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

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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

    • Component/dismantling

    • Mediation

    • Treatment matching/tailoring

    • Quality improvement

    • Stepped care


Online Smoking Cessation Program

  • Prevalent and costly problem

  • Evidence for efficacy of ACT

  • Potential to conduct additive/dismantling studies


Method

  • 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

  • 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

Welcome to East!

Population: You!


What Do You Want On Your Tombstone?


How People Relate to Their Computers

I’ll never

be able

to quit

There’s

some-

thing

wrong

with me


Where the Programming Came From

  • 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

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

  • Difficulty with recruitment and attrition

  • Problems with the video and website


Online Prevention Program for College students


Online Prevention Program

  • 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

  • SBIR-Funded

    • Working with a media developer

  • Phase I:

    • Focus groups

    • Interface design testing

    • RCT


Proposed Program

  • Develop 3 sessions targeting acceptance, defusion and values

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


Potential Issues

  • Targeting for college students and non-clinical population

  • Challenges with commercialization

  • Working with media developers


Future Directions for e-ACT

  • How can we implement “low intensity” ACT?

  • How can we collaborate in developing online interventions?


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