HIV 患者对一种潜在的多组件基于正念的戒烟智能手机应用干预措施的看法。

HIV patients' perceptions of a potential multi-component mindfulness-based smoking cessation smartphone application intervention.

机构信息

Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, United States of America.

Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami, FL, United States of America.

出版信息

PLoS One. 2022 Aug 25;17(8):e0271946. doi: 10.1371/journal.pone.0271946. eCollection 2022.

DOI:10.1371/journal.pone.0271946

PMID:36006893

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9409537/

Abstract

OBJECTIVES

Cigarette smoking rates among people living with HIV (PLWH) in the US is triple that of the general population. PLWH smokers are a high-risk group for smoking-related health disparities and should be a prime focus for smoking cessation efforts. Our team has developed a novel evidence-based Mindfulness Training (MT) smoking cessation smartphone application (app), "Craving-to-Quit." Using qualitative focus groups among PLWH smokers, this study aims to tailor and optimize the app's content and design to PLWH's unique psychosocial profile and needs.

METHODS

We conducted 8 focus groups among PLWH smokers (n = 59; 47.5% females; ≥18 years) to gain insight into participants' perceptions about the app, MT, and the feasibility and acceptability of adding two additional strategies (CM: Contingency Management; self-monitoring of anti-retroviral therapies intake [ART]) to further optimize the app. Participants were asked to practice MTs and watch videos from the app presented on a screen in the conference room to discuss their experience. Sessions were audio-taped, transcribed verbatim, and analyzed thematically using NVivo.

RESULTS

Most participants were non-Hispanic black (67.8%), on a federal health insurance program (61.0%). Participants considered it easy to learn the app and thought that MT is helpful in reducing stress and motivating quit attempts and were supportive of adding CM and recommended providing $20-$50 weekly cash incentives to help in quitting. Participants felt that adding self-monitoring of ART is helpful but were concerned about confidentiality in case they lost their phone. Participants recommended making the app cost-free and adding information about smoking cessation medications and the negative effects of smoking among PLWH.

CONCLUSIONS

Findings will guide the development of a novel multi-component smoking cessation intervention app integrating MT, CM, and ART self-monitoring strategies. This intervention has the potential to address several barriers to quitting in PLWH. Further clinical research is needed to test this intervention.

摘要

目的

美国艾滋病毒感染者（PLWH）的吸烟率是普通人群的三倍。PLWH 吸烟者是与吸烟相关的健康差异的高风险群体，应该成为戒烟努力的重点关注对象。我们的团队开发了一种新的基于证据的正念训练（MT）戒烟智能手机应用程序（应用程序），名为“渴望戒烟”。通过对 PLWH 吸烟者进行定性焦点小组研究，本研究旨在根据 PLWH 的独特社会心理特征和需求，调整和优化该应用程序的内容和设计。

方法

我们对 59 名 PLWH 吸烟者（47.5%为女性；年龄≥18 岁）进行了 8 个焦点小组讨论，以了解参与者对该应用程序、MT 以及将两种额外策略（CM：Contingency Management；抗逆转录病毒疗法摄入自我监测 [ART]）添加到应用程序以进一步优化应用程序的看法。参与者被要求练习 MT 并观看会议室屏幕上显示的应用程序视频，然后讨论他们的体验。会议进行了录音，并使用 NVivo 进行了主题分析。

结果

大多数参与者是非西班牙裔黑人（67.8%），参加联邦健康保险计划（61.0%）。参与者认为该应用程序易于学习，并认为 MT 有助于减轻压力，激发戒烟尝试，他们支持添加 CM，并建议每周提供 20-50 美元的现金奖励以帮助戒烟。参与者认为添加 ART 的自我监测是有帮助的，但担心在丢失手机的情况下会泄露隐私。参与者建议将该应用程序免费提供，并添加有关戒烟药物和 PLWH 吸烟负面影响的信息。