来治疗吸烟,但成功率仍然很低。我们最近发现,专门针对压力、渴望和习得反应的团体正念训练,与美国肺脏协会的“戒烟”等其他行为疗法相比,戒烟率提高了一倍。我们还发现了正念训练(MT)的潜在机制:将烟瘾与吸烟之间的联系脱钩。然而,基于临床小组的治疗费用昂贵,并且由于治疗师经验的可变性和对手动培训的坚持而难以标准化实施。 手机应用程序的最新进展催生了基于应用程序的戒烟干预措施,可以降低成本并优化标准化交付。为了增强 MT 的交付,我们已将针对吸烟的手动 MT 转化为智能手机应用程序(Craving To Quit,C2Q)。此外,我们还将其与在线社区配对,该社区可以提供同行支持和专家指导。在拟议的研究中,主要目标将评估移动正念训练(C2Q)的功效。为了实现这一目标,1200 名吸烟者将被随机分配接受 C2Q,即美国国家癌症研究所的 NCIQuitPal。主要终点是治疗开始后 6 个月时自我报告的 7 天点戒烟率。次要目标 1 是评估 C2Q 计划的短期功效。次要终点包括治疗开始后 3 个月的 7 天点戒烟率。次要目标 2 是确定 C2Q 使用与 3 个月和 6 个月时戒烟之间的关系。 C2Q 计划的使用情况,通过以下指标来衡量:(1) 完成的模块数量,(2) 完成的非正式正念练习数量,以及 (3) 在线社区的访问次数,将用于回归分析,以确定他们预测 C2Q 组吸烟的程度。拟议的研究为社会提供了潜在的好处。首先,这项研究将测试一种经济有效的戒烟治疗方法 C2Q 的功效。其次,这项研究将测试假设的结果预测因素,这将提高我们对戒烟的理解和治疗。

项目成果

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Judson A Brewer其他文献

Judson A Brewer的其他文献

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{{ truncateString('Judson A Brewer', 18)}}的其他基金

Predictors of Outcomes in MBSR Participants from Teacher Factors
教师因素对 MBSR 参与者结果的预测
  • 批准号:
    9178233
  • 财政年份:
    2016
  • 资助金额:
    $ 18.19万
  • 项目类别:
Mechanisms of mindfulness for smoking cessation: optimizing quantity and quality
正念戒烟机制:优化数量和质量
  • 批准号:
    9206563
  • 财政年份:
    2016
  • 资助金额:
    $ 18.19万
  • 项目类别:
Developing a Smartphone App with Mindfulness Training for Teen Smoking Cessation
开发一款带有正念训练的智能手机应用程序,帮助青少年戒烟
  • 批准号:
    8747862
  • 财政年份:
    2014
  • 资助金额:
    $ 18.19万
  • 项目类别:
Augmenting Mindfulness Training Through Experience-driven Neurofeedback Devices (
通过体验驱动的神经反馈设备增强正念训练(
  • 批准号:
    8557454
  • 财政年份:
    2013
  • 资助金额:
    $ 18.19万
  • 项目类别:
Augmenting Mindfulness Training Through Experience-driven Neurofeedback Devices (
通过体验驱动的神经反馈设备增强正念训练(
  • 批准号:
    8706050
  • 财政年份:
    2013
  • 资助金额:
    $ 18.19万
  • 项目类别:
Augmenting Mindfulness Training Through Experience-driven Neurofeedback Devices (
通过体验驱动的神经反馈设备增强正念训练(
  • 批准号:
    8838475
  • 财政年份:
    2013
  • 资助金额:
    $ 18.19万
  • 项目类别:
Augmenting Mindfulness Training Through Experience-driven Neurofeedback Devices (
通过体验驱动的神经反馈设备增强正念训练(
  • 批准号:
    8904619
  • 财政年份:
    2013
  • 资助金额:
    $ 18.19万
  • 项目类别:
Mindfulness training for smoking cessation
戒烟正念训练
  • 批准号:
    8045231
  • 财政年份:
    2011
  • 资助金额:
    $ 18.19万
  • 项目类别:

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