Web-delivered Acceptance and Commitment Therapy (ACT) for smoking cessation: Is it engaging and efficacious for US Hispanic/Latinx adult smokers?
Hispanic/Latinx adult smokers in the United States (US) face barriers to receiving and utilizing evidenced-based cessation treatments compared with other racial/ethnic groups. The lack of efficacious and accessible smoking cessation treatments for this population further contributes to such smoking...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-10-01
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| Series: | Preventive Medicine Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211335522002595 |
| _version_ | 1828377448661647360 |
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| author | Diana M. Kwon Margarita Santiago-Torres Kristin E. Mull Brianna M. Sullivan Michael J. Zvolensky Jonathan B. Bricker |
| author_facet | Diana M. Kwon Margarita Santiago-Torres Kristin E. Mull Brianna M. Sullivan Michael J. Zvolensky Jonathan B. Bricker |
| author_sort | Diana M. Kwon |
| collection | DOAJ |
| description | Hispanic/Latinx adult smokers in the United States (US) face barriers to receiving and utilizing evidenced-based cessation treatments compared with other racial/ethnic groups. The lack of efficacious and accessible smoking cessation treatments for this population further contributes to such smoking disparities. In a secondary analysis, we explored the efficacy of an Acceptance and Commitment Therapy (ACT)-based website (WebQuit.org) versus a US Clinical Practice Guidelines (USCPG)-based website (Smokefree.gov) for smoking cessation in a subset of Hispanic/Latinx adult participants enrolled in the WebQuit trial. Of the 2,637 participants who were randomized in the parent trial, 222 were Hispanic/Latinx (n = 101 in WebQuit, n = 121 in Smokefree). Smoking cessation outcomes were measured at 3, 6, and 12-months. The primary outcome was self-reported complete-case 30-day point prevalence abstinence (PPA) at 12-months. Treatment engagement and satisfaction, change in acceptance of urges to smoke, and commitment to quitting smoking were compared across conditions. Retention rate was 88% at 12-months. WebQuit participants had higher odds of smoking cessation compared to Smokefree participants at 12-months (40% vs. 25%; OR = 1.93 95% CI: 1.04, 3.59). Findings were similar using multiple imputation. WebQuit participants engaged more with the website than Smokefree participants through multiple indicators of engagement, including spending more time using the website (IRR = 2.32; 95% CI: 1.68, 3.20). Although WebQuit participants engaged more with the website than Smokefree participants, there was no evidence that differences in quit rates were mediated by engagement level. This study provides initial empirical evidence that digital interventions may be efficacious for helping Hispanic/Latinx adults quit smoking. |
| first_indexed | 2024-04-14T08:12:43Z |
| format | Article |
| id | doaj.art-56b99aa8bc134d3e900dbcaa3934aab8 |
| institution | Directory Open Access Journal |
| issn | 2211-3355 |
| language | English |
| last_indexed | 2024-04-14T08:12:43Z |
| publishDate | 2022-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj.art-56b99aa8bc134d3e900dbcaa3934aab82022-12-22T02:04:29ZengElsevierPreventive Medicine Reports2211-33552022-10-0129101952Web-delivered Acceptance and Commitment Therapy (ACT) for smoking cessation: Is it engaging and efficacious for US Hispanic/Latinx adult smokers?Diana M. Kwon0Margarita Santiago-Torres1Kristin E. Mull2Brianna M. Sullivan3Michael J. Zvolensky4Jonathan B. Bricker5Fred Hutchinson Cancer Research Center, Division of Public Health Sciences, Seattle, WA, USA; University of Washington, Department of Psychology, Seattle, WA, USAFred Hutchinson Cancer Research Center, Division of Public Health Sciences, Seattle, WA, USA; Corresponding author at: Fred Hutchinson Cancer Research Center, Division of Public Health Science, Cancer Prevention Program, 1100 Fairview Avenue North, Seattle WA 98109, USA.Fred Hutchinson Cancer Research Center, Division of Public Health Sciences, Seattle, WA, USAFred Hutchinson Cancer Research Center, Division of Public Health Sciences, Seattle, WA, USAUniversity of Houston, Department of Psychology, 3695 Cullen Blvd., Room 126, Houston, TX 77204, USA; University of Houston, HEALTH Institutive, 4849 Calhoun Rd., Houston, TX 77204, USA; University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., Houston, TX 77030, USAFred Hutchinson Cancer Research Center, Division of Public Health Sciences, Seattle, WA, USA; University of Washington, Department of Psychology, Seattle, WA, USAHispanic/Latinx adult smokers in the United States (US) face barriers to receiving and utilizing evidenced-based cessation treatments compared with other racial/ethnic groups. The lack of efficacious and accessible smoking cessation treatments for this population further contributes to such smoking disparities. In a secondary analysis, we explored the efficacy of an Acceptance and Commitment Therapy (ACT)-based website (WebQuit.org) versus a US Clinical Practice Guidelines (USCPG)-based website (Smokefree.gov) for smoking cessation in a subset of Hispanic/Latinx adult participants enrolled in the WebQuit trial. Of the 2,637 participants who were randomized in the parent trial, 222 were Hispanic/Latinx (n = 101 in WebQuit, n = 121 in Smokefree). Smoking cessation outcomes were measured at 3, 6, and 12-months. The primary outcome was self-reported complete-case 30-day point prevalence abstinence (PPA) at 12-months. Treatment engagement and satisfaction, change in acceptance of urges to smoke, and commitment to quitting smoking were compared across conditions. Retention rate was 88% at 12-months. WebQuit participants had higher odds of smoking cessation compared to Smokefree participants at 12-months (40% vs. 25%; OR = 1.93 95% CI: 1.04, 3.59). Findings were similar using multiple imputation. WebQuit participants engaged more with the website than Smokefree participants through multiple indicators of engagement, including spending more time using the website (IRR = 2.32; 95% CI: 1.68, 3.20). Although WebQuit participants engaged more with the website than Smokefree participants, there was no evidence that differences in quit rates were mediated by engagement level. This study provides initial empirical evidence that digital interventions may be efficacious for helping Hispanic/Latinx adults quit smoking.http://www.sciencedirect.com/science/article/pii/S2211335522002595Acceptance and commitment therapyHispanicLatino(a) or LatinxSmokefree.govSmoking cessationWeb-based interventions |
| spellingShingle | Diana M. Kwon Margarita Santiago-Torres Kristin E. Mull Brianna M. Sullivan Michael J. Zvolensky Jonathan B. Bricker Web-delivered Acceptance and Commitment Therapy (ACT) for smoking cessation: Is it engaging and efficacious for US Hispanic/Latinx adult smokers? Preventive Medicine Reports Acceptance and commitment therapy Hispanic Latino(a) or Latinx Smokefree.gov Smoking cessation Web-based interventions |
| title | Web-delivered Acceptance and Commitment Therapy (ACT) for smoking cessation: Is it engaging and efficacious for US Hispanic/Latinx adult smokers? |
| title_full | Web-delivered Acceptance and Commitment Therapy (ACT) for smoking cessation: Is it engaging and efficacious for US Hispanic/Latinx adult smokers? |
| title_fullStr | Web-delivered Acceptance and Commitment Therapy (ACT) for smoking cessation: Is it engaging and efficacious for US Hispanic/Latinx adult smokers? |
| title_full_unstemmed | Web-delivered Acceptance and Commitment Therapy (ACT) for smoking cessation: Is it engaging and efficacious for US Hispanic/Latinx adult smokers? |
| title_short | Web-delivered Acceptance and Commitment Therapy (ACT) for smoking cessation: Is it engaging and efficacious for US Hispanic/Latinx adult smokers? |
| title_sort | web delivered acceptance and commitment therapy act for smoking cessation is it engaging and efficacious for us hispanic latinx adult smokers |
| topic | Acceptance and commitment therapy Hispanic Latino(a) or Latinx Smokefree.gov Smoking cessation Web-based interventions |
| url | http://www.sciencedirect.com/science/article/pii/S2211335522002595 |
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