The DOI matches its Crossref record; 48 of the 49 references it cites were found in a registry or an index.
Pilot Randomized Controlled Trial of Web-Based Acceptance and Commitment Therapy for Smoking Cessation
Open accessAbstract
OBJECTIVE: Web-based smoking cessation interventions have high reach, but low effectiveness. To address this problem, we conducted a pilot randomized controlled trial of the first web-based acceptance and commitment therapy (ACT) intervention for smoking cessation. The aims were to determine design feasibility, user receptivity, effect on 30-day point prevalence quit rate at 3 months post-randomization, and mediation by ACT theory-based processes of acceptance. METHODS: Adult participants were recruited nationally into the double-blind randomized controlled pilot trial (N = 222), which compared web-based ACT for smoking cessation (WebQuit.org) with the National Cancer Institute's Smokefree.gov-the U.S. national standard for web-based smoking cessation interventions. RESULTS: We recruited 222 participants in 10 weeks. Participants spent significantly longer on the ACT WebQuit.org site per login (18.98 vs. 10.72 min; p = .001) and were more satisfied with the site (74% vs. 42%; p =.002). Using available follow-up data, more than double the fraction of participants in the ACT WebQuit.org arm had quit smoking at the 3-month follow-up (23% vs. 10%; OR = 3.05; 95% CI = 1.01-9.32; p = .050). Eighty percent of this effect was mediated by ACT theory-based increases in total acceptance of physical, cognitive, and emotional cues to smoke (p < .001). CONCLUSIONS: The trial design was feasible. Compared with Smokefree.gov, ACT had higher user receptivity and short-term cessation, and strong evidence of theory-based mechanisms of change. While results were promising, they were limited by the pilot design (e.g., limited follow-up), and thus a full-scale efficacy trial is now being conducted.
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In the citing paper
“For example, RCTs have found ACT to be effective in a web-based self-help format for depression (e.g., Lappalainen et al., 2014), smoking (e.g., Bricker et al., 2013) and chronic pain (e.g., Trompetter et al., 2015).”
From Web-Based Acceptance and Commitment Therapy for Mental Health Problems in College Students: A Randomized Controlled Trial (2017) · cites this paper as Bricker et al., 2013
In the citing paper
“In addition, there is growing evidence for the efficacy of web-based ACT interventions [6–11].”
From How and for whom does web-based acceptance and commitment therapy work? Mediation and moderation analyses of web-based ACT for depressive symptoms (2016) · cites this paper as [7]
In the citing paper
“For mediators of change, the number of studies doing formal mediational analyses of psychological flexibility and mindfulness in web-based ACT interventions is small [7, 30].”
From How and for whom does web-based acceptance and commitment therapy work? Mediation and moderation analyses of web-based ACT for depressive symptoms (2016) · cites this paper as [7]
In the citing paper
“Also, Bricker et al. [7] found that acceptance processes mediated the effects on smoking cessation through greater acceptance of physical urges, cognitions, and emotions.”
From How and for whom does web-based acceptance and commitment therapy work? Mediation and moderation analyses of web-based ACT for depressive symptoms (2016) · cites this paper as [7]
In the citing paper
“Of the five RCTs of ACT for smoking cessation that Lee et al. [30] analyzed, three were conducted by Bricker et al. [35–37], who have continued to publish in this area since that time [38, 39].”
From A Randomized Feasibility/Acceptability Trial of Acceptance and Commitment Therapy for People with HIV Who Drink at Unhealthy Levels. (2026) · cites this paper as [35]
In the citing paper
“Work by Bricker et al. [53 -56] has demonstrated that ACT interventions in various delivery formats (face-to-face, online, smartphone app, telephone) have led to greater smoking cessation rates than gold-standard cognitive behavioral therapy comparison interventions.”
From Acceptance and Commitment Therapy: A Transdiagnostic Behavioral Intervention for Mental Health and Medical Conditions. (2017) · cites this paper as [53]
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“Bricker et al.17 found that a web-based intervention for smoking cessation based on ACT called WebQuit was more successful than a web-based intervention that did not incorporate ACT principles.”
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Self-citationContextual behavioural coaching: An evidence-based model for supporting behaviour change
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“…applied to smoking cessation with promising results, and interestingly, these have been achieved through a variety of delivery media, including telephone (Schimmel-Bristow, Bricker, & Comstock, 2012), web (Bricker, Wyszynski, Comstock, & Heffner, 2013), and smartphone app (Bricker et al., 2014).”
Longer duration of smoking abstinence is associated with waning cessation fatigue
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“Although self-report format has been recommended in smoking research where there is little faceto-face contact (Society for Research on Nicotine and Tobacco Subcommittee on Biochemical Verification 2002) and has been used extensively in previous research of this kind (Bricker et al. 2010; Erskine et al. 2010; Bricker…”
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“The phone and web-based ACT interventions described previously (Bricker et al., 2013; Bricker, Bush et al., 2014; Bricker, Mull et al., 2014) may be a novel and feasible way to use technology to address this need for support.”
MethodKwan, Y. K., Lau, Y., Ang, W. W., & Lau, S. T. (2024) · Nicotine and Tobacco Research · doi:10.1093/ntr/ntad145 · Cited by 9
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“The authors also question my evaluation “that the Bricker et al. (2013) study did not meet”
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“…or the tendency to smoke cigarettes in order avoid the experience of cigarette cravings, was measured with the physical sensations subscale [25] of the Avoidance and Inflexibility Scale (AIS) (adapted from Gifford et al [26]), which yields scores ranging from 1 to 5, with lower scores…”
Self-citationPsychotherapy in transplant patients
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“…changes in (1) acceptance of vaping-related triggers on the bodily sensations subscale of the modified Avoidance and Inflexibility Scale (AIS), 33,34 which measures physical urges or cravings to vape; and, (2) valued living on the 10-item Valuing Questionnaire, 35 which has two subscales…”
Self-citationIs Acceptance and Commitment Therapy Effective in Treating Addiction? A Systematic Review
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“Literature suggests that barriers to smoking cessation treatments possibly include the cost of treatment, a lack of awareness regarding the availability of cessation support and a reduced interest in conventional approaches [52–54].”
BackgroundValued Life Activities, Smoking Cessation, and Mood in Post-Acute Coronary Syndrome Patients
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“both of these treatments have been supported for improving mood [30, 31] and facilitating smoking cessation in non-ACS populations [32, 33].”
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“Acceptance-based techniques (eg, experiential awareness, openness, willingness, mindfulness, cognitive diffusion) have been shown to reliably reduce AIS.(18) Thus, such skills may be important to integrate into existing cognitive-behavioral anxiety sensitivity-reduction smoking cessation programs or other psychosocial…”
InfluentialFlexibilidad psicológica y autoabandono del tabaco
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“Further, only three studies, all using self-reported outcomes, showed significant results (Bricker et al., 2013, 2020 ; Karekla et al., 2020).”
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“…depresyon (Pots vd., 2016; Lappalainen, Langrial, Oinas-Kukkonen, Tolvanen ve Lappalainen, 2015), yaygın anksiyete bozukluğu (Dahlin vd., 2016), sigara bırakma (Bricker, Wyszynski, Comstock, Heffner, 2013), kronik ağrı (Buhrman vd., 2013) üzerin-de etkin bir yaklaşım olduğu gösterilmiştir.”
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“…and low-tech platforms, clinicians should also consider whether a program should be enlisted as a “clinician extender,” (i.e., viewed as a way to enhance or monitor ongoing in-person therapeutic processes) or as standalone treatment packages (e.g., ACT for smoking cessation, Bricker et al. 2013).”
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Metadata
- Authors
- Bricker, J., Wyszynski, C., Comstock, B., & Heffner, J. L.
- Affiliations
- University of Washington (US)
- Fred Hutch Cancer Center (US)
- Venue
- Nicotine & Tobacco Research
- Publisher
- Oxford University Press (OUP)
- Published
- 2013-05-23
- Volume
- 15
- Issue
- 10
- Pages
- 1756-1764
- ISSN
- 1462-2203 (ISSN-L)
- 1469-994X
- PMC
- PMC3768336
- OpenAlex
- W2000457378
- Cited by
- 170
- References
- 49
- Citations by year
- 2026: 1 · 2025: 8 · 2024: 3 · 2023: 8 · 2022: 14 · 2021: 11 · 2020: 13 · 2019: 12 · 2018: 18 · 2017: 20 · 2016: 16 · 2015: 28 · 2014: 16 · 2013: 2
- FWCI
- 14.39
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Nicotine & Tobacco Research (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Funders
- National Institute on Drug Abuse (K23DA026517)
- National Cancer Institute (R01CA166646, P30CA015704)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Smoking Behavior and Cessation
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- acceptance and commitment therapy, smoking cessation, online intervention, e-health, quit rates
- MeSH terms
- Double-Blind Method, Female, Humans, Male, Smoking Cessation, Internet
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