HIV patients’ perceptions of a potential multi-component mindfulness-based smoking cessation smartphone application intervention
Cigarette smoking rates among people living with HIV (PLWH) in the US is triple that of the general population. PLWH smokers are a high-risk group for smoking-related health disparities and should be a prime focus for smoking cessation efforts. Our team has developed a novel evidence-based Mindfulne...
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description | Cigarette smoking rates among people living with HIV (PLWH) in the US is triple that of the general population. PLWH smokers are a high-risk group for smoking-related health disparities and should be a prime focus for smoking cessation efforts. Our team has developed a novel evidence-based Mindfulness Training (MT) smoking cessation smartphone application (app), "Craving-to-Quit." Using qualitative focus groups among PLWH smokers, this study aims to tailor and optimize the app's content and design to PLWH's unique psychosocial profile and needs. We conducted 8 focus groups among PLWH smokers (n = 59; 47.5% females; [greater than or equal to]18 years) to gain insight into participants' perceptions about the app, MT, and the feasibility and acceptability of adding two additional strategies (CM: Contingency Management; self-monitoring of anti-retroviral therapies intake [ART]) to further optimize the app. Participants were asked to practice MTs and watch videos from the app presented on a screen in the conference room to discuss their experience. Sessions were audio-taped, transcribed verbatim, and analyzed thematically using NVivo. Most participants were non-Hispanic black (67.8%), on a federal health insurance program (61.0%). Participants considered it easy to learn the app and thought that MT is helpful in reducing stress and motivating quit attempts and were supportive of adding CM and recommended providing $20-$50 weekly cash incentives to help in quitting. Participants felt that adding self-monitoring of ART is helpful but were concerned about confidentiality in case they lost their phone. Participants recommended making the app cost-free and adding information about smoking cessation medications and the negative effects of smoking among PLWH. |
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PLWH smokers are a high-risk group for smoking-related health disparities and should be a prime focus for smoking cessation efforts. Our team has developed a novel evidence-based Mindfulness Training (MT) smoking cessation smartphone application (app), "Craving-to-Quit." Using qualitative focus groups among PLWH smokers, this study aims to tailor and optimize the app's content and design to PLWH's unique psychosocial profile and needs. We conducted 8 focus groups among PLWH smokers (n = 59; 47.5% females; [greater than or equal to]18 years) to gain insight into participants' perceptions about the app, MT, and the feasibility and acceptability of adding two additional strategies (CM: Contingency Management; self-monitoring of anti-retroviral therapies intake [ART]) to further optimize the app. Participants were asked to practice MTs and watch videos from the app presented on a screen in the conference room to discuss their experience. Sessions were audio-taped, transcribed verbatim, and analyzed thematically using NVivo. Most participants were non-Hispanic black (67.8%), on a federal health insurance program (61.0%). Participants considered it easy to learn the app and thought that MT is helpful in reducing stress and motivating quit attempts and were supportive of adding CM and recommended providing $20-$50 weekly cash incentives to help in quitting. Participants felt that adding self-monitoring of ART is helpful but were concerned about confidentiality in case they lost their phone. Participants recommended making the app cost-free and adding information about smoking cessation medications and the negative effects of smoking among PLWH.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0271946</identifier><identifier>PMID: 36006893</identifier><language>eng</language><publisher>San Francisco: Public Library of Science</publisher><subject>Antiretroviral therapy ; Behavior ; Biology and Life Sciences ; Cigarette smoking ; Cigarettes ; Computer and Information Sciences ; Contingency ; Drug addiction ; Engineering and Technology ; Focus groups ; Health aspects ; Health disparities ; Health risks ; HIV ; HIV patients ; Human immunodeficiency virus ; Incentives ; Intervention ; Marginalized groups ; Medicine and Health Sciences ; Methods ; Mindfulness ; Monitoring ; Population ; Qualitative research ; Quality of life ; Risk groups ; Smart phones ; Smartphones ; Smoking ; Smoking cessation ; Smoking cessation programs ; Social Sciences ; Tobacco</subject><ispartof>PloS one, 2022-08, Vol.17 (8), p.e0271946-e0271946</ispartof><rights>COPYRIGHT 2022 Public Library of Science</rights><rights>2022 Asfar et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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PLWH smokers are a high-risk group for smoking-related health disparities and should be a prime focus for smoking cessation efforts. Our team has developed a novel evidence-based Mindfulness Training (MT) smoking cessation smartphone application (app), "Craving-to-Quit." Using qualitative focus groups among PLWH smokers, this study aims to tailor and optimize the app's content and design to PLWH's unique psychosocial profile and needs. We conducted 8 focus groups among PLWH smokers (n = 59; 47.5% females; [greater than or equal to]18 years) to gain insight into participants' perceptions about the app, MT, and the feasibility and acceptability of adding two additional strategies (CM: Contingency Management; self-monitoring of anti-retroviral therapies intake [ART]) to further optimize the app. Participants were asked to practice MTs and watch videos from the app presented on a screen in the conference room to discuss their experience. 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multi-component mindfulness-based smoking cessation smartphone application intervention</atitle><jtitle>PloS one</jtitle><date>2022-08-25</date><risdate>2022</risdate><volume>17</volume><issue>8</issue><spage>e0271946</spage><epage>e0271946</epage><pages>e0271946-e0271946</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Cigarette smoking rates among people living with HIV (PLWH) in the US is triple that of the general population. PLWH smokers are a high-risk group for smoking-related health disparities and should be a prime focus for smoking cessation efforts. Our team has developed a novel evidence-based Mindfulness Training (MT) smoking cessation smartphone application (app), "Craving-to-Quit." Using qualitative focus groups among PLWH smokers, this study aims to tailor and optimize the app's content and design to PLWH's unique psychosocial profile and needs. We conducted 8 focus groups among PLWH smokers (n = 59; 47.5% females; [greater than or equal to]18 years) to gain insight into participants' perceptions about the app, MT, and the feasibility and acceptability of adding two additional strategies (CM: Contingency Management; self-monitoring of anti-retroviral therapies intake [ART]) to further optimize the app. Participants were asked to practice MTs and watch videos from the app presented on a screen in the conference room to discuss their experience. Sessions were audio-taped, transcribed verbatim, and analyzed thematically using NVivo. Most participants were non-Hispanic black (67.8%), on a federal health insurance program (61.0%). Participants considered it easy to learn the app and thought that MT is helpful in reducing stress and motivating quit attempts and were supportive of adding CM and recommended providing $20-$50 weekly cash incentives to help in quitting. Participants felt that adding self-monitoring of ART is helpful but were concerned about confidentiality in case they lost their phone. Participants recommended making the app cost-free and adding information about smoking cessation medications and the negative effects of smoking among PLWH.</abstract><cop>San Francisco</cop><pub>Public Library of Science</pub><pmid>36006893</pmid><doi>10.1371/journal.pone.0271946</doi><tpages>e0271946</tpages><orcidid>https://orcid.org/0000-0003-4648-0145</orcidid><orcidid>https://orcid.org/0000-0003-1133-9723</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Antiretroviral therapy Behavior Biology and Life Sciences Cigarette smoking Cigarettes Computer and Information Sciences Contingency Drug addiction Engineering and Technology Focus groups Health aspects Health disparities Health risks HIV HIV patients Human immunodeficiency virus Incentives Intervention Marginalized groups Medicine and Health Sciences Methods Mindfulness Monitoring Population Qualitative research Quality of life Risk groups Smart phones Smartphones Smoking Smoking cessation Smoking cessation programs Social Sciences Tobacco |
title | HIV patients’ perceptions of a potential multi-component mindfulness-based smoking cessation smartphone application intervention |
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