Positive Psychotherapy for Smoking Cessation Enhanced with Text Messaging: A Randomized Controlled Trial

通过短信增强戒烟积极心理治疗：随机对照试验

• 批准号: 9310231
• 负责人: Christopher W. Kahler
• 金额: $ 56.44万
• 依托单位: BROWN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-07-04 至 2021-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9310231
• 关键词: Abstinence; Address; Affect; Aftercare; Area; Attention; Behavior Therapy; Behavioral; Biochemical; Cognition; Cognitive; Counseling; Development; Effectiveness; Emotions; Exercise; Frequencies; Goals; Happiness; Health Benefit; Human; Individual; Intervention; Mediating; Mediator of activation protein; Mental Depression; Mental Health; Monitor; Outcome; Participant; Psychology; Psychotherapy; Public Health; Randomized; Randomized Controlled Trials; Relapse; Research; Residual state; Resources; Schedule; Self Efficacy; Smoker; Smoking; Smoking Cessation Intervention; Stress; Techniques; Testing; Text; Thinking; Time; Training; Withholding Treatment; addiction; base; behavioral health; behavioral pharmacology; cigarette smoking; depressive symptoms; design; efficacy testing; experience; follow-up; improved; innovation; nicotine patch; nicotine replacement; novel; pleasure; population health; positive emotional state; positive mood; programs; public health priorities; response; smoking cessation; smoking intervention; smoking prevalence

Project Summary/Abstract There continues to be an urgent need to increase the effectiveness of behavioral counseling for promoting long-term smoking cessation. Research on positive psychology has been growing rapidly over the past two decades and provides a valuable perspective for developing novel and more effective approaches to addictions treatment that are likely to have broad appeal. Building from a substantial body of research on positive psychology interventions for increasing positive affect and reducing stress and depression, we recently developed and pilot tested a treatment called Positive Psychotherapy for Smoking Cessation (PPT-S). PPT-S is designed to harness personal strengths to assist smoking cessation, to enhance focus on the mental health benefits of quitting smoking, and to increase the frequency of and the attention to positive experiences and cognitions during quitting. In a pilot randomized controlled trial, PPT-S resulted in greater odds of smoking abstinence over 6 months of follow-up compared to a time-matched control condition. We also found that greater engagement in PPT-consistent strategies was associated with increased odds of abstinence over time, that those with higher baseline positive affect engaged in more PPT-consistent strategies, and that the efficacy of PPT-S was greatest at higher levels of positive affect. Results show the potential promise of PPT-S and suggest that increasing engagement in PPT-consistent behavioral and cognitive strategies, especially for those with low positive affect, may further enhance the efficacy of this approach. Towards this end, we have developed an enhanced version of PPT-S (PPT-S+) that uses text messaging to provide PPT-related content and to prompt daily engagement in PPT-consistent strategies; pilot testing indicates high acceptability of this approach with participants responding to over 80% of daily interactive text messages. The overall objective of the proposed project is to conduct a randomized controlled trial to test the efficacy of PPT-S+. Specifically, we will randomize 340 smokers to either PPT-S+ or a time-matched standard behavioral smoking cessation treatment plus text messaging (ST+). Both treatment conditions will include nicotine replacement therapy and a text-messaging intervention for smoking cessation. We will test the hypotheses that PPT-S+ will result in superior smoking outcomes compared to ST+ and that this effect will be mediated by greater engagement in PPT-consistent strategies, increased self-efficacy for quitting smoking, and reduced residual attraction to smoking. We also will examine whether the effect of PPT-S+ remains stronger for those with higher baseline positive affect even when text messaging is utilized to increase treatment engagement. This project can have significant public health impact by establishing the efficacy of a highly innovative approach to improving behavioral smoking cessation counseling, which can be readily implemented and is likely to appeal to a broad range of smokers due to its emphasis on personal strengths and enhancing overall well-being and happiness.

项目总结/摘要 继续迫切需要提高行为咨询的有效性，以促进 长期戒烟。在过去的两年里，积极心理学的研究迅速发展。 几十年来，并提供了一个有价值的视角，为开发新的和更有效的方法， 可能具有广泛吸引力的成瘾治疗。建立在大量的研究基础上， 最近，我们通过积极心理学干预来增加积极影响并减轻压力和抑郁， 该公司开发并试点测试了一种名为戒烟积极心理疗法（PPT-S）的治疗方法。PPT-S 旨在利用个人力量协助戒烟，加强对心理健康的关注 戒烟的好处，并增加频率和注意积极的经验， 戒烟期间的认知在一项初步随机对照试验中，PPT-S导致吸烟的几率更大 禁欲超过6个月的后续行动相比，时间匹配的控制条件。我们还发现 随着时间的推移，更多地参与PPT一致的策略与禁欲的几率增加有关， 那些基线积极影响较高的人采取了与PPT更加一致的策略，并且疗效 PPT-S在积极情感水平较高时最大。结果显示了PPT-S的潜在前景， 这表明，增加参与PPT一致的行为和认知策略，特别是对那些 低积极影响，可以进一步提高这种方法的功效。为此，我们 开发了PPT-S的增强版（PPT-S+），使用文本消息传递提供PPT相关内容 并促进每天参与PPT一致的战略;试点测试表明这一点的可接受性很高 参与者每天回复80%以上的互动短信。的总体目标 建议的项目是进行一项随机对照试验，以测试PPT-S+的疗效。我们特别 将340名吸烟者随机分为PPT-S+组或时间匹配的标准行为戒烟组 治疗加短信（ST+）。这两种治疗条件将包括尼古丁替代疗法和 短信干预戒烟。我们将测试PPT-S+将导致 与ST+相比，吸烟结局上级，并且这种效应将通过更大程度地参与 PPT一致的策略，增加戒烟的自我效能，减少对吸烟的残余吸引力。 smoking.我们还将检查PPT-S+的效果是否对那些基线较高的人仍然更强 积极的影响，即使是在使用短信来增加治疗参与度的情况下。这个项目可以有 通过建立一种高度创新的方法来提高效率， 行为戒烟咨询，这可以很容易地实施，并可能吸引广泛的 吸烟者的范围，因为它强调个人的优势，提高整体福祉和幸福。