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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
  • 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
  • Prevalent and costly problem
  • Evidence for efficacy of ACT
  • Potential to conduct additive/dismantling studies
method
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
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
Arriving at East

Welcome to East!

Population: You!

how people relate to their computers
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
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
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
Potential Issues
  • Difficulty with recruitment and attrition
  • Problems with the video and website
online prevention program
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
Study Overview
  • SBIR-Funded
    • Working with a media developer
  • Phase I:
    • Focus groups
    • Interface design testing
    • RCT
proposed program
Proposed Program
  • Develop 3 sessions targeting acceptance, defusion and values
  • Multimedia (video, graphics, animation, audio narration, interactive content)
potential issues1
Potential Issues
  • 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
  • How can we implement “low intensity” ACT?
  • How can we collaborate in developing online interventions?