Cognitive behavioral therapy versus general health education for smoking cessation: A randomized controlled trial among diverse treatment seekers.

IF 3.2 2区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY Psychology of Addictive Behaviors Pub Date : 2024-02-01 Epub Date: 2023-05-04 DOI:10.1037/adb0000928
Monica Webb Hooper, David J Lee, Vani Nath Simmons, Karen O Brandon, Michael H Antoni, Taghrid Asfar, Tulay Koru-Sengul, Thomas H Brandon
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Abstract

Objective: Racial and ethnic disparities in smoking cessation persist. This randomized controlled trial compared the efficacy of group cognitive behavioral therapy (CBT) for cessation among African American/Black, Latino/Hispanic, and White adults.

Method: African American/Black (39%), Latino/Hispanic (29%), and White (32%) adults (N = 347) were randomly assigned to eight group sessions of CBT or general health education (GHE), both including nicotine patch therapy. Biochemically confirmed 7-day point prevalence abstinence (7-day ppa) was measured at the end-of-therapy, and at 3-, 6-, and 12-month follow-ups. Generalized linear mixed models and logistic regressions tested abstinence rates by condition, stratified by race and ethnicity, and interaction effects.

Results: CBT led to greater abstinence than GHE across 12-months of follow-up (AOR = 1.84, 95% CI [1.59, 2.13]) overall [12-month follow-up: CBT = 54% vs. GHE = 38%] and within racial and ethnic groups [12-months: African American/Black (CBT = 52%, GHE = 29%), Latino/Hispanic (CBT = 57%, GHE = 47%), and White (CBT = 54%, GHE = 41%)]. African American participants were less likely than White participants to quit irrespective of condition, as were persons with lower education and income. Socioeconomic status indicators positively predicted abstinence among racial and ethnic minority participants, but not White participants.

Conclusions: Group CBT was efficacious compared with GHE. However, cessation patterns suggested that intensive group interventions were less beneficial over the longer term among lower socioeconomic African American and Latino individuals, compared with White participants. Tobacco interventions should target racial and ethnic and socioeconomic differences, via culturally specific approaches and other means. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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戒烟的认知行为疗法与一般健康教育:一项在不同寻求治疗者中进行的随机对照试验。
目标:戒烟方面的种族和民族差异依然存在。这项随机对照试验比较了非裔美国人/黑人、拉丁裔/西班牙裔和白人成年人群体认知行为疗法(CBT)对戒烟的疗效。方法:非裔美国人/黑人(39%)、拉丁裔/西班牙裔(29%)和白人(32%)成年人(N=347)被随机分配到八组CBT或一般健康教育(GHE),均包括尼古丁贴片治疗。在治疗结束时,以及在3、6和12个月的随访中,测量生物化学证实的7天点流行率禁欲(7天ppa)。广义线性混合模型和逻辑回归检验了按条件、按种族和民族分层的禁欲率以及相互作用效应。结果:在12个月的随访中,CBT比GHE更能禁欲(AOR=1.84,95%CI[1.59,2.13])[12个月随访:CBT=54%对GHE=38%],在种族和族裔群体中[12个月:非裔美国人/黑人(CBT=52%,GHE=29%)、拉丁裔/西班牙裔(CBT=57%,GHE=47%)和白人(CBT=54%,GHE=41%)]。与白人参与者相比,非裔美国人参与者无论情况如何都不太可能辞职,教育程度和收入较低的人也是如此。社会经济状况指标对种族和少数民族参与者的禁欲有积极预测作用,但对白人参与者没有。结论:CBT组疗效优于GHE组。然而,与白人参与者相比,戒烟模式表明,从长远来看,在社会经济地位较低的非裔美国人和拉丁裔人中,强化群体干预的益处较小。烟草干预应通过针对文化的方法和其他手段,针对种族、族裔和社会经济差异。(PsycInfo数据库记录(c)2023 APA,保留所有权利)。
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来源期刊
CiteScore
4.90
自引率
11.80%
发文量
165
期刊介绍: Psychology of Addictive Behaviors publishes peer-reviewed original articles related to the psychological aspects of addictive behaviors. The journal includes articles on the following topics: - alcohol and alcoholism - drug use and abuse - eating disorders - smoking and nicotine addiction, and other excessive behaviors (e.g., gambling) Full-length research reports, literature reviews, brief reports, and comments are published.
期刊最新文献
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