The acceptance and commitment therapy for smoking cessation in the primary health care setting: a study protocol

Yim Wah Mak, Alice Yuen Loke, Yim Wah Mak, Alice Yuen Loke

Abstract

Background: Access to effective smoking cessation programs is crucial to reducing smoking-related morbidity and mortality. Several studies have shown promising results for the application of Acceptance and Commitment Therapy (ACT) in managing psychological or behavioral health problems. However, to date, only one study has examined the feasibility of a telephone-based ACT for smoking cessation and it was conducted among a Western population, in the United States. This study reports a protocol for a randomized controlled trial (RCT) examining the feasibility and potential efficacy of an individual, telephone-delivered ACT for smoking cessation in primary healthcare settings among a Chinese population.

Methods: A randomized, two-group design was chosen, with assessment at baseline (before intervention) and via telephone follow-ups at three and six months. Subjects will be proactively recruited from primary healthcare centers. Eligible participants will be randomized to either the intervention (ACT) or control group following the baseline assessment. Both groups will receive self-help materials on smoking cessation. Those in the ACT group will undergo an initial face-to-face session and two telephone ACT sessions at one week and one month following the first session, to be delivered by a counselor based on the treatment protocol. All of the participants will be contacted by telephone for follow-up assessments at three and six months. Treatment fidelity will be assessed by reviewing around one-fifth of audio-recorded telephone calls.

Discussion: To the best of our knowledge, this protocol describes the first RCT of a telephone-based ACT for smoking cessation. It is also the first RCT of ACT for smoking cessation on a Chinese population. The study will provide us with information about the feasibility of a telephone-delivered ACT within a Chinese sample. If effective, this trial will support the development of ACT treatment protocols that could be made available for use by a greater range of clinicians, and offer an evidence base to support alternative treatments for smoking cessation.

Trial registration: ClinicalTrials.gov ID NCT01652508. Registered on 26(th) July 2012.

Figures

Figure 1
Figure 1
Study design.

References

    1. US Department of Health and Human Services . The health consequences of smoking—50 years of progress: a report of the Surgeon General. Atlanta, GA: US Department of Health and Human Services, CDC; 2014.
    1. Jha P, Ramasundarahettige C, Landsman V, Rostron B, Thun M, Anderson RN, et al. 21st-Century hazards of smoking and benefits of cessation in the United States. N Engl J Med. 2013;368(4):341–50. doi: 10.1056/NEJMsa1211128.
    1. Lancaster T, Stead LF. Individual behavioural counselling for smoking cessation. Cochrane Database Syst Rev. 2005;(2):Cd001292.
    1. Stead LF, Lancaster T. Group behaviour therapy programmes for smoking cessation. Cochrane Database Syst Rev. 2005;(2):Cd001007.
    1. Shiffman S, Brockwell SE, Pillitteri JL, Gitchell JG. Use of smoking-cessation treatments in the United States. Am J Prev Med. 2008;34(2):102–11. doi: 10.1016/j.amepre.2007.09.033.
    1. Lichtenstein E, Glasgow RE, Lando HA, Ossip-Klein DJ, Boles SM. Telephone counseling for smoking cessation: rationales and meta-analytic review of evidence. Health Educ Res. 1996;11(2):243–57. doi: 10.1093/her/11.2.243.
    1. Zhu SH, Anderson CM, Tedeschi GJ, Rosbrook B, Johnson CE, Byrd M, et al. Evidence of real-world effectiveness of a telephone quitline for smokers. N Engl J Med. 2002;347(14):1087–93. doi: 10.1056/NEJMsa020660.
    1. Stead LF, Hartmann-Boyce J, Perera R, Lancaster T. Telephone counselling for smoking cessation. Cochrane Database Syst Rev. 2013;8:Cd002850.
    1. Abdullah AS, Mak YW, Loke AY, Lam TH. Smoking cessation intervention in parents of young children: a randomised controlled trial. Addiction (Abingdon, England) 2005;100(11):1731–40. doi: 10.1111/j.1360-0443.2005.01231.x.
    1. Mak YW, Abdullah ASM, Loke AY, Lam TH. Smoking cessation in parents of young children – a pilot study. 2001.
    1. Baillie L, Lovato CY, Johnson JL, Kalaw C. Smoking decisions from a teen perspective: a narrative study. Am J Health Behav. 2005;29(2):99–106. doi: 10.5993/AJHB.29.2.1.
    1. Balch GI, Tworek C, Barker DC, Sasso B, Mermelstein R, Giovino GA. Opportunities for youth smoking cessation: findings from a national focus group study. Nicotine Tob Res. 2004;6(1):9–17. doi: 10.1080/1462200310001650812.
    1. Hayes SC, Strosahl KD, Wilson KG. Acceptance and Commitment Therapy: An Experiential Approach to Behavior Change. New York: Guilford Press; 2003.
    1. Ost LG. Efficacy of the third wave of behavioral therapies: a systematic review and meta-analysis. Behav Res Ther. 2008;46(3):296–321. doi: 10.1016/j.brat.2007.12.005.
    1. Powers MB, Zum Vorde Sive Vording MB, Emmelkamp PM. Acceptance and commitment therapy: a meta-analytic review. Psychother Psychosom. 2009;78(2):73–80. doi: 10.1159/000190790.
    1. Ost LG. The efficacy of acceptance and commitment therapy: an updated systematic review and meta-analysis. Behav Res Ther. 2014;61:105–21. doi: 10.1016/j.brat.2014.07.018.
    1. Hernandez-Lopez M, Luciano MC, Bricker JB, Roales-Nieto JG, Montesinos F. Acceptance and commitment therapy for smoking cessation: a preliminary study of its effectiveness in comparison with cognitive behavioral therapy. Psychol Addict Behav. 2009;23(4):723–30. doi: 10.1037/a0017632.
    1. Bricker J, Wyszynski C, Comstock B, Heffner JL. Pilot randomized controlled trial of web-based acceptance and commitment therapy for smoking cessation. Nicotine Tob Res. 2013;15(10):1756–64. doi: 10.1093/ntr/ntt056.
    1. Gifford EV, Kohlenberg BS, Hayes SC, Antonuccio DO, Piasecki MM, Rasmussen-Hall ML, et al. Acceptance-based treatment for smoking cessation. Behav Ther. 2004;35(4):689–705. doi: 10.1016/S0005-7894(04)80015-7.
    1. Gifford EV, Kohlenberg BS, Hayes SC, Pierson HM, Piasecki MP, Antonuccio DO, et al. Does acceptance and relationship focused behavior therapy contribute to bupropion outcomes? A randomized controlled trial of functional analytic psychotherapy and acceptance and commitment therapy for smoking cessation. Behav Ther. 2011;42(4):700–15. doi: 10.1016/j.beth.2011.03.002.
    1. Bricker JB, Mann SL, Marek PM, Liu J, Peterson AV. Telephone-delivered acceptance and commitment therapy for adult smoking cessation: a feasibility study. Nicotine Tob Res. 2010;12(4):454–8. doi: 10.1093/ntr/ntq002.
    1. Bricker JB, Mull KE, Kientz JA, Vilardaga R, Mercer LD, Akioka KJ, et al. Randomized, controlled pilot trial of a smartphone app for smoking cessation using acceptance and commitment therapy. Drug Alcohol Depend. 2014;143:87–94. doi: 10.1016/j.drugalcdep.2014.07.006.
    1. Stead LF, Perera R, Lancaster T. Telephone counselling for smoking cessation. Cochrane Database Syst Rev. 2006;(3):Cd002850.
    1. Hong Kong Census and Statistics Department . Thematic Household Survey (Pattern of Smoking: 1982–2012) 2012.
    1. Prochaska JO, DiClemente CC. Stages and processes of self-change of smoking: toward an integrative model of change. J Consult Clin Psychol. 1983;51(3):390–5. doi: 10.1037/0022-006X.51.3.390.
    1. Ware JE, Jr, Kosinski M, Turner-Bowker DM, Gandek B. How to Score Version 2 of the SF-12® Health Survey (With a Supplement Documenting Version 1) Lincoln, RI: Quality Metric Incorporated; 2002.
    1. Heatherton TF, Kozlowski LT, Frecker RC, Fagerstrom KO. The fagerstrom test for nicotine dependence: a revision of the fagerstrom tolerance questionnaire. Br J Addict. 1991;86(9):1119–27. doi: 10.1111/j.1360-0443.1991.tb01879.x.
    1. Hayes SC, Strosahl KD. A Practical Guide to Acceptance and Commitment Therapy. Springer: New York; 2004.
    1. Bond FW, Hayes SC, Baer RA, Carpenter KM, Guenole N, Orcutt HK, et al. Preliminary psychometric properties of the acceptance and action questionnaire–ii: a revised measure of psychological inflexibility and experiential avoidance. Behav Ther. 2011;42(4):676–88. doi: 10.1016/j.beth.2011.03.007.
    1. Gross JJ, John OP. Individual differences in two emotion regulation processes: implications for affect, relationships, and well-being. J Pers Soc Psychol. 2003;85(2):348–62. doi: 10.1037/0022-3514.85.2.348.
    1. Benowitz NL, Jacob P, Ahijevych K, Jarvis MF, Hall S, LeHouezec J, et al. Biochemical verification of tobacco use and cessation. Nicotine Tob Res. 2002;4(2):149–59. doi: 10.1080/14622200210123581.
    1. Ford RP, Schuter PJ, Tappin DM. Changes in cotinine levels during pregnancy. Aust N Z J Obstet Gynaecol. 1998;38(1):50–5. doi: 10.1111/j.1479-828X.1998.tb02957.x.
    1. Pojer R, Whitfield JB, Poulos V, Eckhard IF, Richmond R, Hensley WJ. Carboxyhemoglobin, cotinine, and thiocyanate assay compared for distinguishing smokers from non-smokers. Clin Chem. 1984;30(8):1377–80.
    1. Jarvis MJ, Russell MA, Saloojee Y. Expired air carbon monoxide: a simple breath test of tobacco smoke intake. Br Med J. 1980;281(6238):484–5. doi: 10.1136/bmj.281.6238.484.
    1. Sheiner LB, Rubin DB. Intention-to-treat analysis and the goals of clinical trials. Clin Pharmacol Ther. 1995;57(1):6–15. doi: 10.1016/0009-9236(95)90260-0.

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