Impact of a cell phone intervention on mediating mechanisms of smoking cessation in individuals living with HIV/AIDS
Abstract
Mounting evidence suggests that smokers living with HIV/AIDS have a significantly increased risk of numerous adverse health outcomes (both AIDS- and non-AIDS-related) compared with HIV-positive nonsmokers. Therefore, efforts to design and implement effective cessation programs for this ever-growing special population are warranted. The present study assessed the effects of a cell phone intervention (CPI) on hypothesized mediators (i.e., changes in depression, anxiety, social support, and self-efficacy) demonstrated to influence cessation outcomes in other populations. Ninety-five participants from an inner-city AIDS clinic were randomized to receive either the CPI or recommended standard of care (RSOC) smoking cessation treatment. Participants randomized to the RSOC group (n=47) received brief advice to quit, a 10-week supply of nicotine patches, and self-help materials. Participants randomized to the CPI group (n=48) received RSOC components plus a series of eight proactive counseling sessions delivered via cell phones. A series of regression analyses (linear and logistic) was used to assess the relationships between treatment group, the hypothesized mediators, and biochemically confirmed smoking cessation outcomes. Results indicated that the CPI group experienced greater reductions in anxiety and depression, and increases in self-efficacy compared with the RSOC group. Further, changes in depression, anxiety, and self-efficacy weakened the association between treatment group and cessation outcome. The mediator hypothesis, however, for social support was rejected, as the difference score was not significantly associated with treatment group. These results suggest that the efficacy of the CPI is at least partially mediated by its ability to decrease symptoms of distress while increasing self-efficacy.
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“Among 35 studies, only a few [22-27] mentioned a theoretical basis or conceptual framework that guided their assumptions about why mHealth might facilitate or cause the intended change.”
From mHealth for HIV Treatment & Prevention: A Systematic Review of the Literature (2013) · cites this paper as [27]
Several descriptive and quasi-experimental studies conclude that text message reminders are acceptable, feasible, and useful for improved treatment adherence among PLHIV in resource-constrained settings.
“Several descriptive [19,34] and quasi-experimental studies [27,35-37] conclude that text message reminders are acceptable, feasible, and useful for improved treatment adherence among PLHIV in resource-constrained settings.”
From mHealth for HIV Treatment & Prevention: A Systematic Review of the Literature (2013) · cites this paper as [27]
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- Authors
- Vidrine, D., Arduino, R., & Gritz, E.
- Affiliations
- The University of Texas MD Anderson Cancer Center (US)
- The University of Texas Health Science Center at Houston (US)
- Corresponding author
- Vidrine, Damon
- Venue
- Nicotine & Tobacco Research
- Publisher
- Oxford University Press (OUP)
- Published
- 2006-12
- Volume
- 8
- Issue
- 1
- Pages
- 103-108
- ISSN
- 1462-2203 (ISSN-L)
- OpenAlex
- W2158359234
- Cited by
- 68
- References
- 0
- Citations by year
- 2024: 4 · 2023: 5 · 2022: 1 · 2019: 2 · 2017: 3 · 2016: 5 · 2015: 4 · 2014: 10 · 2013: 8 · 2012: 7
- FWCI
- 2.39
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Nicotine & Tobacco Research (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Funders
- Centers for Disease Control and Prevention
- National Cancer Institute (R25CA057730)
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- smoking cessation, HIV/AIDS, mobile health, mediation, depression, anxiety, self-efficacy, social support, nicotine patch
- MeSH terms
- Smoking Prevention, Adult, Anxiety, Counseling, Depression, Female, Health Education, Humans, Male, Middle Aged, Patient Compliance, Surveys and Questionnaires, Self Care, Social Support, Texas, Tobacco Use Disorder, HIV Infections, Logistic Models, Smoking Cessation, Treatment Outcome, Remote Consultation, Cell Phone
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