{"title":"Predictors of participant ‘no-shows’ for intensive behavioral tobacco cessation treatment: recruitment, demographics, and distance","authors":"Jordin Sirody, Michaela Munday Stryffeler, Monica Webb Hooper","doi":"10.1017/jsc.2020.7","DOIUrl":"https://doi.org/10.1017/jsc.2020.7","url":null,"abstract":"Cognitive-behavioral therapy (CBT) for tobacco cessation is an evidence-based, yet underutilized intervention. More research is needed to understand why some treatment-seekers are ‘no-shows’ for the initial visit.Examine factors associated with participant no-shows among smokers scheduled for group CBT.Tobacco smokers (N = 115) were recruited from the community, screened, and if eligible, scheduled to begin group-based CBT plus nicotine replacement therapy. At the screening, participants reported their recruitment source, demographics, smoking history, and contact information. We computed the distance to the study site using the address provided. Regression analyses tested predictors of participant no-shows for the initial visit.Eligible participants were mostly recruited via flyers (56%), female (58%), African American (61%), middle-aged (Mage = 49 years), averaged 16 cigarettes per day, and resided 8 miles away from the study site. The overall initial visit no-show rate was 56%. Bivariate analyses indicated that respondents who were recruited online, younger, and lived further away from the site were more likely to be no-shows. Younger age significantly predicted failure to attend in the multivariable model.Findings highlight potential barriers to participation in a group-based intervention, and have implications for pre-intervention engagement strategies and modifications that may increase reach and uptake.","PeriodicalId":39350,"journal":{"name":"Journal of Smoking Cessation","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2020-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/jsc.2020.7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41837469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"‘It's a bit of a grey area’: challenges faced by stop smoking practitioners when advising on e-cigarettes","authors":"Dayyanah Sumodhee, Rachel Povey, Nikolas Pontikos","doi":"10.1017/jsc.2019.25","DOIUrl":"https://doi.org/10.1017/jsc.2019.25","url":null,"abstract":"According to UK guidelines, stop smoking practitioners are expected to be open and supportive towards e-cigarette users. As adequate support from practitioners can be instrumental for smokers to successfully quit smoking, it is crucial to explore the challenges that stop smoking practitioners face when advising on e-cigarette use.This qualitative study explores the challenges that stop smoking practitioners face when advising patients on e-cigarettes.A qualitative study was conducted with semi-structured interviews with 10 stop smoking practitioners from four stop smoking services in London. Face to face interviews were recorded and transcribed verbatim. Inductive thematic analysis was conducted to explore practitioners' experiences when advising on e-cigarettes.Two themes were noted: practitioners' concerns and practitioner–patient interactions. Practitioners were particularly concerned regarding the lack of information, safety issues and the maintenance of addiction linked with e-cigarettes. They emphasised the difficulty of advising on a product that they cannot prescribe. Overall, practitioners expressed the lack of confidence when advising on e-cigarettes since they were often unprepared and not able to answer patients' questions on e-cigarettes.Stop smoking practitioners' lack of confidence and limited knowledge regarding e-cigarettes emphasises the necessity for training and guidance on e-cigarettes to improve their interactions with patients on this subject. In particular, practitioners need to be provided with clear guidance on how to counsel patients about how and where to buy e-cigarettes.","PeriodicalId":39350,"journal":{"name":"Journal of Smoking Cessation","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2019-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/jsc.2019.25","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46082192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mary F Brunette, Joelle C Ferron, Pamela Geiger, Susan Guarino, Sarah I Pratt, Sarah E Lord, Kelly A Aschbrenner, Anna Adachi-Mejia
{"title":"Pilot study of a mobile smoking cessation intervention for low-income smokers with serious mental illness.","authors":"Mary F Brunette, Joelle C Ferron, Pamela Geiger, Susan Guarino, Sarah I Pratt, Sarah E Lord, Kelly A Aschbrenner, Anna Adachi-Mejia","doi":"10.1017/jsc.2019.7","DOIUrl":"10.1017/jsc.2019.7","url":null,"abstract":"<p><strong>Introduction: </strong>People with serious mental illness (SMI) have high rates of smoking and need better access to cessation treatment. Mobile behavioral interventions for cessation have been effective for the general population, but are not usable by many with SMI due to cognitive impairments or severe symptoms. We developed a tailored mobile cessation treatment intervention with features to reduce cognitive load.</p><p><strong>Method: </strong>We enrolled 20 smokers with SMI and showed them how to use the program on a device of their choice. They were assessed at 8 weeks for intervention use, usability, satisfaction, smoking characteristics, and biologically verified abstinence.</p><p><strong>Results: </strong>Participants accessed an average of 23.6 intervention sessions (SD = 17.05; range 1-48; median = 17.5) for an average total of 231.64 minutes (SD = 227.13; range 4.89-955.21; median = 158.18). For 87% of the sessions, average satisfaction scores were 3 or greater on a scale of 1-4. Regarding smoking, 25% of participants had reduced their smoking and 10% had biologically verified abstinence from smoking at 8 weeks.</p><p><strong>Conclusion: </strong>Home and community use of this mobile cessation intervention was feasible among smokers with SMI. Further research is needed to evaluate such scalable approaches to increase access to behavioral treatment for this group.</p>","PeriodicalId":39350,"journal":{"name":"Journal of Smoking Cessation","volume":" ","pages":"203-210"},"PeriodicalIF":1.3,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11910196/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43620116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rachel Widome, Patrick J Hammett, Anne M Joseph, Diana J Burgess, Janet L Thomas, Jessie E Saul, Barbara Clothier, Steven S Fu
{"title":"A cross-sectional study of the relationship of proximal smoking environments and cessation history, plans, and self-efficacy among low-income smokers.","authors":"Rachel Widome, Patrick J Hammett, Anne M Joseph, Diana J Burgess, Janet L Thomas, Jessie E Saul, Barbara Clothier, Steven S Fu","doi":"10.1017/jsc.2019.15","DOIUrl":"10.1017/jsc.2019.15","url":null,"abstract":"<p><strong>Introduction: </strong>Proximal environments could facilitate smoking cessation among low-income smokers by making cessation appealing to strive for and tenable.</p><p><strong>Aims: </strong>We sought to examine how home smoking rules and proximal environmental factors such as other household members' and peers' smoking behaviors and attitudes related to low-income smokers' past quit attempts, readiness, and self-efficacy to quit.</p><p><strong>Methods: </strong>This analysis used data from Offering Proactive Treatment Intervention (OPT-IN) (randomized control trial of proactive tobacco cessation outreach) baseline survey, which was completed by 2,406 participants in 2011/12. We tested the associations between predictors (home smoking rules and proximal environmental factors) and outcomes (past-year quit attempts, readiness to quit, and quitting self-efficacy).</p><p><strong>Results: </strong>Smokers who lived in homes with more restrictive household smoking rules, and/or reported having 'important others' who would be supportive of their quitting, were more likely to report having made a quit attempt in the past year, had greater readiness to quit, and greater self-efficacy related to quitting.</p><p><strong>Conclusions: </strong>Adjustments to proximal environments, including strengthening household smoking rules, might encourage cessation even if other household members are smokers.</p>","PeriodicalId":39350,"journal":{"name":"Journal of Smoking Cessation","volume":"14 4","pages":"229-238"},"PeriodicalIF":0.9,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7995665/pdf/nihms-1532255.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25538953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Juhan Lee, J. Dallery, Antonio Laracuente, Ifeoma Ibe, Samantha Joseph, J. Huo, R. Salloum
{"title":"A content analysis of free smoking cessation mobile applications in the USA","authors":"Juhan Lee, J. Dallery, Antonio Laracuente, Ifeoma Ibe, Samantha Joseph, J. Huo, R. Salloum","doi":"10.1017/JSC.2019.6","DOIUrl":"https://doi.org/10.1017/JSC.2019.6","url":null,"abstract":"To evaluate the quality and content of free smoking cessation apps and assess their adherence to the US Public Health Service guideline for treating tobacco use and dependence.In total 180 apps were downloaded from the App Store and Google Play Store in January 2018; the top-ranking 30 apps were retrieved for the search terms: ‘smoking cessation’, ‘quit smoking’, ‘stop smoking’. Technical quality was rated using the Mobile Application Rating Scale (MARS) and by assessing other characteristics, behavioral change strategies and adherence to the 5As.A total 67 free-to-download apps were identified for full review (n = 40 from the Apple App Store and n = 27 from the Google Play Store). The average MARS score was 16.2/19.0: Engagement (3.3/5.0), Functionality (4.4/5.0), Aesthetics (4.0/5.0), and Information (2.6/5.0). Overall, 43 apps allowed sharing, 12 allowed for an app community, and five required a password. The following features were observed: assessment (n = 51), feedback (n = 38), information/education (n = 45), monitoring (n = 52), and goal setting (n = 23). Significant differences were found among apps adhering to the 5As: Ask (n = 44), Advise (n = 54), Assess (n = 30), Assist (n = 62), and Arrange (n = 0).Given the growth in smoking cessation apps, future efforts should focus on improving their technical quality and adherence to the 5As.","PeriodicalId":39350,"journal":{"name":"Journal of Smoking Cessation","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/JSC.2019.6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45081034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K. Poudel, K. Poudel-Tandukar, B. Pandey, Erica Letson, P. Palmer
{"title":"A brief tobacco dependence intervention for people living with HIV in Nepal: results of a quasi-experimental study","authors":"K. Poudel, K. Poudel-Tandukar, B. Pandey, Erica Letson, P. Palmer","doi":"10.1017/JSC.2019.11","DOIUrl":"https://doi.org/10.1017/JSC.2019.11","url":null,"abstract":"There is evidence of increased morbidity, decreased quality of life, and premature mortality in people living with HIV (PLHIV) who smoke tobacco compared to PLHIV who do not smoke tobacco. Evidence-based screening for tobacco dependence, pharmacological treatment, and treatment monitoring and education into relapse prevention are not readily available in low- and middle-income countries (LMIC). We evaluated the effects of a brief tobacco dependence intervention in improving knowledge on the health effects of smoking and intention to quit smoking in PLHIV in Nepal, a low-income country in south Asia.Using a quasi-experimental design, we assigned 59 smokers to participate in the intervention and 67 in the control group. The 1.5 h smoking cessation intervention emphasized harms of smoking, reasons for smoking and quitting, causes of relapse in previous quit attempts, and quitting strategies. We collected data at baseline and immediately post-intervention.Findings indicate that a brief smoking cessation intervention produced a significant increase in smoking-related knowledge and intention to quit among PLHIV. The positive effects of our intervention remained significant after adjusting for potential confounders.Our brief tobacco dependence intervention was effective in improving knowledge on the health effects of smoking and intention to quit among PLHIV. Further studies are required to evaluate the effectiveness of our intervention in increasing smoking cessation among PLHIV in LMIC.","PeriodicalId":39350,"journal":{"name":"Journal of Smoking Cessation","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/JSC.2019.11","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45477167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Workplace smoking restrictions and support for smoking cessation in the USA: state, region, and overall trends from 2010-11 to 2014-15.","authors":"Yujiao Mai, Trung Ha, Julia N Soulakova","doi":"10.1017/jsc.2019.10","DOIUrl":"https://doi.org/10.1017/jsc.2019.10","url":null,"abstract":"<p><p>We discuss the most recent changes in smoking policies and support for smoking cessation offered to smokers at US workplaces. We used reports of employed adults (<i>n</i> = 112,008) regarding smoking restrictions and support for smoking cessation offered at their indoor workplaces from the 2010-11 and 2014-15 Tobacco Use Supplement-Current Population Survey. The percentage of adults who reported having workplace smoking restrictions was 94% in 2010-11 and 93% in 2014-15 (<i>P</i> = 0.001). There was a decrease in the Northeastern region (<i>P</i> < 0.001) and no significant changes in the other three US regions. The percentages decreased in Hawaii, New York, Oregon, Pennsylvania, and Tennessee and increased in Indiana, Nebraska, and Wyoming. The percentage of employees who reported having workplace support for smoking cessation increased from 24% to 29% (<i>P</i> < 0.001), which was uniform across all US regions but differed across the US states. The percentages decreased in Hawaii and increased in the majority of states. Analysis of smokers' reports (versus all reports) resulted in lower percentages of workplaces with smoking restrictions and support for smoking cessation. It is essential to further enhance support for smoking cessation offered to smokers at US workplaces.</p>","PeriodicalId":39350,"journal":{"name":"Journal of Smoking Cessation","volume":"14 4","pages":"211-220"},"PeriodicalIF":0.9,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/jsc.2019.10","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25538952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. McEwen, J. Pooler, C. Lionis, S. Papadakis, I. Tsiligianni, M. Anastasaki, P. An, N. Vinh, Pham Duong Uyen Binh, Nguyen Nhat Quynh, Tran Diep Tuan, Sooronbaev Talant, Aizhamal K. Tabyshova, Alina Beyshenbekova, N. Marazhapov, U. Sheraliev
{"title":"Adapting Very Brief Advice (VBA) on smoking for use in low-resource settings: experience from the FRESH AIR project","authors":"A. McEwen, J. Pooler, C. Lionis, S. Papadakis, I. Tsiligianni, M. Anastasaki, P. An, N. Vinh, Pham Duong Uyen Binh, Nguyen Nhat Quynh, Tran Diep Tuan, Sooronbaev Talant, Aizhamal K. Tabyshova, Alina Beyshenbekova, N. Marazhapov, U. Sheraliev","doi":"10.1017/JSC.2019.4","DOIUrl":"https://doi.org/10.1017/JSC.2019.4","url":null,"abstract":"Very Brief Advice (VBA) on smoking is an evidence-based intervention and a recommended clinical practice for all healthcare professionals in the UK.We report on experience from the FRESH AIR project in adapting the VBA model and training in three low-resource settings: Greece, Vietnam and Kyrgyzstan.Using a participatory research process, UK experts and local stakeholders conducted an environmental scan and needs assessment to examine the VBA intervention model, training materials and recommend adaptations to the local context. Two VBA training sessions were piloted in each country to inform adaptation. A final training tool kit was developed in the local language.In each country, the VBA on smoking intervention model remained primarily intact. The lack of a formal smoking cessation system to refer motivated clients in two countries required adaptation of the ACT component of the model. A range of local adaptations to the training resources were made in all three countries to ensure cultural appropriateness as well as enhance key messages including expanding training on nicotine addiction, second-hand smoke and pharmacotherapy.Implementation of VBA requires sensitive, collaborative, local and cultural adaptation if it is to be achieved successfully.Trial ID# NTR5759The Standards for Reporting Implementation Studies (StaRI) statement: https://www.equator-network.org/reporting-guidelines/stari-statement/","PeriodicalId":39350,"journal":{"name":"Journal of Smoking Cessation","volume":"1 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/JSC.2019.4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42170305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L. Deeks, S. Kosari, Anne Develin, G. Peterson, M. Naunton
{"title":"Smoking cessation and the general practice pharmacist","authors":"L. Deeks, S. Kosari, Anne Develin, G. Peterson, M. Naunton","doi":"10.1017/JSC.2019.3","DOIUrl":"https://doi.org/10.1017/JSC.2019.3","url":null,"abstract":"Roles for pharmacists in general practice are developing in Australia. It is known that pharmacists can provide effective smoking cessation services in other settings but evidence in general practice is lacking.To determine whether a pharmacist can provide effective smoking cessation services within general practice.Data from smoking cessation consultations were obtained for 66 consecutive patients seen by one practice pharmacist. The pharmacist tailored interventions to the individual. Medication was offered in collaboration with community pharmacists and general practitioners. Quit coaching, based on motivational interviewing, was conducted. Smoking status was ascertained at least 6 months after the intended quit date and verified by a carbon monoxide breath test where possible.The patients’ median age was 43 years (range 19–74 years); 42 were females (64%). At baseline, the median (i) number of pack years smoked was 20 (range: 1–75); (ii) Fagerstrom Test of dependence score was 6 (1–10); and (iii) number of previous quit attempts was 3 (0–10). Follow-up after at least 6 months determined a self-reported point prevalence abstinence rate of 30% (20/66). Of all patients who reported to be abstinent, 65% (13/20) were tested for carbon monoxide breath levels and were all below 7 ppm. The biochemically verified smoking abstinence rate was therefore 20% overall (13/66). Successful quit attempts were associated with varenicline recommendation (69% v 25%), increased median number of practice pharmacist consultations (4 v 2 per patient) and mental health diagnosis (85% v 51%).Our observed abstinence rate was comparable or better than those obtained by practice nurses, community pharmacists and outpatient pharmacists, indicating the general practice pharmacist provided an effective smoking cessation intervention. A larger randomised trial is warranted.","PeriodicalId":39350,"journal":{"name":"Journal of Smoking Cessation","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/JSC.2019.3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42287210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Matthew T. Hall, Ryan P. Austin, Tai A. Do, Alec G. Richardson
{"title":"Tobacco cessation behaviors among a sample of US Navy personnel","authors":"Matthew T. Hall, Ryan P. Austin, Tai A. Do, Alec G. Richardson","doi":"10.1017/JSC.2018.38","DOIUrl":"https://doi.org/10.1017/JSC.2018.38","url":null,"abstract":"The US Navy utilizes numerous resources to encourage smoking cessation. Despite these efforts, cigarette smoking among service members remains high. Electronic cigarettes (EC) have provided an additional cessation resource. Little is known regarding the utilization efficacy of these cessation resources in the US Navy.This study sought to explore the utilization and efficacy of ECs and other smoking cessation resources.An anonymous cross-sectional survey was conducted at a military clinic from 2015 to 2016. Participants were active duty in the US Navy and reported demographics, smoking behaviors, and utilization of cessation resources.Of the 977 participants in the study, 14.9% were current and 39.4% were former smokers. Most current smokers (83.6%) previously attempted cessation, smoked an average of 2–5 cigarettes per day (34.7%), and smoked every day of the month (26.4%). The number of daily cigarettes smoked and number of days cigarettes were smoked per month was not significantly different between cigarette-only smokers and EC dual users (p = 0.92, p = 0.75, respectively). Resources used by current and former smokers include: ‘cold turkey’ (44.6%, 57.1%, respectively), ECs (22.3%, 24.7%), nicotine patch (8.3%, 1.3%), medicine (6.6%, 3.9%), nicotine gum (5.8%, 10.4%), and quit programs (2.5%, 2.6).Current and former cigarette smokers utilized similar resources to quit smoking. Electronic cigarettes are being used for cessation but do not significantly reduce the number of cigarettes smoked on a daily or monthly basis. Future studies may benefit from exploring the use of cessation resources and ECs within the military as a whole.","PeriodicalId":39350,"journal":{"name":"Journal of Smoking Cessation","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/JSC.2018.38","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46342758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}