Online mindfulness therapy as a smoking cessation aid in Malaysia: A randomized control trial

Effective smoking cessation programs are crucial in helping smokers to achieve cessation, indirectly reducing smokingrelated morbidity and mortality. Several studies have shown promising results using mindfulness therapy and online platforms in smoking cessation. This study assesses the effectivenes...

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Main Authors: Hemanath Sinnathamby, Fredie Robinson, Nicholas Pang Tze Ping, Lim Eng Kean, Ong Shi Joe, Alyssa Suraya, Joshua Selvaraj, Lau Jia Qi, Lim Yong Xin, Vanushya Alagasan
Format: Article
Language:English
English
Published: Malaysian Public Health Physicians Association 2023
Subjects:
Online Access:https://eprints.ums.edu.my/id/eprint/39263/1/ABSTRACT.pdf
https://eprints.ums.edu.my/id/eprint/39263/2/FULL%20TEXT.pdf
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author Hemanath Sinnathamby
Fredie Robinson
Nicholas Pang Tze Ping
Lim Eng Kean
Ong Shi Joe
Alyssa Suraya
Joshua Selvaraj
Lau Jia Qi
Lim Yong Xin
Vanushya Alagasan
author_facet Hemanath Sinnathamby
Fredie Robinson
Nicholas Pang Tze Ping
Lim Eng Kean
Ong Shi Joe
Alyssa Suraya
Joshua Selvaraj
Lau Jia Qi
Lim Yong Xin
Vanushya Alagasan
author_sort Hemanath Sinnathamby
collection UMS
description Effective smoking cessation programs are crucial in helping smokers to achieve cessation, indirectly reducing smokingrelated morbidity and mortality. Several studies have shown promising results using mindfulness therapy and online platforms in smoking cessation. This study assesses the effectiveness of online mindfulness therapy (MT) as an aid in smoking cessation programmes compared with standardized behavioural approaches (SBA). A randomized control trial with a single-blind, two-group design was chosen, with assessment at baseline. Participants were recruited by advertising on social media platforms and accepted according to the eligibility criteria. The participants who fit the eligibility criteria were randomized and divided into two groups. Each group received three sessions of online therapy (MT or SBA) every 2 weeks with one telephone call each week as a reinforcement. Participants filled in questionnaires at baseline and end of the intervention (1st week and 5th week). The data was analyzed using Generalized Estimating Equation (GEE). The number of cigarettes smoked per day post-intervention was significantly lower in the MT group compared with the SBA group (β: -3.50, 95% CI -4.62 to -2.39, p-value: < 0.001). The MT group recorded low Fagerstrom nicotine dependence tests at the end of the study, compared to low to moderate scores in the SBA group (β: -1.82, 95% CI –2.31 to -1.33, p-value: < 0.001). Furthermore, participants in the MT group reduced their urge to smoke more than the SBA group (β: -2.44, 95% CI -3.76 to -1.12, p-value: < 0.001). In conclusion, online MT is more effective in helping smokers in reducing the number of cigarettes smoked per day, nicotine dependence, and urge for smoking compared to SBA. Further follow-up studies using online platforms should be conducted to compare the effectiveness of online MT longitudinally.
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spelling ums.eprints-392632024-07-26T01:25:17Z https://eprints.ums.edu.my/id/eprint/39263/ Online mindfulness therapy as a smoking cessation aid in Malaysia: A randomized control trial Hemanath Sinnathamby Fredie Robinson Nicholas Pang Tze Ping Lim Eng Kean Ong Shi Joe Alyssa Suraya Joshua Selvaraj Lau Jia Qi Lim Yong Xin Vanushya Alagasan RA1-1270 Public aspects of medicine RA643-645 Disease (Communicable and noninfectious) and public health Effective smoking cessation programs are crucial in helping smokers to achieve cessation, indirectly reducing smokingrelated morbidity and mortality. Several studies have shown promising results using mindfulness therapy and online platforms in smoking cessation. This study assesses the effectiveness of online mindfulness therapy (MT) as an aid in smoking cessation programmes compared with standardized behavioural approaches (SBA). A randomized control trial with a single-blind, two-group design was chosen, with assessment at baseline. Participants were recruited by advertising on social media platforms and accepted according to the eligibility criteria. The participants who fit the eligibility criteria were randomized and divided into two groups. Each group received three sessions of online therapy (MT or SBA) every 2 weeks with one telephone call each week as a reinforcement. Participants filled in questionnaires at baseline and end of the intervention (1st week and 5th week). The data was analyzed using Generalized Estimating Equation (GEE). The number of cigarettes smoked per day post-intervention was significantly lower in the MT group compared with the SBA group (β: -3.50, 95% CI -4.62 to -2.39, p-value: < 0.001). The MT group recorded low Fagerstrom nicotine dependence tests at the end of the study, compared to low to moderate scores in the SBA group (β: -1.82, 95% CI –2.31 to -1.33, p-value: < 0.001). Furthermore, participants in the MT group reduced their urge to smoke more than the SBA group (β: -2.44, 95% CI -3.76 to -1.12, p-value: < 0.001). In conclusion, online MT is more effective in helping smokers in reducing the number of cigarettes smoked per day, nicotine dependence, and urge for smoking compared to SBA. Further follow-up studies using online platforms should be conducted to compare the effectiveness of online MT longitudinally. Malaysian Public Health Physicians Association 2023 Article NonPeerReviewed text en https://eprints.ums.edu.my/id/eprint/39263/1/ABSTRACT.pdf text en https://eprints.ums.edu.my/id/eprint/39263/2/FULL%20TEXT.pdf Hemanath Sinnathamby and Fredie Robinson and Nicholas Pang Tze Ping and Lim Eng Kean and Ong Shi Joe and Alyssa Suraya and Joshua Selvaraj and Lau Jia Qi and Lim Yong Xin and Vanushya Alagasan (2023) Online mindfulness therapy as a smoking cessation aid in Malaysia: A randomized control trial. Malaysian Journal of Public Health Medicine, 23 (3). pp. 1-9. ISSN 2590-3829
spellingShingle RA1-1270 Public aspects of medicine
RA643-645 Disease (Communicable and noninfectious) and public health
Hemanath Sinnathamby
Fredie Robinson
Nicholas Pang Tze Ping
Lim Eng Kean
Ong Shi Joe
Alyssa Suraya
Joshua Selvaraj
Lau Jia Qi
Lim Yong Xin
Vanushya Alagasan
Online mindfulness therapy as a smoking cessation aid in Malaysia: A randomized control trial
title Online mindfulness therapy as a smoking cessation aid in Malaysia: A randomized control trial
title_full Online mindfulness therapy as a smoking cessation aid in Malaysia: A randomized control trial
title_fullStr Online mindfulness therapy as a smoking cessation aid in Malaysia: A randomized control trial
title_full_unstemmed Online mindfulness therapy as a smoking cessation aid in Malaysia: A randomized control trial
title_short Online mindfulness therapy as a smoking cessation aid in Malaysia: A randomized control trial
title_sort online mindfulness therapy as a smoking cessation aid in malaysia a randomized control trial
topic RA1-1270 Public aspects of medicine
RA643-645 Disease (Communicable and noninfectious) and public health
url https://eprints.ums.edu.my/id/eprint/39263/1/ABSTRACT.pdf
https://eprints.ums.edu.my/id/eprint/39263/2/FULL%20TEXT.pdf
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