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Smoking cessation and prevention of mental health problems: Discussing two ongoing projects. Michael Levin, Jacqueline Pistorello , Steven Hayes, John Seeley, Jennifer Plumb, Douglas Long & Roger Vilardaga. e-ACT. Benefits of online interventions Potential research opportunities for ACT

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Smoking cessation and prevention of mental health problems discussing two ongoing projects

Smoking cessation and prevention of mental health problems: Discussing two ongoing projects

Michael Levin, Jacqueline Pistorello, Steven Hayes, John Seeley, Jennifer Plumb, Douglas Long & Roger Vilardaga


E act
e-ACT Discussing two ongoing projects

  • Benefits of online interventions

  • Potential research opportunities for ACT

    • Component/dismantling

    • Mediation

    • Treatment matching/tailoring

    • Quality improvement

    • Stepped care


Online smoking cessation program
Online Smoking Cessation Program Discussing two ongoing projects

  • Prevalent and costly problem

  • Evidence for efficacy of ACT

  • Potential to conduct additive/dismantling studies


Method
Method Discussing two ongoing projects

  • Participants

    • Current smoker interested in quitting

    • 18 or older

  • Randomized to intervention or 1 week waitlist

  • Online assessments at pre, post, 1-6 week follow up


Intervention overview
Intervention Overview Discussing two ongoing projects

  • 45 minute intervention combining video, audio narration, graphics, and worksheets

  • Targeted values

    • Defining values (i.e., values as a direction)

    • Clarifying values (i.e., 80th birthday)

    • Linking values to goals (i.e., identifying alternative behaviors to smoking)

    • Using values to guide actions in the moment (i.e., values card)

    • Using values to support continued abstinence (i.e., gardening metaphor


Arriving at east
Arriving at East Discussing two ongoing projects

Welcome to East!

Population: You!


What do you want on your tombstone
What Do You Want On Your Discussing two ongoing projectsTombstone?


How people relate to their computers
How People Relate to Their Computers Discussing two ongoing projects

I’ll never

be able

to quit

There’s

some-

thing

wrong

with me


Where the programming came from
Where the Programming Came From Discussing two ongoing projects

  • Your programming comes

    from your experiences

    throughout life

  • You can’t delete your

    programming

  • You can choose how close

    you sit to the screen


Don t think of x
Don’t Think of X Discussing two ongoing projects

Did I think about smoking?

I’m doing a good job of not thinking about smoking

Don’t think about smoking

I keep thinking of smoking!!!


Potential issues
Potential Issues Discussing two ongoing projects

  • Difficulty with recruitment and attrition

  • Problems with the video and website


Online prevention program for college students
Online Prevention Program for College students Discussing two ongoing projects


Online prevention program
Online Prevention Program Discussing two ongoing projects

  • High rates of mental health problems in college students

  • Experiential avoidance as a core common process

  • Can ACT prevent mental health problems?

  • Benefits of an online program


Study overview
Study Overview Discussing two ongoing projects

  • SBIR-Funded

    • Working with a media developer

  • Phase I:

    • Focus groups

    • Interface design testing

    • RCT


Proposed program
Proposed Program Discussing two ongoing projects

  • Develop 3 sessions targeting acceptance, defusion and values

  • Multimedia (video, graphics, animation, audio narration, interactive content)


Potential issues1
Potential Issues Discussing two ongoing projects

  • Targeting for college students and non-clinical population

  • Challenges with commercialization

  • Working with media developers


Future directions for e act
Future Directions for e-ACT Discussing two ongoing projects

  • How can we implement “low intensity” ACT?

  • How can we collaborate in developing online interventions?


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