Do Smartphone Apps Impact Long-Term Smoking Cessation for Sexual and Gender Minority Adults? Exploratory Results from a 2-Arm Randomized Trial Comparing Acceptance and Commitment Therapy with Standard US Clinical Practice Guidelines

被引：2

作者：

Santiago-Torres, Margarita ^{[1
]}

Mull, Kristin E. ^{[1
]}

Sullivan, Brianna M. ^{[1
]}

Matthews, Alicia K. ^{[2
]}

Skinta, Matthew D. ^{[3
]}

Thrul, Johannes ^{[4
,5
,6
]}

Vogel, Erin A. ^{[7
]}

Bricker, Jonathan B. ^{[1
,8
]}

机构：

[1] Fred Hutchinson Canc Ctr, Div Publ Hlth Sci, 1100 Fairview Ave North, Seattle, WA 98109 USA

[2] Univ Illinois, Coll Nursing, Dept Populat Hlth Nursing, Chicago, IL USA

[3] Roosevelt Univ, Dept Psychol, Chicago, IL USA

[4] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Mental Hlth, Baltimore, MD USA

[5] Johns Hopkins, Sidney Kimmel Comprehens Canc Ctr, Dept Mental Hlth, Baltimore, MD USA

[6] La Trobe Univ, Ctr Alcohol Policy Res, Melbourne, Australia

[7] Univ Oklahoma Hlth Sci Ctr, TSET Hlth Promot Res Ctr, Oklahoma City, OK USA

[8] Univ Washington, Dept Psychol, Seattle, WA USA

来源：

JOURNAL OF HOMOSEXUALITY | 2024年

关键词：

Acceptance and commitment therapy; smoking cessation; digital intervention; LGBT; SGM; smartphone apps; SELF-REPORTED SMOKING; TOBACCO USE; MEDIATION ANALYSIS; DEPENDENCE; AVOIDANCE; DISORDER; VALIDITY; BARON;

D O I：

10.1080/00918369.2024.2309491

中图分类号：

B84 [心理学];

学科分类号：

04 ; 0402 ;

摘要：

Sexual and gender minority (SGM) adults face unique challenges in accessing smoking cessation care due to stigma tied to their identities and smoking. While cessation apps show promise in the general population, their efficacy for SGM adults is unclear. This study utilized data from a randomized trial to compare two cessation apps, iCanQuit (Acceptance and Commitment Therapy-based) and QuitGuide (US Clinical Practice Guidelines-based) among 403 SGM adults. The primary outcome was self-reported complete-case 30-day abstinence from cigarette smoking at 12 months. Mediation analyses explored whether interventions operated through acceptance of cues to smoke and app engagement. At 12 months, quit rates did not differ between arms (26% iCanQuit vs. 22% QuitGuide, OR = 1.22; 95% CI: 0.74 to 2.00, p = .43). iCanQuit positively impacted cessation via acceptance of cues to smoke (indirect effect = 0.23; 95% CI: 0.06 to 0.50, p < .001) and demonstrated higher engagement (no. logins, 28.4 vs. 12.1; p < .001) and satisfaction (91% vs. 75%, OR = 4.18; 95% CI: 2.12 to 8.25, p < .001) than QuitGuide. Although quit rates did not differ between arms, acceptance of cues to smoke seemed to play a crucial role in helping SGM adults quit smoking. Future interventions should consider promoting acceptance of cues to smoke in this population.

引用

页数：22

共 1 条

[1] Relative Efficacy of an Acceptance and Commitment Therapy-Based Smartphone App with a Standard US Clinical Practice Guidelines-Based App for Smoking Cessation in Dual Users of Combustible and Electronic Cigarettes: Secondary Findings from a Randomized Trial
Santiago-Torres, Margarita
Mull, Kristin E.
Sullivan, Brianna M.
Bricker, Jonathan B.
SUBSTANCE USE & MISUSE, 2024, 59 (04) : 591 - 600

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