Efficacy of Yoga as an Alternative Therapy for Smoking Cessation

瑜伽作为戒烟替代疗法的功效

• 批准号: 9005679
• 负责人: Beth C Bock
• 金额: $ 55.49万
• 依托单位: MIRIAM HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-07-01 至 2018-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9005679
• 关键词: Abstinence; Adult; Adverse effects; Aerobic Exercise; Affect; Aftercare; Age; Alternative Therapies; Attention; Behavioral; Bicycling; Breathing; Chemicals; Cognitive; Complement; Complementary therapies; Control Groups; Counseling; Enrollment; Exercise; Focus Groups; Health; Heart Diseases; Human Resources; Individual; Intervention; Interview; Maintenance; Malignant Neoplasms; Measures; Mediating; Mediator of activation protein; Medical History; Meditation; Mental concentration; Moods; Morbidity - disease rate; Motivation; Nicotine Dependence; Nicotine Withdrawal; Outcome; Participant; Pharmaceutical Preparations; Physical Fitness; Pilot Projects; Population; Process; Property; Quality of life; Randomized; Randomized Clinical Trials; Randomized Controlled Trials; Reporting; Research; Research Design; Research Personnel; Resources; Self Efficacy; Self Perception; Severities; Smoker; Smoking; Smoking Status; Stress; Study Section; Testing; Time; Tobacco Use Cessation; Treatment Cost; Treatment Efficacy; Walking; Weight; Weight Gain; Weight maintenance regimen; Wellness Program; Withdrawal Symptom; Work; Yoga; adjudicate; arm; base; cigarette smoking; cost; cost effectiveness; design; efficacy testing; fitness; follow-up; group counseling; improved; innovation; meetings; mindfulness; mortality; preference; primary outcome; programs; smoking cessation; smoking prevalence; theories; treatment duration; treatment effect; treatment group; trial comparing; trial design

DESCRIPTION (provided by applicant): Despite the existence of effective medications for smoking cessation, approximately 50-80% of smokers attempt to quit without using pharmacotherapy.1-4 Efforts to encourage medication use during cessation attempts have met with mixed success.20-23 Many do not use medications because of concerns about side effects, contraindications that make medication use inappropriate, and individual preferences for chemical-free quit attempts. This leaves many smokers seeking an effective alternative to assist them in attempting to quit smoking.5-6 Each year, over 41% of smokers report failed attempts to quit smoking.18 Thus, effective non- pharmacological interventions to increase rates of successful cessation are greatly needed. Our research, and the research of other investigators, has demonstrated that traditional (Western) exercise (e.g., brisk walking, bicycling) improves smokers' ability to successfully quit. Exercise may help smokers quit by reducing concerns regarding post-cessation weight gain,7-8 and by reducing nicotine withdrawal and enhancing mood.9 Recent research suggests that yoga is an acceptable and potentially effective alternative therapy for smoking cessation for several reasons: As a form of exercise, yoga shares many of the same properties as traditional (Western) aerobic exercise in that yoga has been shown to improve mood, physical fitness, weight control, self-image and quality of life in healthy and ill populations.10-13 Moreover, features of yoga, including a focus on breathing, mental concentration, meditation, stress reduction and enhanced mood are likely to have special relevance for smokers who are trying to quit.14-15 Thus, yoga may be particularly attractive as an alternative for individuals who either cannot use medications, or who choose not to use medications while quitting. The proposed study will test the efficacy of Yoga as a complementary therapy for smoking cessation using a randomized, controlled study design. Adult smokers will be randomly assigned to either; 1) Yoga, or 2) an equal contact time Control group (CTL) given a health & wellness program to control for contact time. All participants will be provided (separately by treatment group assignment) with the same cognitive-behavioral Smoking Cessation Counseling (SCC). Smoking abstinence will be measured at the end of treatment (week 10) and at 3, 6 and 12 months follow-up. We hypothesize that abstinence will be significantly higher in the SCC+Yoga group compared to SCC+CTL. We will also test theoretically posited mediators of intervention efficacy (e.g., perceived stress, cognitive/perceptual changes), examine the cost-efficacy of the yoga intervention, and examine the relationship between maintenance of yoga practice during the post-treatment period and smoking status. This study builds on our programmatic line of research developing innovative, theory-driven smoking cessation therapies.

描述(申请人提供)：尽管存在有效的戒烟药物，但大约50%-80%的吸烟者试图在不使用药物疗法的情况下戒烟。1-4鼓励在戒烟尝试期间使用药物的努力取得了喜忧参半的成功。20-23许多人不使用药物是因为担心副作用、禁忌症使药物使用不合适，以及个人对无化学物质的戒烟尝试的偏好。这使得许多吸烟者寻求一种有效的替代方法来帮助他们尝试戒烟。5-6每年，超过41%的吸烟者报告戒烟尝试失败。18因此，非常需要有效的非药物干预措施来提高戒烟成功率。我们的研究以及其他研究人员的研究表明，传统的(西方)运动(如快步行走、骑自行车)可以提高吸烟者成功戒烟的能力。9最近的研究表明，瑜伽是一种可接受且潜在有效的戒烟替代疗法，原因如下：作为一种锻炼形式，瑜伽与传统(西方)有氧运动有许多相同的性质，因为瑜伽已被证明可以改善健康和患病人群的情绪、身体健康、体重控制、自我形象和生活质量。此外，瑜伽的特点，包括注重呼吸、精神集中、冥想、对于试图戒烟的吸烟者来说，减轻压力和改善情绪可能具有特别的相关性。14-15因此，对于不能使用药物或在戒烟时选择不使用药物的人来说，瑜伽可能特别有吸引力。这项拟议的研究将使用随机对照研究设计来测试瑜伽作为戒烟补充疗法的有效性。成年吸烟者将被随机分配到以下任一组：1)瑜伽，或2)等接触时间控制组(CTL)，给予健康与健康计划以控制接触时间。所有参与者将被提供(由治疗组分配的单独)相同的认知-行为戒烟咨询(SCC)。戒烟情况将在治疗结束时(第10周)以及3、6和12个月的随访时进行测量。我们假设，与SCC+CTL相比，SCC+瑜伽组的禁欲程度明显更高。我们还将测试干预效果的理论假设中介因素(例如，感知压力、认知/知觉变化)，检查瑜伽干预的成本效益，并检查在治疗后期间保持瑜伽练习与吸烟状况之间的关系。这项研究建立在我们开发创新的、理论驱动的戒烟疗法的研究方案线上。