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个性化反馈对吸烟和焦虑敏感性的影响:一项随机对照试验。

Personalized Feedback for Smoking and Anxiety Sensitivity: A Randomized Controlled Trial.

机构信息

Department of Psychology, University of Houston, Houston, Texas, USA.

Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.

出版信息

Subst Use Misuse. 2021;56(7):929-940. doi: 10.1080/10826084.2021.1900255. Epub 2021 Mar 25.

Abstract

Cigarette smoking is the leading preventable cause of death and disability globally. Most smokers want to quit, and most make a serious quit attempt each year. Nevertheless, more than 95% of cessation attempters relapse within six months. Thus, alternative interventions are needed to combat this major public health concern. The current study was conducted to develop and test a smoking treatment among 95 (63.2% male; = 46.20 years,  = 10.90) adult daily cigarette smokers that targets a known risk factor for smoking maintenance and relapse: anxiety sensitivity (AS). The current study employed a randomized controlled trial design to test an integrated, brief, computer-delivered smoking and AS intervention among current, daily smokers. Participants completed four appointments: (a) phone-screener; (b) baseline (pre-intervention assessment, intervention [personalized feedback intervention (PFI) versus smoking information control], and post-intervention assessment); (c) 2-week follow-up; and (d) 4-week follow-up. Participants indicated highly positive evaluations of both the PFI and control intervention. Between the baseline and 2-week follow-up, 44.2% [PFI: 46.9% ( = 23); control: 41.3% ( = 19)] of participants reported a quit attempt. At the 4-week follow-up, 49.5% [PFI: 57.1% ( = 28); control: 41.3% ( = 19)] of participants reported a quit attempt since their previous laboratory session Within the context of an intervention development approach, the present investigation provides descriptive data on the feasibility, acceptability, and initial efficacy of a single-session, computer-delivered, AS/smoking PFI.

摘要

吸烟是全球可预防的主要死亡和残疾原因。大多数吸烟者都想戒烟,而且大多数人每年都会认真尝试戒烟。然而,超过 95%的戒烟尝试者在六个月内复发。因此,需要采取替代干预措施来解决这一主要的公共卫生问题。本研究旨在开发和测试一种针对已知吸烟维持和复发风险因素的吸烟治疗方法,即焦虑敏感性(AS),该研究共纳入 95 名(63.2%为男性;=46.20 岁,=10.90 岁)成年每日吸烟者。本研究采用随机对照试验设计,测试一种针对当前每日吸烟者的综合、简短、计算机提供的吸烟和 AS 干预措施。参与者完成了四个预约:(a)电话筛选;(b)基线(干预前评估、干预[个性化反馈干预(PFI)与吸烟信息对照]和干预后评估);(c)2 周随访;(d)4 周随访。参与者对 PFI 和对照干预都给予了高度积极的评价。在基线和 2 周随访之间,44.2%[PFI:46.9%( = 23);对照:41.3%( = 19)]的参与者报告了戒烟尝试。在 4 周随访时,49.5%[PFI:57.1%( = 28);对照:41.3%( = 19)]的参与者报告了自上次实验室会议以来的戒烟尝试。在干预措施开发方法的背景下,本研究提供了关于单次计算机提供的 AS/吸烟 PFI 的可行性、可接受性和初步疗效的描述性数据。

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