基于网络的接受与承诺疗法(ACT)用于戒烟:对美国西班牙裔/拉丁裔成年吸烟者是否有吸引力且有效?
Web-delivered Acceptance and Commitment Therapy (ACT) for smoking cessation: Is it engaging and efficacious for US Hispanic/Latinx adult smokers?
作者信息
Kwon Diana M, Santiago-Torres Margarita, Mull Kristin E, Sullivan Brianna M, Zvolensky Michael J, Bricker Jonathan B
机构信息
Fred Hutchinson Cancer Research Center, Division of Public Health Sciences, Seattle, WA, USA.
University of Washington, Department of Psychology, Seattle, WA, USA.
出版信息
Prev Med Rep. 2022 Aug 19;29:101952. doi: 10.1016/j.pmedr.2022.101952. eCollection 2022 Oct.
Hispanic/Latinx adult smokers in the United States (US) face barriers to receiving and utilizing evidenced-based cessation treatments compared with other racial/ethnic groups. The lack of efficacious and accessible smoking cessation treatments for this population further contributes to such smoking disparities. In a secondary analysis, we explored the efficacy of an Acceptance and Commitment Therapy (ACT)-based website (WebQuit.org) versus a US Clinical Practice Guidelines (USCPG)-based website (Smokefree.gov) for smoking cessation in a subset of Hispanic/Latinx adult participants enrolled in the WebQuit trial. Of the 2,637 participants who were randomized in the parent trial, 222 were Hispanic/Latinx (n = 101 in WebQuit, n = 121 in Smokefree). Smoking cessation outcomes were measured at 3, 6, and 12-months. The primary outcome was self-reported complete-case 30-day point prevalence abstinence (PPA) at 12-months. Treatment engagement and satisfaction, change in acceptance of urges to smoke, and commitment to quitting smoking were compared across conditions. Retention rate was 88% at 12-months. WebQuit participants had higher odds of smoking cessation compared to Smokefree participants at 12-months (40% vs. 25%; OR = 1.93 95% CI: 1.04, 3.59). Findings were similar using multiple imputation. WebQuit participants engaged more with the website than Smokefree participants through multiple indicators of engagement, including spending more time using the website (IRR = 2.32; 95% CI: 1.68, 3.20). Although WebQuit participants engaged more with the website than Smokefree participants, there was no evidence that differences in quit rates were mediated by engagement level. This study provides initial empirical evidence that digital interventions may be efficacious for helping Hispanic/Latinx adults quit smoking.
与其他种族/族裔群体相比,美国的西班牙裔/拉丁裔成年吸烟者在接受和使用循证戒烟治疗方面面临障碍。该人群缺乏有效且可及的戒烟治疗,这进一步加剧了此类吸烟差异。在一项二次分析中,我们在参与WebQuit试验的一部分西班牙裔/拉丁裔成年参与者中,探讨了基于接受与承诺疗法(ACT)的网站(WebQuit.org)与基于美国临床实践指南(USCPG)的网站(Smokefree.gov)在戒烟方面的疗效。在母试验中随机分组的2637名参与者中,222名是西班牙裔/拉丁裔(WebQuit组n = 101,Smokefree组n = 121)。在3个月、6个月和12个月时测量戒烟结果。主要结局是12个月时自我报告的30天完全病例点患病率戒烟率(PPA)。比较了不同条件下的治疗参与度和满意度、对吸烟冲动接受度的变化以及戒烟承诺。12个月时的保留率为88%。在12个月时,WebQuit参与者戒烟的几率高于Smokefree参与者(40%对25%;OR = 1.93,95%CI:1.04,3.59)。使用多重填补法的结果相似。通过多种参与指标,WebQuit参与者比Smokefree参与者更多地参与网站,包括花更多时间使用网站(IRR = 2.32;95%CI:1.68,3.20)。尽管WebQuit参与者比Smokefree参与者更多地参与网站,但没有证据表明戒烟率的差异是由参与程度介导的。这项研究提供了初步的实证证据,表明数字干预可能对帮助西班牙裔/拉丁裔成年人戒烟有效。
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