Quit Stage and Intervention Type Differences in the Momentary Within-Person Association Between Negative Affect and Smoking Urges
BackgroundSmoking urges and negative affect play important roles in daily cigarette smoking and smoking lapse during a cessation attempt. Traditionally, laboratory research has considered negative affect as a potential cause of smoking urges. A deeper understanding of momentary associations between...
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Frontiers Media S.A.
2022-03-01
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| Series: | Frontiers in Digital Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fdgth.2022.864003/full |
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| author | Lizbeth Benson Chaelin K. Ra Emily T. Hébert Darla E. Kendzor Darla E. Kendzor Jason A. Oliver Jason A. Oliver Summer G. Frank-Pearce Summer G. Frank-Pearce Jordan M. Neil Jordan M. Neil Michael S. Businelle Michael S. Businelle |
| author_facet | Lizbeth Benson Chaelin K. Ra Emily T. Hébert Darla E. Kendzor Darla E. Kendzor Jason A. Oliver Jason A. Oliver Summer G. Frank-Pearce Summer G. Frank-Pearce Jordan M. Neil Jordan M. Neil Michael S. Businelle Michael S. Businelle |
| author_sort | Lizbeth Benson |
| collection | DOAJ |
| description | BackgroundSmoking urges and negative affect play important roles in daily cigarette smoking and smoking lapse during a cessation attempt. Traditionally, laboratory research has considered negative affect as a potential cause of smoking urges. A deeper understanding of momentary associations between negative affect and smoking urges during a smoking cessation attempt can inform treatment development efforts. This study examined whether the within-person association between negative affect and smoking urges differed before and after a quit attempt, and by intervention type.MethodsData are from a pilot randomized controlled trial comparing 3 smoking cessation interventions. Participants were randomly assigned to: (1) a novel, smartphone-based just-in-time adaptive intervention that tailored treatment content in real-time (Smart-T2; n = 24), (2) the National Cancer Institute QuitGuide app (n = 25), or (3) a clinic-based tobacco cessation program (TTRP; n = 23) that followed Clinical Practice Guidelines. All participants received up to 12 weeks of nicotine replacement therapy and completed up to 5 assessments per day (MPreQuit= 25.8 assessments, SD = 6.0; MPostQuit= 107.7 assessments, SD = 37.1) of their negative affect and smoking urges during the 7 days (M = 6.6 days, SD = 1.0) prior to their quit-date and the 29 days (M = 25.8 days, SD = 6.4) after their quit-date. Prior to analysis, repeated measures of smoking urges were decomposed into between-person and within-person components.ResultsAfter accounting for baseline nicotine dependence, Bayesian multilevel models indicated that the extent of within-person association between negative affect and smoking urges was stronger in the post-quit stage of the intervention than the pre-quit stage. Results also indicated that in the post-quit stage of the intervention, the within-person association between negative affect and smoking urges was weaker for those in the Smart-T2 and TTRP groups compared with those in the QuitGuide group. The extent of this within-person association did not differ between those in the Smart-T2 and TTRP groups.ConclusionsThese findings offer preliminary evidence that the momentary within-person association between negative affect and smoking urges increases following a quit attempt, and that the TTRP and Smart-T2 interventions may weaken this association. Research is needed to replicate and expand upon current findings in a fully powered randomized controlled trial.Clinical Trial RegistrationClinicalTrials.gov NCT02930200; https://clinicaltrials.gov/show/NCT02930200. |
| first_indexed | 2024-12-13T08:27:14Z |
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| id | doaj.art-d7b52cb67acc4f0aad69cc8bf7e23429 |
| institution | Directory Open Access Journal |
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| language | English |
| last_indexed | 2024-12-13T08:27:14Z |
| publishDate | 2022-03-01 |
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| series | Frontiers in Digital Health |
| spelling | doaj.art-d7b52cb67acc4f0aad69cc8bf7e234292022-12-21T23:53:52ZengFrontiers Media S.A.Frontiers in Digital Health2673-253X2022-03-01410.3389/fdgth.2022.864003864003Quit Stage and Intervention Type Differences in the Momentary Within-Person Association Between Negative Affect and Smoking UrgesLizbeth Benson0Chaelin K. Ra1Emily T. Hébert2Darla E. Kendzor3Darla E. Kendzor4Jason A. Oliver5Jason A. Oliver6Summer G. Frank-Pearce7Summer G. Frank-Pearce8Jordan M. Neil9Jordan M. Neil10Michael S. Businelle11Michael S. Businelle12TSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United StatesTSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United StatesDepartment of Health Promotion and Behavioral Sciences, UT Health School of Public Health, Austin, TX, United StatesTSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United StatesDepartment of Family and Preventive Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United StatesTSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United StatesDepartment of Family and Preventive Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United StatesTSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United StatesDepartment of Biostatistics and Epidemiology, Hudson College of Public Health, The University of Oklahoma Health Sciences Center, Oklahoma City, OK, United StatesTSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United StatesDepartment of Family and Preventive Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United StatesTSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United StatesDepartment of Family and Preventive Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United StatesBackgroundSmoking urges and negative affect play important roles in daily cigarette smoking and smoking lapse during a cessation attempt. Traditionally, laboratory research has considered negative affect as a potential cause of smoking urges. A deeper understanding of momentary associations between negative affect and smoking urges during a smoking cessation attempt can inform treatment development efforts. This study examined whether the within-person association between negative affect and smoking urges differed before and after a quit attempt, and by intervention type.MethodsData are from a pilot randomized controlled trial comparing 3 smoking cessation interventions. Participants were randomly assigned to: (1) a novel, smartphone-based just-in-time adaptive intervention that tailored treatment content in real-time (Smart-T2; n = 24), (2) the National Cancer Institute QuitGuide app (n = 25), or (3) a clinic-based tobacco cessation program (TTRP; n = 23) that followed Clinical Practice Guidelines. All participants received up to 12 weeks of nicotine replacement therapy and completed up to 5 assessments per day (MPreQuit= 25.8 assessments, SD = 6.0; MPostQuit= 107.7 assessments, SD = 37.1) of their negative affect and smoking urges during the 7 days (M = 6.6 days, SD = 1.0) prior to their quit-date and the 29 days (M = 25.8 days, SD = 6.4) after their quit-date. Prior to analysis, repeated measures of smoking urges were decomposed into between-person and within-person components.ResultsAfter accounting for baseline nicotine dependence, Bayesian multilevel models indicated that the extent of within-person association between negative affect and smoking urges was stronger in the post-quit stage of the intervention than the pre-quit stage. Results also indicated that in the post-quit stage of the intervention, the within-person association between negative affect and smoking urges was weaker for those in the Smart-T2 and TTRP groups compared with those in the QuitGuide group. The extent of this within-person association did not differ between those in the Smart-T2 and TTRP groups.ConclusionsThese findings offer preliminary evidence that the momentary within-person association between negative affect and smoking urges increases following a quit attempt, and that the TTRP and Smart-T2 interventions may weaken this association. Research is needed to replicate and expand upon current findings in a fully powered randomized controlled trial.Clinical Trial RegistrationClinicalTrials.gov NCT02930200; https://clinicaltrials.gov/show/NCT02930200.https://www.frontiersin.org/articles/10.3389/fdgth.2022.864003/fulldigital healthmHealthsmoking cessationjust-in-time adaptive intervention (JITAI)negative affect (NA) |
| spellingShingle | Lizbeth Benson Chaelin K. Ra Emily T. Hébert Darla E. Kendzor Darla E. Kendzor Jason A. Oliver Jason A. Oliver Summer G. Frank-Pearce Summer G. Frank-Pearce Jordan M. Neil Jordan M. Neil Michael S. Businelle Michael S. Businelle Quit Stage and Intervention Type Differences in the Momentary Within-Person Association Between Negative Affect and Smoking Urges Frontiers in Digital Health digital health mHealth smoking cessation just-in-time adaptive intervention (JITAI) negative affect (NA) |
| title | Quit Stage and Intervention Type Differences in the Momentary Within-Person Association Between Negative Affect and Smoking Urges |
| title_full | Quit Stage and Intervention Type Differences in the Momentary Within-Person Association Between Negative Affect and Smoking Urges |
| title_fullStr | Quit Stage and Intervention Type Differences in the Momentary Within-Person Association Between Negative Affect and Smoking Urges |
| title_full_unstemmed | Quit Stage and Intervention Type Differences in the Momentary Within-Person Association Between Negative Affect and Smoking Urges |
| title_short | Quit Stage and Intervention Type Differences in the Momentary Within-Person Association Between Negative Affect and Smoking Urges |
| title_sort | quit stage and intervention type differences in the momentary within person association between negative affect and smoking urges |
| topic | digital health mHealth smoking cessation just-in-time adaptive intervention (JITAI) negative affect (NA) |
| url | https://www.frontiersin.org/articles/10.3389/fdgth.2022.864003/full |
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