Yoga for Women Attempting Smoking Cessation: An Initial Investigation

尝试戒烟的女性瑜伽：初步调查

• 批准号: 7834161
• 负责人: Beth C Bock
• 金额: $ 25.2万
• 依托单位: MIRIAM HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-30 至 2011-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7834161
• 关键词: Abstinence; Acute; Address; Adoption; Adult; Aerobic Exercise; Affect; Aftercare; Alcohol or Other Drugs use; Anxiety; Behavior Therapy; Behavioral; Belief; Bicycling; Breathing; Centers for Disease Control and Prevention (U.S.); Cessation of life; Cigarette; Cigarette Smoker; Clinical Research; Clinical Trials; Cognitive; Complementary and alternative medicine; Contract Services; Contracts; Data; Development; Enrollment; Exclusion Criteria; Exercise; Exploratory/Developmental Grant; Exposure to; Feedback; Focus Groups; Funding; Future; Gender; Health; Impulsivity; Intervention; Investigation; Laboratory Research; Literature; Measures; Mediating; Mediator of activation protein; Meditation; Mission; Moods; Morbidity - disease rate; NIH Program Announcements; National Center for Complementary and Alternative Medicine; National Institute of Drug Abuse; Nicotine Withdrawal; Occupations; Outcome; Parents; Participant; Perception; Personal Satisfaction; Physical Fitness; Pilot Projects; Population; Procedures; Process; Property; Protocols documentation; Psyche structure; Psychosocial Factor; Quality of life; Randomized; Randomized Controlled Clinical Trials; Recovery; Recruitment Activity; Research; Research Personnel; Self Efficacy; Self Perception; Smoke; Smoker; Smoking; Smoking Behavior; Spirituality; Stress; Substance abuse problem; Symptoms; System; Techniques; Time; Tobacco Use Cessation; Tobacco use; Treatment Efficacy; United States; United States National Institutes of Health; Upper arm; Walking; Weight Gain; Weight maintenance regimen; Wellness Program; Withdrawal Symptom; Withholding Treatment; Woman; Work; Yoga; base; cigarette smoking; cognitive behavior therapy; cohesion; cohort; craving; design; efficacy testing; efficacy trial; fundamental research; improved; instructor; instrument; interest; iterative design; men; mindfulness; mortality; programs; psychologic; public health relevance; response; self esteem; smoking cessation; smoking prevalence

DESCRIPTION (provided by applicant): Cigarette smoking is the leading preventable cause of morbidity and mortality in the U.S. Our previous studies have demonstrated that exercise used as an adjunct to smoking cessation programs, results in substantially higher abstinence rates. Research by our team and others indicates that exercise may mediate smoking outcomes by reducing cigarette craving, nicotine withdrawal symptoms and by improving mood while quitting smoking. Yoga is an ancient, multi-component system consisting of both mental and physical practices or "Sudras". As a form of exercise, yoga shares many of the same properties as traditional (Western) aerobic exercise that we have used in our previous studies. Yoga may also offer additional benefits that may make it an especially effective complimentary treatment for smokers who are attempting to quit. Our ongoing study (R21-AT003669) examines the acceptability and preliminary efficacy of yoga as an adjunct to smoking cessation among women. Neither that study, nor any of our previous work, has included men. Much of the other research concerning exercise and smoking cessation has also tended to focus on women smokers. Thus, in the growing literature on the efficacy of exercise interventions for smokers, men are inadequately represented and research findings may not generalize to them or address their needs. In this competitive revision we will recruit 40 men who want to quit smoking and provide cognitive- behavioral therapy for smoking cessation once weekly for 10 weeks. Participants will be randomly assigned to receive either; (1) Yoga or (2) a Wellness program (contact-control), twice weekly throughout the program. All participants will be assessed for changes in smoking behavior, psychosocial variables relevant to smoking cessation, exercise adoption, and other psychological constructs that may act as mechanisms of action (mediators) of yoga and smoking cessation. These variables include; affect, perceived stress, mindfulness, self-esteem, quality of life and group cohesion. Focus groups will be used to collect qualitative data at the end of each cohort. This study is designed to provide key data necessary to establish several research fundamentals necessary to support a full scale efficacy trial. These include: 1) establishing intervention feasibility and acceptability among men who smoke, 2) piloting recruitment and retention procedures and identifying barriers to participation, 3) obtaining qualitative feedback from participants to enhance treatment content and/or design, 4) establishing anticipated effect size estimates, and 5) identifying likely mechanisms of action (mediators) that may be responsible for intervention efficacy. This application responds to NOT-OD-09-058: "NIH Announces the Availability of Recovery Act Funds for Competitive Revision Applications." PUBLIC HEALTH RELEVANCE: There is an important and growing research literature on how exercise interacts with substance use, especially tobacco cessation. However, men are under-represented in this research. This study will substantially expand our ongoing study to include an exploration of important treatment features, including acceptability, initial efficacy and mechanisms of action of yoga as a complementary treatment for tobacco cessation among men.

描述（由申请人提供）：吸烟是美国发病率和死亡率的主要可预防原因。我们以前的研究表明，运动作为戒烟计划的辅助手段，可显著提高戒烟率。我们的团队和其他人的研究表明，运动可以通过减少烟瘾、尼古丁戒断症状和在戒烟时改善情绪来调节吸烟的结果。瑜伽是一个古老的，多组成部分的系统，包括精神和身体的做法或“首陀罗”。作为一种运动形式，瑜伽与我们在之前的研究中使用的传统（西方）有氧运动具有许多相同的特性。瑜伽还可以提供额外的好处，这可能使它成为试图戒烟的吸烟者特别有效的免费治疗。 我们正在进行的研究（R21-AT 003669）检查了瑜伽作为女性戒烟辅助手段的可接受性和初步疗效。无论是这项研究，还是我们以前的任何工作，都没有包括男性。许多关于运动和戒烟的其他研究也倾向于关注女性吸烟者。因此，在越来越多的关于吸烟者运动干预效果的文献中，男性的代表性不足，研究结果可能无法推广到他们或解决他们的需求。 在这个竞争性修订中，我们将招募40名想要戒烟的男性，并提供每周一次的戒烟认知行为治疗，持续10周。参与者将被随机分配接受;（1）瑜伽或（2）健康计划（接触控制），在整个计划中每周两次。所有参与者将被评估吸烟行为的变化，与戒烟相关的心理社会变量，运动采用，以及其他可能作为瑜伽和戒烟作用机制（中介）的心理结构。这些变量包括;影响，感知压力，正念，自尊，生活质量和群体凝聚力。在每个队列结束时，将使用焦点小组收集定性数据。本研究旨在提供必要的关键数据，以建立支持全面疗效试验所需的几个研究基础。其中包括：1）在吸烟男性中建立干预的可行性和可接受性，2）试行招募和保留程序，并确定参与的障碍，3）从参与者那里获得定性反馈，以加强治疗内容和/或设计，4）建立预期的效应量估计，5）确定可能负责干预效果的可能作用机制（介质）。 本申请回应了NOT-OD-09-058：“NIH宣布为竞争性修订申请提供恢复法案资金。" 公共卫生关系：有一个重要的和不断增长的研究文献如何运动与物质使用，特别是戒烟相互作用。然而，男性在这项研究中的代表性不足。这项研究将大大扩展我们正在进行的研究，包括探索重要的治疗特征，包括瑜伽作为男性戒烟补充治疗的可接受性，初步疗效和作用机制。

项目成果

"Smoking Does Not Go With Yoga:" A Qualitative Study of Women's Phenomenological Perceptions During Yoga and Smoking Cessation.

• DOI: 10.17761/1531-2054-26.1.33
• 发表时间: 2016-01
• 期刊: International journal of yoga therapy
• 作者: Rosen RK;Thind H;Jennings E;Guthrie KM;Williams DM;Bock BC
• 通讯作者: Bock BC

Recruitment and initial interest of men in yoga for smoking cessation: QuitStrong, a randomized control pilot study.

男性对戒烟瑜伽的招募和最初兴趣：QuitStrong，一项随机对照试点研究。

• DOI: 10.1007/s13142-014-0295-7
• 发表时间: 2015
• 期刊: Translational behavioral medicine
• 影响因子: 3.6
• 作者: Gaskins,RonnesiaB;Jennings,ErnestineG;Thind,Herpreet;Fava,JosephL;Horowitz,Santina;Lantini,Ryan;Becker,BruceM;Bock,BethC
• 通讯作者: Bock,BethC

Yoga as a complementary treatment for smoking cessation: rationale, study design and participant characteristics of the Quitting-in-Balance study.

• DOI: 10.1186/1472-6882-10-14
• 发表时间: 2010-04-29
• 期刊: BMC complementary and alternative medicine
• 作者: Bock BC;Morrow KM;Becker BM;Williams DM;Tremont G;Gaskins RB;Jennings E;Fava J;Marcus BH
• 通讯作者: Marcus BH

Differences between Men and Women Enrolling in Smoking Cessation Programs Using Yoga as a Complementary Therapy.

参加使用瑜伽作为补充疗法的戒烟计划的男性和女性之间的差异。

• DOI: 10.4172/2157-7595.1000245
• 发表时间: 2016
• 期刊: Journal of yoga & physical therapy
• 作者: Thind,Herpreet;Jennings,Ernestine;Fava,JosephL;Sillice,MarieA;Becker,BruceM;Hartman,SheriJ;Bock,BethC
• 通讯作者: Bock,BethC