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Developing a Guided Imagery Telephone-Based Tobacco Cessation Program for a Randomized Controlled Trial

机译:开发一个用于随机对照试验的引导图像的烟草戒烟计划

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Background/Aims: Guided imagery is an evidence-based, multi-sensory, cognitive process that can be used to increase motivation and achieve a desired behavior. Quitlines are effective, standard care approaches for tobacco cessation; however, utilization of quitlines is low. Using guided imagery-based interventions for smoking cessation may appeal to smokers who do not utilize traditional quitline services. This paper reports the development of program materials for a randomized controlled feasibility trial of a guided imagery-based smoking cessation intervention. The objective of the formative work was to ensure that program materials are inclusive of groups that are less likely to use quitlines, including men and racial/ethnic minority tobacco users. Methods: A three-phase process was used to complete formative assessment: (1) integration of evidence-based cessation practices into program development; (2) iterative small group interviews (N =46) to modify the program; and (3) pilot-testing the coaching protocol and study process among a small sample of smokers (N =5). Results: The Community Advisory Board and project consultants offered input on program content and study recruitment based on their knowledge of minority communities with whom they conduct outreach. Small group interview participants included members of underserved quitline populations (52.37% non-white; 55.56% men). Only 28.26% of participants had prior experience with guided imagery, but others described the use of similar mindfulness and meditation practices. Participant feedback was incorporated into program materials and protocols. Discussion: Iteratively collected feedback and pilot testing influenced program content and delivery and informed study processes for a randomized controlled feasibility trial of a telephone-delivered, guided imagery-based intervention.
机译:背景/目标:引导图像是一种基于证据,多感官的认知过程,可用于增加动机并达到所需的行为。 Quitlines是有效的烟草停止的标准护理方法;然而,Quitlines的利用率低。使用基于引导的Imagery的戒烟的干预措施可能会吸引不利用传统Quitline服务的吸烟者。本文报告了用于随机控制可行性试验的方案材料的开发,以指导的基于图像的戒烟干预措施。制度工作的目的是确保方案材料包括不太可能使用Quitlines的群体,包括男性和种族/少数群体烟草用户。方法:三相过程用于完成形成性评估:(1)将基于证据的停止实践的整合到计划开发; (2)迭代小组访谈(n = 46)修改该计划; (3)试验 - 在吸烟者样本中试验教练协议和研究过程(n = 5)。结果:社区咨询委员会和项目顾问根据他们对其进行外展的少数群体社区的了解,提供了计划内容和学习招聘的投入。小组面试参与者包括欠缺戒点人口的成员(非白人52.37%; 55.56%的人)。只有28.26%的参与者患有指导图像的经验,但其他人描述了使用类似的思想和冥想实践。参与者反馈纳入计划材料和协议。讨论:迭代收集的反馈和试点测试影响了电话交付,引导地形的干预的随机控制可行性试验的计划内容和交付和通知研究流程。

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