Panacea Index Logo

Command Palette

Search for a command to run...

Efficacy of mindfulness and goal setting interventions for increasing resilience and reducing smoking in lower socio-economic groups: randomised controlled trial protocol.

Addiction science & clinical practice
January 1, 1970
Reece De Zylva et al. (9 authors)
Clinical Trial ProtocolJournal ArticleResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to test the efficacy of mindfulness-based interventions, delivered online and consolidated with peer support, in promoting smoking cessation and resilience among low SES smokers.

Results Summary

The study compares mindfulness-integrated cognitive behavioral therapy, mindfulness training, and goal-setting interventions, but specific results regarding Mindfulness's effects are not yet provided in the abstract.

Population

Adult smokers in Australia with an average weekly household income less than $457AUD or receiving welfare benefits.

Effective Dosage

Not specified

Duration

6 months of group-based interventions followed by 6 months of peer support.

Interactions

None mentioned

Extracted Claims (30)
InterventionDirectionEndpointPopulationDosageImpactClaim #
mindfulness-integrated cognitive behavioural therapy
decrease
self-reported 14-day period prevalence of smoking abstinence
adult smokers in Australia with low weekly household income or receiving welfare benefits
-
test the efficacy of
#1
mindfulness training
decrease
self-reported 14-day period prevalence of smoking abstinence
adult smokers in Australia with low weekly household income or receiving welfare benefits
-
test the efficacy of
#2
setting realistic goals
decrease
self-reported 14-day period prevalence of smoking abstinence
adult smokers in Australia with low weekly household income or receiving welfare benefits
-
test the efficacy of
#3
mindfulness-integrated cognitive behavioural therapy
increase
internal resilience
adult smokers in Australia with low weekly household income or receiving welfare benefits
-
test the efficacy of
#4
mindfulness training
increase
internal resilience
adult smokers in Australia with low weekly household income or receiving welfare benefits
-
test the efficacy of
#5
setting realistic goals
increase
internal resilience
adult smokers in Australia with low weekly household income or receiving welfare benefits
-
test the efficacy of
#6
mindfulness-integrated cognitive behavioural therapy
increase
external resilience
adult smokers in Australia with low weekly household income or receiving welfare benefits
-
test the efficacy of
#7
mindfulness training
increase
external resilience
adult smokers in Australia with low weekly household income or receiving welfare benefits
-
test the efficacy of
#8
setting realistic goals
increase
external resilience
adult smokers in Australia with low weekly household income or receiving welfare benefits
-
test the efficacy of
#9
mindfulness-integrated cognitive behavioural therapy
increase
quality adjusted life years
adult smokers in Australia with low weekly household income or receiving welfare benefits
-
test the efficacy of
#10
mindfulness training
increase
quality adjusted life years
adult smokers in Australia with low weekly household income or receiving welfare benefits
-
test the efficacy of
#11
setting realistic goals
increase
quality adjusted life years
adult smokers in Australia with low weekly household income or receiving welfare benefits
-
test the efficacy of
#12
mindfulness-integrated cognitive behavioural therapy
increase
self-efficacy for smoking abstinence
adult smokers in Australia with low weekly household income or receiving welfare benefits
-
test the efficacy of
#13
mindfulness training
increase
self-efficacy for smoking abstinence
adult smokers in Australia with low weekly household income or receiving welfare benefits
-
test the efficacy of
#14
setting realistic goals
increase
self-efficacy for smoking abstinence
adult smokers in Australia with low weekly household income or receiving welfare benefits
-
test the efficacy of
#15
mindfulness-integrated cognitive behavioural therapy
increase
motivation to quit smoking
adult smokers in Australia with low weekly household income or receiving welfare benefits
-
test the efficacy of
#16
mindfulness training
increase
motivation to quit smoking
adult smokers in Australia with low weekly household income or receiving welfare benefits
-
test the efficacy of
#17
setting realistic goals
increase
motivation to quit smoking
adult smokers in Australia with low weekly household income or receiving welfare benefits
-
test the efficacy of
#18
mindfulness-integrated cognitive behavioural therapy
decrease
nicotine dependence
adult smokers in Australia with low weekly household income or receiving welfare benefits
-
test the efficacy of
#19
mindfulness training
decrease
nicotine dependence
adult smokers in Australia with low weekly household income or receiving welfare benefits
-
test the efficacy of
#20
setting realistic goals
decrease
nicotine dependence
adult smokers in Australia with low weekly household income or receiving welfare benefits
-
test the efficacy of
#21
mindfulness-integrated cognitive behavioural therapy
increase
equanimity
adult smokers in Australia with low weekly household income or receiving welfare benefits
-
test the efficacy of
#22
mindfulness training
increase
equanimity
adult smokers in Australia with low weekly household income or receiving welfare benefits
-
test the efficacy of
#23
setting realistic goals
increase
equanimity
adult smokers in Australia with low weekly household income or receiving welfare benefits
-
test the efficacy of
#24
mindfulness-integrated cognitive behavioural therapy
decrease
stress
adult smokers in Australia with low weekly household income or receiving welfare benefits
-
test the efficacy of
#25
mindfulness training
decrease
stress
adult smokers in Australia with low weekly household income or receiving welfare benefits
-
test the efficacy of
#26
setting realistic goals
decrease
stress
adult smokers in Australia with low weekly household income or receiving welfare benefits
-
test the efficacy of
#27
mindfulness-integrated cognitive behavioural therapy
increase
goal assessment/attainment
adult smokers in Australia with low weekly household income or receiving welfare benefits
-
test the efficacy of
#28
mindfulness training
increase
goal assessment/attainment
adult smokers in Australia with low weekly household income or receiving welfare benefits
-
test the efficacy of
#29
setting realistic goals
increase
goal assessment/attainment
adult smokers in Australia with low weekly household income or receiving welfare benefits
-
test the efficacy of
#30
Abstract

BACKGROUND: Smoking and resulting health problems disproportionately impact low socioeconomic status (SES) individuals. Building resilience presents an approach to 'closing the gap'. Mindfulness-based interventions and setting realistic goals are preferred in low socioeconomic communities. We aim to test if these interventions, delivered online and consolidated with peer support offered via ex-smokers, are successful in promoting smoking cessation and resilience. Our conceptualisation of resilience encompasses the inner capacity/skills and external resources (e.g., social support) which smokers utilise to bounce back from adversity. We include a process evaluation of barriers/facilitators to interventions and cost-effectiveness analysis (from health system perspective). METHODS: We plan a four-arm parallel 12-month RCT with a 6-month follow-up to test the efficacy of three group-based interventions each followed by peer support. Arm 1: mindfulness-integrated cognitive behavioural therapy; Arm 2: mindfulness training; Arm 3: setting realistic goals; Arm 4: active control group directed to quit services. All interventions will be administered online. Participants are adult smokers in Australia (N = 812) who have an average weekly household income less than $457AUD or receive welfare benefits. Group-based interventions will occur over 6 months, followed by 6 months of forum-based peer support. PRIMARY OUTCOME: self-reported 14-day period prevalence of smoking abstinence at 6 months, with remote biochemical verification of saliva cotinine (< 30 ng/mL). Secondary outcomes include: internal resilience (Connor-Davidson Resilience Scale-25); external resilience (ENRICHD social support tool); quality adjusted life years (EQ-5D-5L); self-efficacy for smoking abstinence (Smoking-Abstinence Self-Efficacy Questionnaire); motivation to quit smoking (Biener and Abrams Contemplation Ladder); nicotine dependence (Fagerstrom Test for Nicotine Dependency); equanimity (Equanimity Scale-16); stress (Perceived Stress Scale-10); goal assessment/attainment (Problems and Goals Assessment Scale). DISCUSSION: This study is the first to compare resilience interventions for low SES smokers which have been identified by them as acceptable. Our various repeated measures and process evaluation will facilitate exploration of mechanisms of impact. We intervene within the novel framework of the Psychosocial Model of Resilience, applying a promising paradigm to address a critical and inequitable public health problem. Trial registration Australian New Zealand Clinical Trials Registry ID: ACTRN12621000445875, registered 19 April 2021 ( https://anzctr.org.au/Trial/Registration/TrialReview.aspx?id=381007&isReview=true ). The Universal Trial Number is U1111-1261-8951.

Medical Subject Headings (MeSH)
AdultHumansMindfulnessGoalsAustraliaSmokingTobacco Use DisorderSocioeconomic Factors
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality85/10
0
Research Impact Scores
APT Score0.05
Weight Score1.39
Normalized Score0.67
Related Supplements