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Greater engagement in valued activities is associated with less barriers to quitting smoking among smokers with mobility impairments.
Borrelli, Belinda; Endrighi, Romano; Dunsiger, Shira; Busch, Andrew M; Bock, Beth C; Risica, Patricia Markham; Hughes, Rosemary B; Lasater, Thomas.
Afiliación
  • Borrelli B; Center for Behavioral Science Research, Boston University, Henry M. Goldman School of Dental Medicine, USA. Electronic address: belindab@bu.edu.
  • Endrighi R; Center for Behavioral Science Research, Boston University, Henry M. Goldman School of Dental Medicine, USA.
  • Dunsiger S; The Miriam Hospital and Brown University School of Public Health, USA.
  • Busch AM; Department of Psychiatry and Human Behavior, Brown University School of Medicine and The Miriam Hospital, USA; Department of Medicine, University of Minnesota Medical School and Hennepin Healthcare Research Institute, Minnesota, USA.
  • Bock BC; Department of Psychiatry and Human Behavior, Brown University School of Medicine and The Miriam Hospital, USA.
  • Risica PM; Departments of Behavioral and Social Sciences and of Epidemiology, Center for Health Equity Research, Brown University School of Public Health, USA.
  • Hughes RB; Department of Psychology, University of Montana, USA.
  • Lasater T; Department of Community Health, Brown University, USA.
Disabil Health J ; 16(4): 101480, 2023 10.
Article en En | MEDLINE | ID: mdl-37236878
BACKGROUND: Individuals with mobility impairments (MI; use equipment to ambulate) have a high prevalence of both smoking and depression. Behavioral activation (BA) purports that depressed mood is remediated through valued activity engagement and may facilitate smoking cessation in MI populations. OBJECTIVE: We examined cross-sectional associations between activity engagement and variables important for smoking cessation among a high-risk group of smokers (people with MIs) and also describe a smoking cessation intervention based on BA, given the lack of studies on smokers with MIs. METHODS: This study used data from a smoking cessation trial enrolling smokers with MIs (n = 263). We assessed valued activities, activity type, activity restriction due to MI, and replacement of restricted activities. Motivation and confidence to quit smoking, number of cigarettes per day, and mood were also assessed. Analysis was performed with generalized linear (or logistic) regression models adjusted for age and physical functioning using aggregated data at baseline. RESULTS: Greater number and frequency of valued activities was associated with less smoking, depression, negative affect, and stress and higher positive affect and self-efficacy to quit. Activity restriction was associated with greater odds of major depression, and activity replacement with lower odds of major depression, lower stress, and higher positive affect and self-efficacy. Strength of associations varied by activity type. CONCLUSIONS: Consistent with our theoretical model, BA activity constructs were associated with several mediators of smoking outcomes in the expected directions. Smokers engaging in valued activities have more favorable profiles for smoking cessation and mood management.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cese del Hábito de Fumar / Personas con Discapacidad Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Disabil Health J Asunto de la revista: REABILITACAO / SAUDE PUBLICA / SERVICOS DE SAUDE Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cese del Hábito de Fumar / Personas con Discapacidad Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Disabil Health J Asunto de la revista: REABILITACAO / SAUDE PUBLICA / SERVICOS DE SAUDE Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos