Treatment Outcomes of a Multi-Component Mobile Health Smoking Cessation Pilot Intervention for People with Schizophrenia.

IF 1.5 4区医学 Q3 PSYCHIATRY

Journal of Dual Diagnosis Pub Date : 2020-10-01 Epub Date: 2020-07-31 DOI:10.1080/15504263.2020.1797259

Alyssa M Medenblik, Adam M Mann, Tiffany A Beaver, Eric A Dedert, Sarah M Wilson, Patrick S Calhoun, Jean C Beckham

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引用次数: 5

Abstract

Objective: The objective of this study was to investigate the feasibility and acceptability of a multi-component mobile contingency management (CM) pilot intervention for smoking cessation for people with schizophrenia. Methods: This intervention included mobile CM (i.e., monetary compensation for bioverification of abstinence through using a phone app), cognitive behavioral therapy (CBT), and pharmacotherapy for smoking cessation. This intervention was compared to an intensive treatment comparison (ITC), which contained all components except the CM. Participants were bioverified with carbon monoxide and saliva cotinine at a 6-month follow-up session. Results: In this pilot, the treatment group did not differ from the ITC at any time point. However, measures of treatment feasibility and acceptability indicated that smokers with schizophrenia were able to navigate the CM phone application and adhere to the protocol, demonstrating the potential utility of mobile interventions in this population. Conclusions: Despite lack of long-term abstinence for participants, adherence to the mobile application intervention indicates the potential for future investigation of mobile smoking cessation treatments for people with schizophrenia.

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精神分裂症患者多组分移动健康戒烟试点干预的治疗结果

目的:本研究的目的是探讨多组分移动应急管理(CM)试点干预精神分裂症患者戒烟的可行性和可接受性。方法:该干预包括移动CM(即通过使用手机应用程序对戒烟生物过度化进行金钱补偿)、认知行为疗法(CBT)和戒烟药物治疗。将该干预与强化治疗比较(ITC)进行比较，后者包含除CM外的所有成分。在6个月的随访期间，参与者被一氧化碳和唾液可替宁生物化。结果:在本试验中，治疗组与ITC在任何时间点均无差异。然而，对治疗可行性和可接受性的测量表明，患有精神分裂症的吸烟者能够浏览CM手机应用程序并遵守协议，这证明了移动干预在这一人群中的潜在效用。结论:尽管参与者缺乏长期戒烟，但坚持使用手机应用程序干预表明，精神分裂症患者的手机戒烟治疗在未来的研究中具有潜力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Dual Diagnosis Multiple-

CiteScore

4.90

自引率

13.60%

发文量

期刊介绍： Journal of Dual Diagnosis is a quarterly, international publication that focuses on the full spectrum of complexities regarding dual diagnosis. The co-occurrence of mental health and substance use disorders, or “dual diagnosis,” is one of the quintessential issues in behavioral health. Why do such high rates of co-occurrence exist? What does it tell us about risk profiles? How do these linked disorders affect people, their families, and the communities in which they live? What are the natural paths to recovery? What specific treatments are most helpful and how can new ones be developed? How can we enhance the implementation of evidence-based practices at clinical, administrative, and policy levels? How can we help clients to learn active recovery skills and adopt needed supports, clinicians to master new interventions, programs to implement effective services, and communities to foster healthy adjustment? The Journal addresses each of these perplexing challenges.