Efficacy and utilization of an acceptance and commitment therapy‐based smartphone application for smoking cessation among Black adults: secondary analysis of the iCanQuit randomized trial

Addiction ◽  
2021 ◽  
Author(s):  
Margarita Santiago‐Torres ◽  
Kristin E. Mull ◽  
Brianna M. Sullivan ◽  
Diana Kwon ◽  
Nicolle L. Nollen ◽  
...  
2018 ◽  
Vol 22 (3) ◽  
pp. 354-362 ◽  
Author(s):  
Jennifer B McClure ◽  
Jonathan Bricker ◽  
Kristin Mull ◽  
Jaimee L Heffner

Abstract Introduction Preliminary trial data suggest group-delivered acceptance and commitment therapy (ACT) might be effective for smoking cessation. If so, this could offer a viable alternative to mainstream behavioral therapies, such as those grounded in cognitive behavioral therapy (CBT). The goal of the current study was to compare the effectiveness of group-delivered ACT versus group-delivered CBT in a rigorous randomized trial design with long-term follow-up. Methods Participants (n = 450) were recruited from the Kaiser Permanente Washington health care system and randomized to either ACT-based group counseling or an attention-matched CBT-based group program. All were prescribed an 8-week course of nicotine patches. The primary outcome was self-reported 30-day point prevalence abstinence at 12 months post-randomization assessed with missing values imputed as smoking. Sensitivity analyses using multiple imputation and complete cases were examined, as were biochemically confirmed and 6-month outcomes. Results Thirty-day point prevalence abstinence rates at the 12-month follow-up did not differ between study arms in the primary analysis (13.8% ACT vs. 18.1% CBT, adjusted odds ratio = 0.68 [95% CI = 0.35 to 1.27], p = .23) or the sensitivity analyses. Conclusions Group-based ACT and CBT had similar long-term quit rates in this methodologically rigorous randomized trial. Group-based ACT is a reasonable alternative to group-based CBT for smoking cessation. Implications This study compared the effectiveness of group-based ACT with group-based CBT for smoking cessation using a rigorous, large-scale, attention-matched, randomized trial with 1-year follow-up. One-year cessation rates did not differ between group-based ACT and CBT, suggesting ACT-based intervention is a reasonable alternative to CBT-based counseling for smoking cessation. The results add to the nascent but growing literature assessing ACT and other mindfulness-based treatments for smoking cessation.


Author(s):  
Maria Karekla ◽  
Stella Nicoleta Savvides

Abstract Smoking remains a global concern especially among youth and smoking cessation interventions have not been particularly successful with this age group. The aim of the present study was to evaluate the feasibility and acceptability of an innovative avatar-led, digital intervention grounded in Acceptance and Commitment Therapy (ACT) for smoking cessation in youth. Participants were 49 university student smokers, aged 18–28 years old (Mage = 22.50, SD = 2.56; 64.3% females). Participants found the program satisfactory, useful, and motivating. Participants enjoyed the digitally unique components of the intervention, such as videos, metaphors, and games, more than the overall graphics and the appearance of the avatars. Results of this study are encouraging for the acceptability and satisfaction with avatar-led digitized ACT interventions for smoking cessation targeting young smokers. Participants suggested that future program advances should include a more reality-based user experience and more interactive avatars. Future adaptations should consider additional ways to decrease attrition rates and further increase satisfaction and motivation to complete the program and quit smoking.


2017 ◽  
Vol 39 (1) ◽  
pp. 109-120 ◽  
Author(s):  
Nicola Swain ◽  
Sally Bodkin-Allen

Early childhood teachers are often required to sing, which requires confidence. The purpose of the present study was to treat early childhood teachers who self-identified as uncertain singers using either a group singing (GS) approach, or a talking approach, based on Acceptance and Commitment Therapy (ACT). The aim of the study was to increase measures of singing confidence. Forty teachers enrolled in the workshops and were assigned to either ACT or GS. Overall it was found that both ACT and GS resulted in significant improvements in singing confidence. Both interventions were similar on increased confidence measures and the GS outperformed ACT on an overall rating of improvement in self-perceived tone-deafness. We suggest that the interventions had benefits for participants through the group experience itself; that being prepared for music increased their confidence, and that gaining some knowledge of singing techniques led to a sense of empowerment. Implications and future research are discussed.


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