Do Smartphone Apps Impact Long-Term Smoking Cessation for Sexual and Gender Minority Adults? Exploratory Results from a 2-Arm Randomized Trial Comparing Acceptance and Commitment Therapy with Standard US Clinical Practice Guidelines

Datos Bibliográficos

ID3607628
AutoresMargarita Santiago-Torres (0000-0001-6051-3172, Fred Hutch Cancer Center, autor de correspondencia), Kristin E Mull (0000-0002-7918-3078, Fred Hutch Cancer Center), Brianna M Sullivan (0000-0001-8290-780X, Fred Hutch Cancer Center), Alicia K Matthews (0000-0002-0074-681X, University of Illinois Chicago), Matthew D Skinta (0000-0002-2365-6323, Roosevelt University), Johannes Thrul (0000-0001-8929-9579, Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins, Baltimore, Maryland, USA), Erin A Vogel (0000-0002-7193-8720, TSET Health Promotion Research Center, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA), Jonathan B Bricker (0000-0002-5694-8795, Fred Hutch Cancer Center)
Año2025
Volumen72
Número1
Páginas107-128
Fecha de publicación2025-01-02
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaJournal of Homosexuality (JOURNAL)
Identificadores de la revistaISSN: 0091-8369 • E-ISSN: 1540-3602
EditorialInforma UK Limited (PUBLISHER • GB)
DOI10.1080/00918369.2024.2309491
PMID38305816
OpenAlexW4391486391
IdiomaEN
Citas recibidas1
Referencias citadas52

Sexual and gender minority (SGM) adults face unique challenges in accessing smoking cessation care due to stigma tied to their identities and smoking. While cessation apps show promise in the general population, their efficacy for SGM adults is unclear. This study utilized data from a randomized trial to compare two cessation apps, iCanQuit (Acceptance and Commitment Therapy-based) and QuitGuide (US Clinical Practice Guidelines-based) among 403 SGM adults. The primary outcome was self-reported complete-case 30-day abstinence from cigarette smoking at 12 months. Mediation analyses explored whether interventions operated through acceptance of cues to smoke and app engagement. At 12 months, quit rates did not differ between arms (26% iCanQuit vs. 22% QuitGuide, OR = 1.22; 95% CI: 0.74 to 2.00, p = .43). iCanQuit positively impacted cessation via acceptance of cues to smoke (indirect effect = 0.23; 95% CI: 0.06 to 0.50, p < .001) and demonstrated higher engagement (no. logins, 28.4 vs. 12.1; p < .001) and satisfaction (91% vs. 75%, OR = 4.18; 95% CI: 2.12 to 8.25, p < .001) than QuitGuide. Although quit rates did not differ between arms, acceptance of cues to smoke seemed to play a crucial role in helping SGM adults quit smoking. Future interventions should consider promoting acceptance of cues to smoke in this population

Acceptance and commitment therapy · Clinical Practice · Exploratory research · Family medicine · Intervention (counseling · Psychiatry · Randomized controlled trial · Sexual minority · Sexual orientation · Smoking cessation · Clinical Psychology · Eating Disorders and Behaviors · Medicine · Mobile Health and mHealth Applications · Psychology · Smoking Behavior and Cessation · Social Psychology