1
|
Constant HMRM, Ferigolo M, Barros HMT, Moret-Tatay C. A clinical trial on a brief motivational intervention in reducing alcohol consumption under a telehealth supportive counseling. Psychiatry Res 2021; 303:114068. [PMID: 34217102 DOI: 10.1016/j.psychres.2021.114068] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/10/2020] [Accepted: 06/15/2021] [Indexed: 02/04/2023]
Abstract
It is known that among those seeking to cease consumption of alcohol, there can be as high as a 50% relapse rate in the first 12 months. Different tools for treatments have been developed, such as telehealth, with the aim of helping this population. As a result of this demand, technology has gained strength in recent years. A new point of view about the treatment will broaden our knowledge far beyond just efficacy. It seems that understanding the mechanisms that lead to treatment success is as important as knowing its effectiveness. Therefore, the present study examined the relationships between Brief Motivational Intervention by telephone (BMI), motivational stage, outcome, and coping strategies using path analysis. In the post-evaluation, variables such as BMI (randomized individuals), motivational stage and decreased consumption of alcohol reached statistical significance (p<.001), suggesting that BMI might improve motivational stage and reduced consumption of alcohol. In terms of coping, the results also indicate that positive thinking might be a variable of interest when planning to decrease alcohol consumption. More research is needed to recognize the potential of new technology in the health area and to uncover the innumerable possibilities of using these tools as a strategy to help alcohol users.
Collapse
Affiliation(s)
- Hilda Maria Rodrigues Moleda Constant
- Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Ligue 132- Serviço Nacional de Orientações e Informações sobre Prevenção do Uso de Drogas (VIVAVOZ), Rua Sarmento Leite, 245 - Porto Alegre, Rio Grande do Sul, Brasil CEP 90050-170; Departamento de Neuropsicobiología, Metodología y Psicología Social Facultad de Psicología Universidad Católica de Valencia "San Vicente Mártir" Sede de San Juan Bautista.
| | - Maristela Ferigolo
- Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Ligue 132- Serviço Nacional de Orientações e Informações sobre Prevenção do Uso de Drogas (VIVAVOZ), Porto Alegre, Rio Grande do Sul, Brasil
| | - Helena Maria Tannhauser Barros
- Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Departamento de Farmacociências- Ligue 132- Serviço Nacional de Orientações e Informações sobre Prevenção do Uso de Drogas (VIVAVOZ), Porto Alegre, Rio Grande do Sul, Brasil
| | - Carmen Moret-Tatay
- Departamento de Neuropsicobiología, Metodología y Psicología Social Facultad de Psicología Universidad Católica de Valencia "San Vicente Mártir" Sede Padre Jofré, Valencia, Spain; Dipartimento di Neuroscienze Salute Mentale e Organi di Senso, NESMOS Università La Sapienza, Rome, Italy
| |
Collapse
|
2
|
Benchaya MC, Moreira TDC, Constant HMRM, Pereira NM, Freese L, Ferigolo M, Barros HMT. Role of Parenting Styles in Adolescent Substance Use Cessation: Results from a Brazilian Prospective Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:E3432. [PMID: 31527470 PMCID: PMC6765768 DOI: 10.3390/ijerph16183432] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/12/2019] [Revised: 09/04/2019] [Accepted: 09/06/2019] [Indexed: 11/18/2022]
Abstract
BACKGROUND This study aims to identify the association between parenting styles and behavioral changes among adolescents regarding the consumption of alcohol, tobacco, cannabis, cocaine/crack. METHODS A group of ninety-nine adolescents (39 girls and 60 boys), aged 14 to 19 years (17.05 ± 1.51), who called in to a call center that provides counseling to substance users, was followed-up for 30 days. Data collection occurred between March 2009 and October 2015. The adolescents answered questions regarding parental responsiveness and demanding nature on a scale to assess parental styles and provided sociodemographic data, substance abuse consumption characteristics, and the Contemplation Ladder scale score. RESULTS The parental styles most reported by the adolescents were authoritative (30%) and indulgent (28%). Children who perceived their mothers as having an indulgent style and who had absent fathers presented more difficulties in making behavioral changes to avoid alcohol and cocaine/crack consumption. CONCLUSION The study found that parent-child relationships were associated with a lack of change in the adolescent regarding substance use behavior, particularly the consumption of alcohol and cocaine/crack.
Collapse
Affiliation(s)
- Mariana Canellas Benchaya
- Graduate Program in Health Science, Federal University of Health Sciences of Porto Alegre-UFCSPA, Rua Sarmento Leite, 245, Porto Alegre 90050-170, Brazil.
- Department of Psychology in Lutheran, University of Brazil, ULBRA, Gravataí 94170-240, Brazil.
| | - Taís de Campos Moreira
- Graduate Program in Health Science, Federal University of Health Sciences of Porto Alegre-UFCSPA, Rua Sarmento Leite, 245, Porto Alegre 90050-170, Brazil.
| | - Hilda Maria Rodrigues Moleda Constant
- Graduate Program in Health Science, Federal University of Health Sciences of Porto Alegre-UFCSPA, Rua Sarmento Leite, 245, Porto Alegre 90050-170, Brazil.
| | - Natália Masiero Pereira
- Graduate Program in Health Science, Federal University of Health Sciences of Porto Alegre-UFCSPA, Rua Sarmento Leite, 245, Porto Alegre 90050-170, Brazil.
| | - Luana Freese
- Graduate Program in Health Science, Federal University of Health Sciences of Porto Alegre-UFCSPA, Rua Sarmento Leite, 245, Porto Alegre 90050-170, Brazil.
- Laboratory of Neuropsychopharmacology, Department of Pharmacosciences, Federal University of Health Sciences of Porto Alegre-UFCSPA. Rua Sarmento Leite, 245, Porto Alegre 90050-170, Brazil.
| | - Maristela Ferigolo
- Graduate Program in Health Science, Federal University of Health Sciences of Porto Alegre-UFCSPA, Rua Sarmento Leite, 245, Porto Alegre 90050-170, Brazil.
| | - Helena Maria Tannhauser Barros
- Graduate Program in Health Science, Federal University of Health Sciences of Porto Alegre-UFCSPA, Rua Sarmento Leite, 245, Porto Alegre 90050-170, Brazil.
- Laboratory of Neuropsychopharmacology, Department of Pharmacosciences, Federal University of Health Sciences of Porto Alegre-UFCSPA. Rua Sarmento Leite, 245, Porto Alegre 90050-170, Brazil.
| |
Collapse
|
3
|
Machado NM, Gomide HP, Bernardino HS, Ronzani TM. Facebook recruitment of smokers: comparing gain- and loss-framed ads for the purposes of an Internet-based smoking cessation intervention. CAD SAUDE PUBLICA 2019; 35:e00151318. [DOI: 10.1590/0102-311x00151318] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2018] [Accepted: 04/30/2019] [Indexed: 11/21/2022] Open
Abstract
Abstract: Gain- and loss-framed messages about smoking behavior have commonly been used to promote cessation. However, there are still no clear conclusions as to what kind of message is more effective for motivating smokers to quit. This study compared the effectiveness of loss- and gain-framed messages in the online recruitment of smokers via Facebook Advertising. Loss- and gain-framed messages about smoking were created and released as Facebook ads. Users who clicked on the ads were automatically redirected to the “Live Without Tobacco” intervention (http://www.vivasemtabaco.com.br). The amount spent on the ads was BRL 647.64. Data were collected from the Facebook Ads platform and from a relational database. Analyses were performed on the 6,350 users who clicked on one of the ads and 1,731 who were successfully redirected to the intervention. Gain-framed ads reached 174,029 people and loss-framed ads reached 180,527. The former received 2,688 clicks, while the latter received 3,662. The cost of the click was BRL 0.12 per gain-framed ad and BRL 0.09 per loss-framed ad. Loss-framed ads reached more users, got more clicks (and website accesses), and led to more accounts and quit plans being created. Loss-framed messages about smoking appear to be more cost-effective for both initial recruitment and intervention engagement. Facebook has proven to be a good outreach and recruitment tool and can be a solution for the difficulty in reaching smokers for cessation interventions.
Collapse
|
4
|
Figueiró LR, Barros HMT, Ferigolo M, Dantas DCM. Assessment of factors related to smokers' adherence to a short-term support group for smoking cessation: a longitudinal study in a developing country. TRENDS IN PSYCHIATRY AND PSYCHOTHERAPY 2017; 39:19-28. [PMID: 28403319 DOI: 10.1590/2237-6089-2016-0041] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/08/2016] [Accepted: 10/12/2016] [Indexed: 11/22/2022]
Abstract
Objective: The aim of this study was to determine which individual characteristics of smokers are associated with their adherence to a support group for smoking cessation. Methods: Smokers from Porto Alegre, Brazil, were invited to participate in a support group for smoking cessation consisting of four weekly sessions. Demographic data, smoking history, presence of tobacco-related diseases, severity of nicotine dependence, stage of motivation, and symptoms of anxiety and depression were evaluated at baseline. Adherence was defined as attendance at group sessions and was measured at the second and fourth sessions of the program. Results: The study recruited 167 smokers who attended the first meeting and met criteria for admission to the study. One hundred and two of the participants returned to the second session and only 55 of those who attended the first meeting completed the four-week program. For immediate adherence (second session), adult smokers over the age of 35 were more likely to adhere to the treatment (p = 0.004), whereas smoking higher numbers of cigarettes per day was associated with lower adherence to attendance at group meetings (p = 0.031). For final adherence (fourth session), only minimal level symptoms of anxiety were associated with a higher likelihood of adherence (p = 0.02). Conclusions: Older smokers, those who smoked fewer cigarettes per day, and those with lower levels of anxiety exhibited higher rates of adherence to a smoking cessation support group.
Collapse
Affiliation(s)
| | | | - Maristela Ferigolo
- Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, RS, Brazil
| | | |
Collapse
|
5
|
Oliveira RMD, Duarte AF, Alves D, Furegato ARF. Development of the TabacoQuest app for computerization of data collection on smoking in psychiatric nursing. Rev Lat Am Enfermagem 2016; 24:e2726. [PMID: 27579930 PMCID: PMC5016051 DOI: 10.1590/1518-8345.0661.2726] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2015] [Accepted: 10/31/2015] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVE to develop a mobile app for research on the use of tobacco among psychiatric patients and the general population. METHOD applied research with the technological development of an app for data collection on an Android tablet. For its development, we considered three criteria: data security, benefits for participants and optimization of the time of researchers. We performed tests with twenty fictitious participants and a final test with six pilots. RESULTS the app collects data, stores them in the database of the tablet and export then to an Excel spreadsheet. RESOURCES calculator, stopwatch, offline operation, branching logic, field validation and automatic tabulation. CONCLUSION the app prevents human error, increases the quality of the data by validating them during the interview, allows the performing of automatic tabulation and makes the interviews less tiring. Its success may encourage the use of this and other computational resources by nurses as a research tool.
Collapse
Affiliation(s)
- Renata Marques de Oliveira
- Doctoral Student, Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil
| | - Alexandre Freitas Duarte
- BSc in Biomedical Informatics, Faculdade de Filosofia, Ciências e Letras de Ribeirão Preto, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
| | - Domingos Alves
- PhD, Assistant Professor, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP. Brazil
| | - Antonia Regina Ferreira Furegato
- PhD, Retired Full Professor, Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil
| |
Collapse
|
6
|
Figueiró LR, Bortolon CB, Benchaya MC, Bisch NK, Ferigolo M, Barros HMT, Dantas DCM. Assessment of changes in nicotine dependence, motivation, and symptoms of anxiety and depression among smokers in the initial process of smoking reduction or cessation: a short-term follow-up study. TRENDS IN PSYCHIATRY AND PSYCHOTHERAPY 2013; 35:212-20. [DOI: 10.1590/s2237-60892013000300008] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/06/2012] [Accepted: 02/25/2013] [Indexed: 11/22/2022]
Abstract
Introduction: The first days of a quit attempt represent an important challenge to long-term abstinence, especially because of the changes that take place over this period. Objective: To examine whether smokers who have recently changed their smoking behavior show changes in the intensity of nicotine dependence, motivational stage, or symptoms of anxiety and depression relative to smokers without recent changes in smoking behavior. Methods: Smokers attending a support group for smoking cessation in Porto Alegre, southern Brazil, were invited to participate. The program consisted of four weekly sessions. Smokers answered questionnaires covering intensity of nicotine dependence, stage of motivation, and symptoms of anxiety and depression at baseline and in the fourth week. Urine was collected at both time points, tested for cotinine concentration, and used to determine the final status of smokers. Results: Of the 54 smokers included in the study, 20 (37%) stopped smoking or decreased tobacco use. Both smokers who stopped or reduced tobacco use and those who did not change their behavior presented a decrease in nicotine dependence scores (p = 0.001). Conversely, only the smokers who changed behavior presented an increase in scores in the maintenance stage (p < 0.001). Conclusion: When modifying tobacco use, smokers face a difficult process, marked by several changes. A better understanding of these changes and their implications for treatment are discussed.
Collapse
|
7
|
Pires GN, Figueiró LR, Ferigolo M, Barros HMT, Dantas DCM. Tobacco chippers seeking assistance for smoking cessation: a case series. TRENDS IN PSYCHIATRY AND PSYCHOTHERAPY 2012; 34:234-237. [PMID: 25923072 DOI: 10.1590/s2237-60892012000400009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
OBJECTIVE To describe a series of cases of tobacco chippers (TCs) who sought assistance for smoking cessation. DESCRIPTION OF CASES We describe the case of three TCs who participated in a free quit-smoking support group. Smokers answered self-administered questionnaires covering sociodemographic data, smoking history, nicotine dependence, perceived health status, and motivational stages. Of the 183 smokers enrolled in the program, three (1.6%) were considered TCs. All three were women and reported alcohol use, although at low frequencies. Two of them reported the presence of potentially tobacco-related disease. All TCs presented light nicotine dependence and reported difficulties quitting smoking. All dropped out after the first group meeting. COMMENTS This study describes a subgroup of smokers not extensively described in the literature: TCs seeking assistance for smoking cessation, with some degree of nicotine dependence, and who do not adhere to regular group therapy. Interventions aimed at this population may be an interesting strategy for smoking cessation.
Collapse
|