A multicomponent nursing intervention to stop Smoking incorporating mindfulness and brief advice
DOI:
https://doi.org/10.21134/738Keywords:
mindfulness, brief advice, smoking cessation, tobacco addiction, self-efficacyAbstract
Introduction. This study aimed to assess the effectiveness of a multicomponent nursing intervention using mindfulness and brief advice for the reduction of tobacco use, anxiety, stress, depressive symptoms, and the improvement of self-efficacy. Method. This was a quasi-experimental study with 41 participants, and the treatment consisted of an intervention composed of two strategies: the protocol “Programa de Intervención Breve para Adolescentes que Inician el Consumo de Alcohol y otras Drogas” for the brief advice” while the Mindfulness Based Cognitive Therapy program was used for mindfulness. The intervention lasted 10 weekly sessions; participants received phone calls and were given an audio CD to perform the mindfulness practices at home and a work manual to conduct self-records of consumption as well as guidance from reinforcement to help maintain motivation to behavior change. Results. The results show that these interventions were effective tools to reduce nicotine dependence (p=.001, d=1.14), the number of cigarettes smoked (p=.001, d=1.60), levels of cotinine in urine (p=.001), stress (p=.001, d=1.42), anxiety (p=.001, d=.90), and depressive symptoms (p=.001, d=.81), and increase self-efficacy (p=.001, d=1.48). Conclusions. The findings show that a multicomponent nursing intervention incorporating brief advice and mindfulness can be an effective treatment for people wishing to reduce or cease tobacco consumption.
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Al-Qashoti, M. R., Aljassim, R., Sherbash, M. A. M., Alhussaini, N. W. Z., & Al-Jayyousi, G. F. (2022). Tobacco cessation programs and factors associated with their effectiveness in the Middle East: A systematic review. Tobacco Induced Diseases, 20, 84. https://doi.org/10.18332/tid/153972
American Psychological Association. (2020). Publication manual (OFFICIAL) 7th edition of the American psychological association. American Psychological Association.
Arch, J. J., Ayers, C. R., Baker, A., Almklov, E., Dean, D. J., & Craske, M. G. (2013). Randomized clinical trial of adapted mindfulness-based stress reduction versus group cognitive behavioral therapy for heterogeneous anxiety disorders. Behaviour Research and Therapy, 51(4–5), 185–196. https://doi.org/10.1016/j.brat.2013.01.003
Ayala, H. E., Echeverría, L., Sobell, M. B., & Sobell, L. C. (1997). Auto Control Dirigido: Intervenciones Breves para Bebedores Excesivos. Revista Mexicana de Psicología, 14(2), 113–127. https://www.researchgate.net/profile/Linda- Sobell/publication/289068823_Directed_self_control_Brief_interventions_for_problem_drinkers_in_Mexico/li nks/56ac012108aeaa696f2a022f/Directed-self-control-Brief-interventions-for-problem-drinkers-in-Mexico.pdf
Bandura, A. (1977). Self-efficacy: toward a unifying theory of behavioral change. Psychological Review, 84(2), 191–215. https://doi.org/10.1037//0033-295x.84.2.191
Bennasar-Veny, M., Pericas Beltrán, J., González Torrente, S., Segui González, P., Aguiló Pons, A., & Tauler Riera,
P. (2011). Self-perceived factors associated with smoking cessation among primary health care nurses: a qualitative study. Revista Latino-Americana de Enfermagem, 19, 1437–1444. https://doi.org/10.1590/S0104- 11692011000600022
Bodenlos, J. S., Noonan, M., & Wells, S. Y. (2013). Mindfulness and alcohol problems in college students: the mediating effects of stress. Journal of American College Health: J of ACH, 61(6), 371–378. https://doi.org/10.1080/07448481.2013.805714
Boness, C. L., & Witkiewitz, K. (2022). Precision medicine in alcohol use disorder: Mapping etiologic and maintenance mechanisms to mechanisms of behavior change to improve patient outcomes. Experimental and Clinical Psychopharmacology. https://doi.org/10.1037/pha0000613
Breedvelt, J. J. F., Amanvermez, Y., Harrer, M., Karyotaki, E., Gilbody, S., Bockting, C. L. H., Cuijpers, P., & Ebert,
D. D. (2019). The effects of meditation, yoga, and mindfulness on depression, anxiety, and stress in tertiary education students: A meta-analysis. Frontiers in Psychiatry, 10, 193. https://doi.org/10.3389/fpsyt.2019.00193
Brewer, J. (2019). Mindfulness training for addictions: has neuroscience revealed a brain hack by which awareness subverts the addictive process? Current Opinion in Psychology, 28, 198–203. https://doi.org/10.1016/j.copsyc.2019.01.014
Caponnetto, P., Maglia, M., Floresta, D., Ledda, C., Vitale, E., Polosa, R., & Rapisarda, V. (2020). A randomized controlled trial to compare group motivational interviewing to very brief advice for the effectiveness of a workplace smoking cessation counseling intervention. Journal of Addictive Diseases, 38(4), 465–474. https://doi.org/10.1080/10550887.2020.1782564
Castruita, D. A. A., Castillo, M. M. A., García, K. S. L., Meza, M. V. G., & Carvajal, R. R. (2018). Intervención breve multicomponente de enfermería para reducir el consumo de tabaco: un estudio de factibilidad/Brief multi- component nursing intervention to reduce tobacco consumption: a feasibility study/Intervenção breve de enfermagem. Journal Health Npeps, 3(1), 67–87. https://periodicos.unemat.br/index.php/jhnpeps/article/view/2764
Cayla, M. O., Armstrong, K., & Rutherford, H. J. (2018). The potential utility for massage therapy during pregnancy to decrease stress and tobacco use. International Journal of Therapeutic Massage & Bodywork, 11(3). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6087659/
Centers for Disease Control and Prevention. (2022). TobaccoFree Basic information. Centers for Disease Control and Prevention. https://www.cdc.gov/tobacco/basic_information/index.htm?s_cid=osh-stu-home-nav-003
Chi, X., Bo, A., Liu, T., Zhang, P., & Chi, I. (2018). Effects of mindfulness-based stress reduction on depression in adolescents and young adults: A systematic review and meta-analysis. Frontiers in Psychology, 9. https://doi.org/10.3389/fpsyg.2018.01034
Chiesa, A., & Serretti, A. (2014). Are mindfulness-based interventions effective for substance use disorders? A systematic review of the evidence. Substance Use & Misuse, 49(5), 492–512. https://doi.org/10.3109/10826084.2013.770027
Cohen, J. (1992). A power primer. Psychological Bulletin, 112(1), 155-159. https://www2.psych.ubc.ca/~schaller/528Readings/Cohen1992.pdf
Consejo Internacional de Enfermería. (2018). La salud es un derecho humano Acceso, inversión y crecimiento económico. Suiza: Consejo Internacional de Enfermería. https://2018.icnvoicetolead.com/wp- content/uploads/2017/04/ICN_Guidence_Pack_2018_ES_Low-Res.pdf
Davis, J. M., Manley, A. R., Goldberg, S. B., Stankevitz, K. A., & Smith, S. S. (2015). Mindfulness training for smokers via web-based video instruction with phone support: a prospective observational study. BMC Complementary and Alternative Medicine, 15(1), 95. https://doi.org/10.1186/s12906-015-0618-3
de Dios, M. A., Herman, D. S., Britton, W. B., Hagerty, C. E., Anderson, B. J., & Stein, M. D. (2012). Motivational and mindfulness intervention for young adult female marijuana users. Journal of Substance Abuse Treatment, 42(1), 56–64. https://doi.org/10.1016/j.jsat.2011.08.001
de Souza, I. C. W., de Barros, V. V., Gomide, H. P., Miranda, T. C. M., Menezes, V. de P., Kozasa, E. H., & Noto, A.
R. (2015). Mindfulness-based interventions for the treatment of smoking: a systematic literature review. Journal of Alternative and Complementary Medicine (New York, N.Y.), 21(3), 129–140. https://doi.org/10.1089/acm.2013.0471
Diclemente, C. C., Prochaska, J. O., Fairhurst, S. K., Velicer, W. F., & Velásquez, M. M. (1991). The process of smoking cessation: An analysis of precontemplation, contemplation, and preparation stages of changes. Journal of Consulting and Clinical Psychology, 59, 295–304. https://www.researchgate.net/profile/Mary- Velasquez/publication/232478210_The_Process_of_Smoking_Cessation_An_Analysis_of_Precontemplation_C ontemplation_and_Preparation_Stages_of_Change/links/0fcfd50b5f8c5742b5000000/The-Process-of-
Smoking-Cessation-An-Analysis-of-Precontemplation-Contemplation-and-Preparation-Stages-of-Change.pdf
Domínguez, R. M. Y., & Pérez, Y. V. (2014). Ansiedad, depresión y vulnerabilidad al estrés ante el diagnóstico reciente de diabetes mellitus tipo 2. (Spanish).Gaceta Médica Espirituana, 16(3), 24-31. http://scielo.sld.cu/scielo.php?pid=s1608-89212014000300009&script=sci_arttext&tlng=en
Duarte, C., Varela, M., Salazar, I., Lerma, L., & Tamayo, J. (2012). Motivaciones y Recursos para el Consumo de Sustancias Psicoactivas en Universitarios. Hacia La Promoción de La Salud, 17, 92–104. http://www.scielo.org.co/scielo.php?pid=s0121-75772012000100007&script=sci_arttext
Elwafi, H. M., Witkiewitz, K., Mallik, S., Thornhill, T. A., 4th, & Brewer, J. A. (2013). Mindfulness training for smoking cessation: moderation of the relationship between craving and cigarette use. Drug and Alcohol Dependence, 130(1–3), 222–229. https://doi.org/10.1016/j.drugalcdep.2012.11.015
Garland, E. L., & Howard, M. O. (2018). Mindfulness-based treatment of addiction: current state of the field and envisioning the next wave of research. Addiction Science & Clinical Practice, 13(1). https://doi.org/10.1186/s13722-018-0115-3
Garland, E. L., Froeliger, B., & Howard, M. O. (2014a). Effects of Mindfulness-Oriented Recovery Enhancement on reward responsiveness and opioid cue-reactivity. Psychopharmacology, 231(16), 3229–3238. https://doi.org/10.1007/s00213-014-3504-7
Garland, E. L., Manusov, E. G., Froeliger, B., Kelly, A., Williams, J. M., & Howard, M. O. (2014b). Mindfulness- oriented recovery enhancement for chronic pain and prescription opioid misuse: results from an early-stage randomized controlled trial. Journal of Consulting and Clinical Psychology, 82(3), 448–459. https://doi.org/10.1037/a0035798
González-González, A., García, F. J., Torres, C. S., González-Forteza, C., Tapia, A. J., Medina-Mora, M. E., & Mejía,
H. F. V. (2012). Depresión y consumo de alcohol y tabaco en estudiantes de bachillerato y licenciatura. Salud mental, 35(1), 51-55. https://www.medigraphic.com/pdfs/salmen/sam-2012/sam121h.pdf
Gurrola, G., Balcáza, R. P., Bonilla, M., & Virseda, J. (2006). Estrucura factorial y consistencia interna de la Escala de Ansiedad, Depresión y Estrés (DASS-21) en una muestra no clínica. Psicología y Ciencia Social, 8(02), 3–7. https://www.redalyc.org/pdf/314/31480201.pdf
Guy, W. (1976). En: ECDEU Assessment Manual for Psychpharmacology, revised. Rochville: National Institute of Mental Health.
Hébert, E. T., Ra, C. K., Alexander, A. C., Helt, A., Moisiuc, R., Kendzor, D. E., Vidrine, D. J., Funk-Lawler, R. K., & Businelle, M. S. (2020). A mobile just-in-time adaptive intervention for smoking cessation: Pilot randomized controlled trial. Journal of Medical Internet Research, 22(3), e16907. https://doi.org/10.2196/16907
Hoz, E. V., Poch, F. V., Ferrer, J. J., Caparrós, B. C., Guerra, I. P., & Canals, M. C. (2014). Dimensiones psicopatológicas asociadas al consumo de tabaco en población universitaria. Anales de Psicología/Annals of Psychology, 20(1), 33–46. https://doi.org/10.6018/analesps
Hudson, J. I., Arnold, L. M., Bradley, L. A., Choy, E. H. S., Mease, P. J., Wang, F., Ahl, J., & Wohlreich, M. M. (2009). What makes patients with fibromyalgia feel better? Correlations between Patient Global Impression of Improvement and changes in clinical symptoms and function: a pooled analysis of 4 randomized placebo- controlled trials of duloxetine. The Journal of Rheumatology, 36(11), 2517–2522. https://doi.org/10.3899/jrheum.090139
Incagli, F., Tarantino, V., Crescentini, C., & Vallesi, A. (2020). The effects of 8-week mindfulness-based stress reduction program on cognitive control: An EEG study. Mindfulness, 11(3), 756–770. https://doi.org/10.1007/s12671-019-01288-3
Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain and illness. Delacorte.
Kabat-Zinn, J., & Hanh, T. N. (2009). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness. Dell Publishing.
Kong, L., Zeng, C., Yuan, F., Liu, S., Wang, D., Jiang, C., Zhan, Z., Qian, Z., & Zhu, X. (2020). Dysfunction of the prefrontal cortex in betel-quid-dependent chewers. Frontiers in Psychiatry, 11, 558367. https://doi.org/10.3389/fpsyt.2020.558367
Kroon, E., Kuhns, L., & Cousijn, J. (2022). Context dependent differences in working memory related brain activity in heavy cannabis users. Psychopharmacology, 239(5), 1373–1385. https://doi.org/10.1007/s00213-021-05956- y
Li, W., Howard, M. O., Garland, E. L., McGovern, P., & Lazar, M. (2017). Mindfulness treatment for substance misuse: A systematic review and meta-analysis. Journal of Substance Abuse Treatment, 75, 62–96. https://doi.org/10.1016/j.jsat.2017.01.008
Lira M., J., Valdez P., E., Pérez G., M.Á., Pech P., D. & Arriaga R., J.C.P. (2020). Asociación entre consumo de tabaco, factores emocionales y motivos para fumar en universitarios. Enseñanza e Investigación en Psicología, 2(1), 47-59 https://revistacneipne.org/index.php/cneip/article/view/63
Ma, H., Li, X., Zhang, M., Liu, H., Jin, Q., Qiao, K., & Akbar, A. (2020). Relationships among smoking abstinence self-efficacy, trait coping style and nicotine dependence of smokers in Beijing. Tobacco Induced Diseases, 18(September). https://doi.org/10.18332/tid/125401
Marlatt, G. A., & Gordon, J. R. (1985). Determinants of relapse: Implications for the maintenance of behavior change. Behavioral Medicine: Changing Health Lifestyles (Vol. 1). Brunner/Mazel.
Martínez, K., Salazar, M., Ruiz, G., Barrientos, C. V., & Ayala, V. H. (2005). Programa de intervención breve para adolescentes que inician el consumo de alcohol y otras drogas. Manual del terapeuta. CONADIC. https://raulmartindelcampo.wordpress.com/wp-content/uploads/2016/11/manual-consumo-adolescentes.pdf
Martínez-Vispo, C., Rodríguez-Cano, R., López-Durán, A., Senra, C., Fernández Del Río, E., & Becoña, E. (2019). Cognitive-behavioral treatment with behavioral activation for smoking cessation: Randomized controlled trial. PloS One, 14(4), e0214252. https://doi.org/10.1371/journal.pone.0214252
Mathew, A. R., Yang, E., Avery, E. F., Crane, M. M., Lange-Maia, B. S., & Lynch, E. B. (2020). Trauma exposure, PTSD symptoms, and tobacco use: Does church attendance buffer negative effects? Journal of Community Psychology, 48(7), 2364–2374. https://doi.org/10.1002/jcop.22420
Meneses, I., Zuardi, A., Loureiro, S., & Crippa, J. (2009). Psychometric properties of the Fagerström test for nicotine dependence. Journal Brasileiro de Pneumologia, 35(1), 73–82. https://doi.org/10.1590/S1806- 37132009000100011
Mermelstein, L. C., & Garske, J. P. (2015). A brief mindfulness intervention for college student binge drinkers: A pilot study. Psychology of Addictive Behaviors: Journal of the Society of Psychologists in Addictive Behaviors, 29(2), 259–269. https://doi.org/10.1037/adb0000040
National Institute on Alcohol Abuse. (2015). Informe sobre Tabaco Alert: Cigarettes and Other Tobacco Products. Drugabuse.gov. http://www.drugabuse.gov/publications/drugfacts/cigaretts-other-tobacco-products
Norman, G. R., Sloan, J. A., & Wyrwich, K. W. (2003). Interpretation of changes in health-related quality of life: the remarkable universality of half a standard deviation. Medical Care, 41(5), 582–592. https://doi.org/10.1097/01.MLR.0000062554.74615.4C
Pan American Health Organization. (2022). Informe sobre el control del tabaco en la Región de las Américas 2022. Paho.org. https://iris.paho.org/bitstream/handle/10665.2/56263/OPSNMHRF220023_spa.pdf?sequence=5&isAllowed=y
Quaglia, J. T., Zeidan, F., Grossenbacher, P. G., Freeman, S. P., Braun, S. E., Martelli, A., Goodman, R. J., & Brown,
K. W. (2019). Brief mindfulness training enhances cognitive control in socioemotional contexts: Behavioral and neural evidence. PloS One, 14(7), e0219862. https://doi.org/10.1371/journal.pone.0219862
Sadasivam, P., & Chellappa, L. R. (2022). Academic stress and tobacco abuse among the clinical dental students in chennai city. Journal of Coastal Life Medicine, 10, 428–435. https://www.jclmm.com/index.php/journal/article/view/88
Secretaría de Salud (1987). Reglamento de la Ley General de Salud en material de Investigación para la Salud. Gob.Mx. http://www.salud.gob.mx/unidades/cdi/nom/compi/rlgsmis.html
Segal, Z., Williams, M., & Teasdale, J. (2007). Terapia cognitiva basada en el mindfulness para la depresión. Kairos.
Sobell, L. C., & Sobell, M. B. (1996). Timeline FollowBack: user’s guide. Addiction Research Foundation= Fondation de la recherche sur la toxicomanie. https://doi.org/10.1016/0376-8716(96)01263-X
Strohmaier, S., Jones, F. W., & Cane, J. E. (2021). Effects of length of mindfulness practice on mindfulness, depression, anxiety, and stress: A randomized controlled experiment. Mindfulness, 12(1), 198–214. https://doi.org/10.1007/s12671-020-01512-5
Substance Abuse and Mental Health Services Administration. (2020). Alcohol, tobacco, and other drugs: Challenging myths, assessing theories, individualizing interventions.
Tang, Y., Tang, R., & Posner, M. I. (2013). Brief meditation training induces smoking reduction. Proceedings of the National Academy of Sciences of the United States of America, 110(34), 13971–13975. https://doi.org/10.1073/pnas.1311887110
Téllez, A., García, C. H., & Corral-Verdugo, V. (2015). Effect size, confidence intervals and statistical power in psychological research. Psychology in Russia: State of the Art, 8(3), 27–47. https://cyberleninka.ru/article/n/effect-size-confidence-intervals-and-statistical-power-in-psychological- research
Vallejo, Z. (2019). Desarrollando la atención y autorregulación por medio del Mindfulness (Bachelor's thesis, Universidad Casa Grande. Facultad de Ecología Humana, Educación y Desarrollo). http://dspace.casagrande.edu.ec:8080/bitstream/ucasagrande/2168/2/Tesis2344VALd.pdf
van Schayck, O. C. P., Bindels, L., Nijs, A., van Engelen, B., van den Bosch, A., Muller, I. S., & Spigt, M. (2020). The experience of general practitioners with Very Brief Advice in the treatment of tobacco addiction. NPJ Primary Care Respiratory Medicine, 30(1), 40. https://doi.org/10.1038/s41533-020-00200-0
Vøllestad, J., Sivertsen, B., & Nielsen, G. H. (2011). Mindfulness-based stress reduction for patients with anxiety disorders: evaluation in a randomized controlled trial. Behaviour Research and Therapy, 49(4), 281–288. https://doi.org/10.1016/j.brat.2011.01.007
Vonderlin, R., Biermann, M., Bohus, M., & Lyssenko, L. (2020). Mindfulness-based programs in the workplace: A meta-analysis of randomized controlled trials. Mindfulness, 11(7), 1579–1598. https://doi.org/10.1007/s12671- 020-01328-3
Wakim, K.-M., Freedman, E. G., Tivarus, M. E., Heinecke, A., & Foxe, J. J. (2022). Assessing combinatorial effects of HIV infection and former cocaine dependence on cognitive control processes: A functional neuroimaging study of response inhibition. Neuropharmacology, 203(108815), 108815.
https://doi.org/10.1016/j.neuropharm.2021.108815
Wills, L., Ables, J. L., Braunscheidel, K. M., Caligiuri, S. P. B., Elayouby, K. S., Fillinger, C., Ishikawa, M., Moen, J. K., & Kenny, P. J. (2022). Neurobiological mechanisms of nicotine reward and aversion. Pharmacological Reviews, 74(1), 271–310. https://doi.org/10.1124/pharmrev.121.000299
Witkiewitz, K., Bowen, S., Harrop, E. N., Douglas, H., Enkema, M., & Sedgwick, C. (2014). Mindfulness-based treatment to prevent addictive behavior relapse: theoretical models and hypothesized mechanisms of change. Substance Use & Misuse, 49(5), 513–524. https://doi.org/10.3109/10826084.2014.891845
World Health Organization. (2022). Tabaco. Who.int. https://www.who.int/es/news-room/fact- sheets/detail/tobacco
Yach, D. (2020). Tobacco use patterns in five countries during the COVID-19 lockdown. Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco, 22(9), 1671–1672. https://doi.org/10.1093/ntr/ntaa097
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