Smoking
Conditions
Keywords
Dialectical behaviour therapy, Skills training, Internet-based intervention, Psychological distress, Adult smokers, Smoking
Brief summary
1. To determine the feasibility, acceptability, and preliminary effects of an internet-based DBT-ST for promoting smoking abstinence/reduction and improving psychological distress/emotional regulation in adult smokers 2. To explore the participants' experiences and perceptions (e.g., perceived benefits/weaknesses) towards the proposed intervention
Interventions
Adaptive applications of DBT-ST for smokers with psychological distress
BEHAVIORALMonthly health education
General health information and sharing sessions
Sponsors
Chinese University of Hong Kong
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 64 Years
Healthy volunteers
Yes
Inclusion criteria
* Hong Kong Chinese aged 18-64 years * Had smoked at least one cigarette per day over the previous three months * Indicate psychological distress as measured by the Depression, Anxiety, and Stress Scale-21 * Have an intention to stop smoking * Have an electronic device and are willing to receive interventions via the internet
Exclusion criteria
* Experiencing psychotic disorders/cognitive impairment/communication problems * Participating in other smoking cessation programs or related psychosocial interventions
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Level of psychological distress | Baseline, 3-month post-intervention | Symptoms of depression, anxiety and stress measured by the Chinese version of Depression, Anxiety, and Stress Scale-21 |
| Biochemically validated 7-day PPA (an exhaled CO test and a salivary cotinine test) | Baseline, 3-month post-intervention | Participants who self-reported not smoking within the past seven days will be invited to attend a biochemical verification test of smoking abstinence |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Self-reported smoking reduction of at least 50% | 3-month post-intervention | Participants will report the number of cigarette they consume and the number will be compared to the number at baseline |
| Quit attempts | Baseline, 3-month post-intervention | The number of times that the participant engage in a period of intentional abstinence of more than 24 hours in the previous three months |
| Self-reported 7-day PPA | Baseline, 3-month post-intervention | Self-reporting of complete abstinence for at least seven days prior to assessment |
| Emotion dysregulation | Baseline, 3-month post-intervention | Levels of emotion dysregulation measured by the Chinese version of the Difficulties in Emotion Regulation Scale (DERS) |
| Distress tolerance | Baseline, 3-month post-intervention | Perceived ability to tolerate emotional distress measured by the Chinese version of the Distress Tolerance Scale (DTS) |
Other
| Measure | Time frame | Description |
|---|---|---|
| Feasibility of the intervention | 3-month post-intervention | Recruitment rate |
| Acceptability | 3-month post-intervention | Client Satisfaction measured by the 8-item Client Satisfaction Questionnaire-8 |
| Semi-structured interview | 3-month post-intervention | Individual semi-structured interviews will be conducted at post-intervention to explore participants' experiences/perceptions of the internet-based DBT-ST, as well as their comments on the appropriateness/comprehensiveness of the content/frequency of the intervention. |
Countries
Hong Kong
Contacts
Primary ContactLong Kwan Ho, PhD
Backup ContactHiu Nam Naomi Wu, Bachelor
Outcome results
None listed