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Smoking cessation and prevention of mental health problems: Discussing two ongoing projects

Smoking cessation and prevention of mental health problems: Discussing two ongoing projects. Michael Levin, Jacqueline Pistorello , Steven Hayes, John Seeley, Jennifer Plumb, Douglas Long & Roger Vilardaga. e-ACT. Benefits of online interventions Potential research opportunities for ACT

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Smoking cessation and prevention of mental health problems: Discussing two ongoing projects

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  1. Smoking cessation and prevention of mental health problems: Discussing two ongoing projects Michael Levin, Jacqueline Pistorello, Steven Hayes, John Seeley, Jennifer Plumb, Douglas Long & Roger Vilardaga

  2. e-ACT • Benefits of online interventions • Potential research opportunities for ACT • Component/dismantling • Mediation • Treatment matching/tailoring • Quality improvement • Stepped care

  3. Online Smoking Cessation Program • Prevalent and costly problem • Evidence for efficacy of ACT • Potential to conduct additive/dismantling studies

  4. Method • Participants • Current smoker interested in quitting • 18 or older • Randomized to intervention or 1 week waitlist • Online assessments at pre, post, 1-6 week follow up

  5. Intervention Overview • 45 minute intervention combining video, audio narration, graphics, and worksheets • Targeted values • Defining values (i.e., values as a direction) • Clarifying values (i.e., 80th birthday) • Linking values to goals (i.e., identifying alternative behaviors to smoking) • Using values to guide actions in the moment (i.e., values card) • Using values to support continued abstinence (i.e., gardening metaphor

  6. Arriving at East Welcome to East! Population: You!

  7. What Do You Want On Your Tombstone?

  8. How People Relate to Their Computers I’ll never be able to quit There’s some- thing wrong with me

  9. Where the Programming Came From • Your programming comes from your experiences throughout life • You can’t delete your programming • You can choose how close you sit to the screen

  10. Don’t Think of X Did I think about smoking? I’m doing a good job of not thinking about smoking Don’t think about smoking I keep thinking of smoking!!!

  11. Potential Issues • Difficulty with recruitment and attrition • Problems with the video and website

  12. Online Prevention Program for College students

  13. Online Prevention Program • High rates of mental health problems in college students • Experiential avoidance as a core common process • Can ACT prevent mental health problems? • Benefits of an online program

  14. Study Overview • SBIR-Funded • Working with a media developer • Phase I: • Focus groups • Interface design testing • RCT

  15. Proposed Program • Develop 3 sessions targeting acceptance, defusion and values • Multimedia (video, graphics, animation, audio narration, interactive content)

  16. Potential Issues • Targeting for college students and non-clinical population • Challenges with commercialization • Working with media developers

  17. Future Directions for e-ACT • How can we implement “low intensity” ACT? • How can we collaborate in developing online interventions?

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