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dc.contributor.author
Goldenhersch, Emilio
dc.contributor.author
Thrul, Johannes
dc.contributor.author
Ungaretti, Joaquín
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dc.contributor.author
Rosencovich, Nicolas
dc.contributor.author
Waitman, Cristian
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Rodriguez Ceberio, Marcelo
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dc.date.available
2022-09-20T14:52:49Z
dc.date.issued
2020-07
dc.identifier.citation
Goldenhersch, Emilio; Thrul, Johannes; Ungaretti, Joaquín; Rosencovich, Nicolas; Waitman, Cristian; et al.; Virtual reality smartphone-based intervention for smoking cessation: Pilot randomized controlled trial on initial clinical efficacy and adherence; Journal Medical Internet Research; Journal Of Medical Internet Research; 22; 7; 7-2020; 1-15
dc.identifier.issn
1438-8871
dc.identifier.uri
http://hdl.handle.net/11336/169600
dc.description.abstract
Background: Obstacles to current tobacco cessation programs include limited access and adherence to effective interventions. Digital interventions offer a great opportunity to overcome these difficulties, yet virtual reality has not been used as a remote and self-administered tool to help increase adherence and effectiveness of digital interventions for tobacco cessation. Objective: This study aimed to evaluate participant adherence and smoking cessation outcomes in a pilot randomized controlled trial of the digital intervention Mindcotine (MindCotine Inc) using a self-administered treatment of virtual reality combined with mindfulness. Methods: A sample of 120 participants was recruited in the city of Buenos Aires, Argentina (mean age 43.20 years, SD 9.50; 57/120, 47.5% female). Participants were randomly assigned to a treatment group (TG), which received a self-assisted 21-day program based on virtual reality mindful exposure therapy (VR-MET) sessions, daily surveys, and online peer-to-peer support moderated by psychologists, or a control group (CG), which received the online version of the smoking cessation manual from the Argentine Ministry of Health. Follow-up assessments were conducted by online surveys at postintervention and 90-day follow-up. The primary outcome was self-reported abstinence at postintervention, with missing data assumed as still smoking. Secondary outcomes included sustained abstinence at 90-day follow-up, adherence to the program, and readiness to quit. Results: Follow-up rates at day 1 were 93% (56/60) for the TG and 100% (60/60) for the CG. At postintervention, the TG reported 23% (14/60) abstinence on that day compared with 5% (3/60) in the CG. This difference was statistically significant (χ21=8.3; P=.004). The TG reported sustained abstinence of 33% (20/60) at 90 days. Since only 20% (12/60) of participants in the CG completed the 90-day follow-up, we did not conduct a statistical comparison between groups at this follow-up time point. Among participants still smoking at postintervention, the TG was significantly more ready to quit compared to the CG (TG: mean 7.71, SD 0.13; CG: mean 7.16, SD 0.13; P=.005). A total of 41% (23/56) of participants completed the treatment in the time frame recommended by the program. Conclusions: Results provide initial support for participant adherence to and efficacy of Mindcotine and warrant testing the intervention in a fully powered randomized trial. However, feasibility of trial follow-up assessment procedures for control group participants needs to be improved. Further research is needed on the impact of VR-MET on long-term outcomes.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
Journal Medical Internet Research
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dc.rights
info:eu-repo/semantics/openAccess
dc.rights.uri
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.subject
CRAVING
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DIGITAL THERAPY
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MHEALTH
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MINDFULNESS
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MOBILE PHONE
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NICOTINE DEPENDENCE
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SMOKING CESSATION
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VIRTUAL REALITY
dc.subject.classification
Psicología
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dc.subject.classification
Psicología
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dc.subject.classification
CIENCIAS SOCIALES
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dc.title
Virtual reality smartphone-based intervention for smoking cessation: Pilot randomized controlled trial on initial clinical efficacy and adherence
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2022-09-19T20:37:43Z
dc.journal.volume
22
dc.journal.number
7
dc.journal.pagination
1-15
dc.journal.pais
Canadá
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dc.journal.ciudad
Toronto
dc.description.fil
Fil: Goldenhersch, Emilio. Universidad de Flores; Argentina
dc.description.fil
Fil: Thrul, Johannes. Johns Hopkins Bloomberg School of Public Health; Estados Unidos
dc.description.fil
Fil: Ungaretti, Joaquín. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires. Facultad de Psicología; Argentina
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Fil: Rosencovich, Nicolas. Universidad Nacional de Córdoba; Argentina
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Fil: Waitman, Cristian. Universidad Empresarial Siglo XXI; Argentina
dc.description.fil
Fil: Rodriguez Ceberio, Marcelo. Universidad de Flores; Argentina
dc.journal.title
Journal Of Medical Internet Research
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dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/http://www.jmir.org/2020/7/e17571/
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.2196/17571
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