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Randomized Controlled Trial
. 2015;11(1):56-62.
doi: 10.1080/15504263.2014.992588.

Web-based acceptance and commitment therapy smoking cessation treatment for smokers with depressive symptoms

Helen A Jones  1 , Jaimee L Heffner, Laina Mercer, Christopher M Wyszynski, Roger Vilardaga, Jonathan B Bricker
Affiliations
Randomized Controlled Trial

Web-based acceptance and commitment therapy smoking cessation treatment for smokers with depressive symptoms

Helen A Jones et al. J Dual Diagn. 2015.

Abstract

Objective: Smokers with depressive symptoms have more difficulty quitting smoking than the general population of smokers. The present study examines a web-based treatment using acceptance and commitment therapy (ACT) for smokers with depressive symptoms. The study aimed to determine participant receptivity to the intervention and its effects on smoking cessation, acceptance of internal cues, and depressive symptoms.

Methods: Smokers who had positive screening results for depressive symptoms at baseline (n = 94) were selected from a randomized controlled trial (N = 222) comparing web-based ACT for smoking cessation (WebQuit.org) with Smokefree.gov. Forty-five participants (48%) completed the three-month follow-up.

Results: Compared to Smokefree.gov, WebQuit participants spent significantly more time on site (p =.001) and had higher acceptance of physical cravings (p =.033). While not significant, WebQuit participants were more engaged and satisfied with their program and were more accepting of internal cues overall. There was preliminary evidence that WebQuit participants had higher quit rates (20% versus 12%) and lower depressive symptoms at follow-up (45% versus 56%) than those in Smokefree.gov.

Conclusions: This was the first study of web-based ACT for smoking cessation among smokers with depressive symptoms, with promising evidence of receptivity, efficacy, impact on a theory-based change process, and possible secondary effects on depression. A fully powered trial of the ACT WebQuit.org intervention specifically for depressed smokers is needed. This was part of a clinical trial registered as NCT#01166334 at www.clinicaltrials.gov .

Trial registration: ClinicalTrials.gov NCT01166334.

Keywords: Acceptance and Commitment Therapy; smoking cessation; symptom of depression; web-based treatment.

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Participant Flow Diagram
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References

    1. Anda RF, Williamson DF, Escobedo LG, Mast EE, Giovino GA, Remington PL. Depression and the dynamics of smoking: A national perspective. JAMA: Journal of the American Medical Association. 1990;264(12):1541–1545. - PubMed
    1. Berg CJ. Internet-based interventions for smoking cessation show inconsistent effects across trials, with only some trials showing a benefit. Evidence-Based Nursing. 2011;14(2):47–48. - PubMed
    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 & Tobacco Research. 2010;12(4):454–458. - PubMed
    1. Bricker JB, Wyszynski C, Comstock B, Heffner JL. Pilot randomized trial of the first web-based Acceptance and Commitment Therapy for smoking cessation. Nicotine & Tobacco Research. 2013;15(10):1756–1764. - PMC - PubMed
    1. Brown RA, Lejuez CW, Kahler CW, Strong DR, Zvolensky MJ. Distress tolerance and early smoking lapse. Clinical Psychology Review. 2005;25:713–733. - PMC - PubMed

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