scholarly journals Tobacco Addiction: Quitting Smoking Through Systemic Approach

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 29s-29s ◽  
Author(s):  
J. Bilachi Algosini ◽  
Bilaqui Aldemir

Background: The main reason for carrying out this study was the wish to understand the reasons leading to smoking, the influence of such behavior in people's ways of thinking, as well as methods of quitting. It was necessary to understand that the dependents are more than their beliefs, family, social life, religion, profession, and paradigms. Aim: Smokers who want to quit smoking through their cognitive system transformation. Objectives: The objective of this project was to help patients quit smoking through systemic approach and, consequently, to help them face quitting methods more comfortably and safely and also to avoid relapse. Methods: This project started from a systemic model that is based on the conscience of the essential interrelation and interdependence state of all physical, biologic, psychological, social, and cultural phenomena. Support brief therapy and support group were the resources used during this research. As well as these methods, some patients, assisted by a medical team, underwent drug therapy. Therapeutic techniques (such as verbal techniques; action; creation of contexts; opening to the emerging narratives; paradoxical; structural; strategic; and the problem externalizations) were developed both in support brief therapy and support group. Results: The quantitative results will be presented here to show the effectiveness of the project developed. The most important information is the number of people who interrupted tobacco dependence: 322 (70%) out of 460 quit smoking, of which 186 (58%) were men and 136 (42%) were women. Among the men who quit smoking, 41 were in the support group, 76 were in the support brief therapy, and 69 were in both. Among the women, 43 participated of the group therapy, 48 of the support brief therapy and 45 were in both; 48 men and 25 women took antismoking medication, while 11 men and 2 women used patches. Relapse occurred in 26 out of 322 patients who had quit smoking, 9 out of the 26 restarted therapy, and 6 of them quit smoking. The patients who relapsed, 9 attended the support group (4 men and 5 women), 10 attended the support brief therapy (6 men and 4 women), and 7 attended both (4 men and 3 women). Those who restarted the treatment, 6 were in the support group (2 men and 4 women), 3 were in the support brief therapy (1 man and 2 women), and no one was in both. Among the patients who quit smoking, 2 were in the group work (1 man and 1 woman), 4 were in the individual therapy (1 man and 3 women), and no one was in both. Conclusion: It was possible to verify that quitting smoking through systemic approach is effective, because it gives the individual, immersed in his/her family system, the opportunity to discern all his/her integrated and interdependent aspects (biologic, psychological and social phenomena) and, thus, restructure his/her paradigms and patterns of behavior.

2019 ◽  
Author(s):  
Cornelia Ann Pechmann ◽  
Douglas Calder ◽  
Connor Phillips ◽  
Kevin Delucchi ◽  
Judith J Prochaska

BACKGROUND Existing smoking cessation treatments are challenged by low engagement and high relapse rates, suggesting the need for more innovative, accessible, and interactive treatment strategies. Twitter is a Web-based platform that allows people to communicate with each other throughout the day using their phone. OBJECTIVE This study aims to leverage the social media platform of Twitter for fostering peer-to-peer support to decrease relapse with quitting smoking. Furthermore, the study will compare the effects of coed versus women-only groups on women’s success with quitting smoking. METHODS The study design is a Web-based, three-arm randomized controlled trial with two treatment arms (a coed or women-only Twitter support group) and a control arm. Participants are recruited online and are randomized to one of the conditions. All participants will receive 8 weeks of combination nicotine replacement therapy (patches plus their choice of gum or lozenges), serial emails with links to Smokefree.gov quit guides, and instructions to record their quit date online (and to quit smoking on that date) on a date falling within a week of initiation of the study. Participants randomized to a treatment arm are placed in a fully automated Twitter support group (coed or women-only), paired with a buddy (matched on age, gender, location, and education), and encouraged to communicate with the group and buddy via daily tweeted discussion topics and daily automated feedback texts (a positive tweet if they tweet and an encouraging tweet if they miss tweeting). Recruited online from across the continental United States, the sample consists of 215 male and 745 female current cigarette smokers wanting to quit, aged between 21 and 59 years. Self-assessed follow-up surveys are completed online at 1, 3, and 6 months after the date they selected to quit smoking, with salivary cotinine validation at 3 and 6 months. The primary outcome is sustained biochemically confirmed abstinence at the 6-month follow-up. RESULTS From November 2016 to September 2018, 960 participants in 36 groups were recruited for the randomized controlled trial, in addition to 20 participants in an initial pilot group. Data analysis will commence soon for the randomized controlled trial based on data from 896 of the 960 participants (93.3%), with 56 participants lost to follow-up and 8 dropouts. CONCLUSIONS This study combines the mobile platform of Twitter with a support group for quitting smoking. Findings will inform the efficacy of virtual peer-to-peer support groups for quitting smoking and potentially elucidate gender differences in quit rates found in prior research. CLINICALTRIAL ClinicalTrials.gov NCT02823028; https://clinicaltrials.gov/ct2/show/NCT02823028


2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 198s-198s
Author(s):  
J. Bilachi ◽  
Isidro Peres ◽  

Background: The main reason for carrying out this study was to realize that tobacco addicted are more than their beliefs, family, social life, religion, profession, and paradigms. Aim: The objective of this project was to help patients quit smoking through hypnosis techniques and, consequently, to help them face quitting methods more comfortably and safely and also avoid relapse. Methods: This project started with a biographical questionnaire, identification of smoker phases and some suggestion hypnotics are also evaluated through classic tests (vigils suggestions) and the Tellegen Absorption Scale. After collecting the data, we proceeded to an intervention plan that in synthesis had the following phases: sessions 3 and 4 aimed at obtaining a hypnotic trance with sufficient stability and depth, we value the state achieved as a medium-deep trance and spontaneous hypnotic phenomena. The next sessions, 5 and 6, we apply as ego strengthening and suggestions to demystify previously recorded thoughts, feelings and, consequently, behavior. Sessions 7 we explain the concept and importance of self-hypnosis. Results: The quantitative results will be presented here to show the effectiveness of the project developed. The most important information is the number of people who interrupted tobacco dependence: 16 (80%) out of 20 quit smoking, of which 10 (50%) were men and 10 (50%) were women. Four patients (20%) did not complete the treatment, 2 men and 2 women. Conclusion: It was possible to verify that quitting smoking through hypnosis is effective, because the smokers can transform their cognitive system and, thereby, they can change, naturally, their biopsychological paradigms in all contexts of their lives.


10.2196/16417 ◽  
2020 ◽  
Vol 9 (1) ◽  
pp. e16417
Author(s):  
Cornelia Ann Pechmann ◽  
Douglas Calder ◽  
Connor Phillips ◽  
Kevin Delucchi ◽  
Judith J Prochaska

Background Existing smoking cessation treatments are challenged by low engagement and high relapse rates, suggesting the need for more innovative, accessible, and interactive treatment strategies. Twitter is a Web-based platform that allows people to communicate with each other throughout the day using their phone. Objective This study aims to leverage the social media platform of Twitter for fostering peer-to-peer support to decrease relapse with quitting smoking. Furthermore, the study will compare the effects of coed versus women-only groups on women’s success with quitting smoking. Methods The study design is a Web-based, three-arm randomized controlled trial with two treatment arms (a coed or women-only Twitter support group) and a control arm. Participants are recruited online and are randomized to one of the conditions. All participants will receive 8 weeks of combination nicotine replacement therapy (patches plus their choice of gum or lozenges), serial emails with links to Smokefree.gov quit guides, and instructions to record their quit date online (and to quit smoking on that date) on a date falling within a week of initiation of the study. Participants randomized to a treatment arm are placed in a fully automated Twitter support group (coed or women-only), paired with a buddy (matched on age, gender, location, and education), and encouraged to communicate with the group and buddy via daily tweeted discussion topics and daily automated feedback texts (a positive tweet if they tweet and an encouraging tweet if they miss tweeting). Recruited online from across the continental United States, the sample consists of 215 male and 745 female current cigarette smokers wanting to quit, aged between 21 and 59 years. Self-assessed follow-up surveys are completed online at 1, 3, and 6 months after the date they selected to quit smoking, with salivary cotinine validation at 3 and 6 months. The primary outcome is sustained biochemically confirmed abstinence at the 6-month follow-up. Results From November 2016 to September 2018, 960 participants in 36 groups were recruited for the randomized controlled trial, in addition to 20 participants in an initial pilot group. Data analysis will commence soon for the randomized controlled trial based on data from 896 of the 960 participants (93.3%), with 56 participants lost to follow-up and 8 dropouts. Conclusions This study combines the mobile platform of Twitter with a support group for quitting smoking. Findings will inform the efficacy of virtual peer-to-peer support groups for quitting smoking and potentially elucidate gender differences in quit rates found in prior research. Trial Registration ClinicalTrials.gov NCT02823028; https://clinicaltrials.gov/ct2/show/NCT02823028 International Registered Report Identifier (IRRID) DERR1-10.2196/16417


Author(s):  
Rachel Ablow

The nineteenth century introduced developments in science and medicine that made the eradication of pain conceivable for the first time. This new understanding of pain brought with it a complex set of moral and philosophical dilemmas. If pain serves no obvious purpose, how do we reconcile its existence with a well-ordered universe? Examining how writers of the day engaged with such questions, this book offers a compelling new literary and philosophical history of modern pain. The book provides close readings of novelists Charlotte Brontë and Thomas Hardy and political and natural philosophers John Stuart Mill, Harriet Martineau, and Charles Darwin, as well as a variety of medical, scientific, and popular writers of the Victorian age. The book explores how discussions of pain served as investigations into the status of persons and the nature and parameters of social life. No longer conceivable as divine trial or punishment, pain in the nineteenth century came to seem instead like a historical accident suggesting little or nothing about the individual who suffers. A landmark study of Victorian literature and the history of pain, the book shows how these writers came to see pain as a social as well as a personal problem. Rather than simply self-evident to the sufferer and unknowable to anyone else, pain was also understood to be produced between persons—and even, perhaps, by the fictions they read.


2020 ◽  
Vol 11 (3) ◽  
pp. 112-152
Author(s):  
Busiso Helard Moyo ◽  
Anne Marie Thompson Thow

Despite South Africa’s celebrated constitutional commitments that have expanded and deepened South Africa’s commitment to realise socio-economic rights, limited progress in implementing right to food policies stands to compromise the country’s developmental path. If not a deliberate policy choice, the persistence of hunger, food insecurity and malnutrition in all its forms is a deep policy failure.  Food system transformation in South Africa requires addressing wider issues of who controls the food supply, thus influencing the food chain and the food choices of the individual and communities. This paper examines three global rights-based paradigms – ‘food justice’, ‘food security’ and ‘food sovereignty’ – that inform activism on the right to food globally and their relevance to food system change in South Africa; for both fulfilling the right to food and addressing all forms of malnutrition. We conclude that the emerging concept of food sovereignty has important yet largely unexplored possibilities for democratically managing food systems for better health outcomes.


Author(s):  
Barbara J. Risman

This is the first data chapter. In this chapter, respondents who are described as true believers in the gender structure, and essentialist gender differences are introduced and their interviews analyzed. They are true believers because, at the macro level, they believe in a gender ideology where women and men should be different and accept rules and requirements that enforce gender differentiation and even sex segregation in social life. In addition, at the interactional level, these Millennials report having been shaped by their parent’s traditional expectations and they similarly feel justified to impose gendered expectations on those in their own social networks. At the individual level, they have internalized masculinity or femininity, and embody it in how they present themselves to the world. They try hard to “do gender” traditionally.


2003 ◽  
Vol 51 (1) ◽  
pp. 1-19 ◽  
Author(s):  
John Offer

Herbert Spencer remains an important and intriguing figure in thinking about political, social and moral matters. At present his writings in relation to idealist thought, social policy, sociology and ethics are undergoing reassessment. This article is concerned with some recent interpretations of Spencer on individuals in social life. It looks in some detail at Spencer's work on psychology and sociology as well as on ethics, seeking to establish how Spencer understood people as social individuals. In particular the neglect of Spencer's denial of freedom of the will is identified as a problem in some recent interpretations. One of his contemporary critics, J.E. Cairnes, charged that Spencer's own theory of social evolution left even Spencer himself the status of only a ‘conscious automaton’. This article, drawing on a range of past and present interpretative discussions of Spencer, seeks to show that Spencerian individuals are psychically and socially so constituted as to be only indirectly responsive to moral suasion, even to that of his own Principles of Ethics as he himself acknowledged. Whilst overtly reconstructionist projects to develop a liberal utilitarianism out of Spencer to enliven political and philosophical debate for today are worthwhile – dead theorists have uses – care needs to be taken that the original context and its concerns with the processes associated with innovation (and decay) in social life are not thereby eclipsed, the more so since in some important respects they have recently received little systematic attention even though the issues have contemporary relevance in sociology.


2017 ◽  
Vol 32 (5) ◽  
pp. 1257-1263 ◽  
Author(s):  
Kim A. Hayes ◽  
Christine Jackson ◽  
Denise M. Dickinson ◽  
Audra L. Miller

Purpose: To test whether an antismoking parenting program provided to parents who had quit smoking for ≥24 hours increased parents’ likelihood of remaining abstinent 2 and 3 years postbaseline. Design: Two-group randomized controlled trial with 3-year follow-up. Setting: Eleven states (Colorado, Indiana, Michigan, Minnesota, Montana, New York, Ohio, Pennsylvania, South Dakota, Utah, and Vermont). Participants: Five hundred seventy-seven adults (286 treatment and 291 control) who had smoked ≥10 cigarettes daily at baseline, had quit smoking for ≥24 hours after calling a Quitline, and were parents of an 8- to 10-year-old child; 358 (62%) completed the 2-year follow-up interview, and 304 (53%) completed the 3-year follow-up interview. Intervention: Theory-driven, home-based, self-help parenting program. Measures: Sociodemographic, smoking history, and 30-day point prevalence. Analysis: Multivariable regression analyses tested for group differences in 30-day abstinence. Attriters were coded as having relapsed. Results: Between-group differences in abstinence rates were 5.6% and 5.9% at 2 and 3 years, respectively. Treatment group parents had greater odds of abstinence, an effect that was significant only at the latter time point (odds ratio [OR] = 1.49, P = .075 at 2 years; OR = 1.70, P = .026 at 3 years). Conclusions: This study obtained preliminary evidence that engaging parents who recently quit smoking as agents of antismoking socialization of children has the potential to reduce the long-term odds of relapse.


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