一种结合认知行为疗法、虚拟辅导和尼古丁替代疗法的移动干预措施用于电子烟戒烟的可行性及初步结果
Feasibility and Preliminary Outcomes of a Mobile Intervention Combining Cognitive Behavioral Therapy, Virtual Coaching, and Nicotine Replacement Therapy for Nicotine Vaping Cessation.
作者信息
Webb Jamie, Lin Yu-Ting, Ang Alfonso, Michero Darcy, Majeed Azeem, Eisingerich Andreas, Glasner Suzette
机构信息
Department of Clinical Affairs, Digital Therapeutics, Inc., San Francisco, California, USA.
School of Marketing, University of New South Wales, Sydney, Australia.
出版信息
Telemed Rep. 2023 Apr 19;4(1):48-52. doi: 10.1089/tmr.2023.0009. eCollection 2023.
BACKGROUND
Despite research demonstrating that those who use e-cigarettes, also known as vaping, express an interest in quitting, evidence-based vaping cessation interventions are lacking. The purpose of this study was to examine the feasibility and preliminary outcomes of an mHealth vaping cessation intervention.
METHODS
Adults ( = 51) who were vaping nicotine were recruited online and enrolled in a 6-week mHealth intervention combining nicotine replacement therapy (NRT), self-guided cognitive behavioral therapy (CBT), and coaching support through telephone and asynchronous messaging. Feasibility and self-reported 7- and 30-day abstinence were assessed at baseline and 1-month postquit date.
RESULTS
The majority of participants completed treatment (45/51) and found the intervention helpful in supporting their vaping behavior change objectives. At 1-month postquit date, 48.9% (22/45) of study completers reported 7-day point prevalence abstinence and 28.8% (13/45) reported continuous 30-day abstinence.
CONCLUSIONS
Findings provide preliminary support for an mHealth intervention approach to vaping cessation combining remote CBT-based coaching with NRT.
背景
尽管有研究表明，使用电子烟（又称吸电子烟）的人表示有戒烟意愿，但缺乏基于证据的电子烟戒烟干预措施。本研究的目的是检验一种移动健康电子烟戒烟干预措施的可行性和初步效果。
方法
通过网络招募了51名正在吸含尼古丁电子烟的成年人，让他们参加为期6周的移动健康干预，该干预结合了尼古丁替代疗法（NRT）、自我引导的认知行为疗法（CBT）以及通过电话和异步信息提供的指导支持。在基线和戒烟后1个月时评估可行性以及自我报告的7天和30天戒烟情况。
结果
大多数参与者完成了治疗（45/51），并发现该干预有助于实现他们改变吸电子烟行为的目标。在戒烟后1个月时，48.9%（22/45）的研究完成者报告7天点流行率戒烟，28.8%（13/45）报告持续30天戒烟。
结论
研究结果为一种结合基于远程CBT的指导和NRT的移动健康电子烟戒烟干预方法提供了初步支持。
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