针对吸烟并有心理困扰的拉丁裔成年人的基于文化相关性的接受式远程健康计划:可行性研究结果

IF 3.4 3区 心理学 Q1 PSYCHOLOGY, CLINICAL
Virmarie Correa-Fernández , Niloofar Tavakoli , Marshall Motsenbocker , Hanjoe Kim , David W. Wetter , Janice A. Blalock , Glorisa Canino , Megan E. Piper
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引用次数: 0

摘要

拉美成年吸烟者接受循证戒烟干预的概率很低。接受与承诺疗法(ACT)已被证明对治疗烟草依赖具有疗效,但它对拉丁裔人群的实用性才刚刚兴起,而且尚未在文化定制治疗的背景下进行过研究。这项单臂研究评估了 "PRESENT 健康计划 "的招募和保留的可行性,以及治疗的可接受性。次要目标是检查拉美成年人的吸烟率以及抑郁、焦虑和心理不灵活(ACT 核心目标)的水平。治疗在 COVID-19 大流行期间进行,通过远程医疗提供 8 个疗程(1 个面对面/视频疗程和 7 个电话疗程)和尼古丁贴片。参与者(23 人)完成了基线评估以及治疗结束后一周(EOT)和两个月后的随访。大多数参与者为女性(70%),从青壮年到中年不等,在美国出生(57%),全职工作(52.2%),报告经济压力(70%)。平均完成疗程数为 5.5 次。两次随访的随访率均为 61%。从定量和定性指标来看,该计划是可以接受的。在两次随访中,点戒烟率均为 35%。参与者在所有次要指标上的平均下降率[%或M(SD)]如下:日常吸烟[基线=87%;EOT后1周=13%;EOT后2个月=8.7%];抑郁[基线=13.7(6.3);EOT后1周=9.9(6.6);EOT后2个月=7.4(5.8)];焦虑[基线=12.7(5.4);EOT后1周=9.7(6.结论本研究观察到,以混合模式实施以接受为基础的戒烟治疗对讲英语的拉丁人来说是可行和可接受的。PRESENT健康计划有望解决拉美社区的吸烟和行为健康问题。有必要对这项研究进行复制和扩展,包括对该计划进行语言调整,并在偏好西班牙语的拉丁裔吸烟者中进行评估。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Culturally relevant acceptance-based telehealth wellness program for Latine adults who smoke and experience psychological distress: Findings from a feasibility study

Latine adults who smoke have a low probability of receiving evidence-based smoking cessation interventions. Acceptance and Commitment Therapy (ACT) has shown to be efficacious for treating tobacco dependence, but its usefulness for Latine populations is just emerging and has not been studied in the context of a culturally tailored treatment. This single-arm study evaluated the feasibility of recruitment and retention, and treatment acceptability of the PRESENT Wellness Program: a culturally relevant ACT-based smoking cessation treatment for Latine adults who also experience psychological distress. Secondary objectives were the examination of smoking rates and levels of depression, anxiety, and psychological inflexibility (ACT core target) among Latine adults. Taking place during the COVID-19 pandemic, the treatment entailed 8 sessions delivered via telehealth (1 in-person/video and 7 by phone), and nicotine patches. Participants (N = 23) completed baseline assessments and follow-ups 1-week post-end of treatment (EOT) and 2-months post EOT. Most participants were women (70%), ranging from young adult to middle-aged, born in the US (57%), working full time (52.2%), and reporting financial strain (70%). Average number of sessions completed was 5.5. Follow-up rates were 61% at both follow-ups. The program was acceptable as indicated by quantitative and qualitative measures. Point-prevalence smoking abstinence was 35% at both follow-ups. Participants reported an average decline across time [% or M(SD)] in all secondary measures, as follows: everyday smoking [Baseline = 87%; 1-wk post EOT = 13%; 2 mo post EOT = 8.7%]; depression [Baseline = 13.7(6.3); 1-wk post EOT = 9.9 (6.6); 2 mo post EOT = 7.4 (5.8)]; anxiety [Baseline = 12.7 (5.4); 1-wk post EOT = 9.7 (6.4); 2 mo post EOT = 8.1 (5.2)]; and psychological inflexibility [Baseline = 50.6 (7.2); 1-wk post EOT = 33.0 (10.7); 2 mo post EOT = 32.6 (12.4)].

Conclusion

The current study observed that implementation of an acceptance-based smoking cessation treatment delivered in a hybrid mode is feasible and acceptable for English-speaking Latine persons. The PRESENT Wellness Program shows promise to address smoking and behavioral health challenges in the Latine community. Replication and expansion of the study is warranted, including the linguistic adaptation and evaluation of the program among Spanish-preferring Latine persons who smoke.

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来源期刊
CiteScore
8.50
自引率
18.00%
发文量
82
审稿时长
61 days
期刊介绍: The Journal of Contextual Behavioral Science is the official journal of the Association for Contextual Behavioral Science (ACBS). Contextual Behavioral Science is a systematic and pragmatic approach to the understanding of behavior, the solution of human problems, and the promotion of human growth and development. Contextual Behavioral Science uses functional principles and theories to analyze and modify action embedded in its historical and situational context. The goal is to predict and influence behavior, with precision, scope, and depth, across all behavioral domains and all levels of analysis, so as to help create a behavioral science that is more adequate to the challenge of the human condition.
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