Sigarayı bıraktırmak için cep telefonu tabanlı farkındalık müdahaleleri: Randomize kontrollü bir çalışma.

Amaç: Bu çalışmada telefonda kısa mesajlar göndererek sigara bıraktırma müdahalesi incelenmiştir. Diğer çalışmalardan farklı olarak; bir gruba, mutlu yaşam için motivasyonu yüksek tutacak farkındalık temelli mesajlar, diğer gruba ise sigaranın zararlarına dikkat çeken farkındalık temelli mesajlar gönderilmiştir. Yöntem: Çalışma evreni sigara kullanıcılarından oluşmaktadır (n=286). Örneklem polikliniğe farklı sebeplerle başvuran, bir yıldan uzun süredir sigara kullanan, demografik verileri ve sigara ilişkili özellikleri birbirine benzer olan olgularla oluşturulmuştur. Sigarayı bırakma motivasyonlarına bakılmamıştır. Katılımcılar rastgele olarak 2 gruba ayrılmıştır. Her gün Grup 1'e (n=146) sigaradan bahsetmeyen 3 motivasyon mesajı, Grup 2'ye (n=140) sigaranın zararları ile ilgili 3 mesaj gönderilmiştir. Bu yöntemin sigara bırakma müdahalesindeki etkisi değerlendirilmiştir. Bulgular: Birinci ay Grup 1’de sigarayı bırakma oranı daha yüksek olmuştur (p= .001). Ancak diğer aylarda ve toplamda anlamlı fark bulunmamıştır (p> .05). Yoksunluk ve tereddüt yaşayanlar Grup 2'de yüksek bulunmuştur (p= .002). Grup 1'de kilo alma endişesi daha yüksek görülmüştür (p= .003). Tartışma: Telefonla farkındalık mesajları, kişilerin sigarayı bırakma kararı vermesini sağlar. Böylece polikliniktekine benzer sonuçlar almak ve daha geniş kitlelere ulaşmak mümkündür. Motivasyon mesajları, daha hızlı karar ve daha az yoksunluk şikayetleri oluşturmaktadır. Bu yöntem ile sigarayı bırakmak istemeyen kişiler motive edilebilir. Farkındalık temelli mesajların etkisi en çok ilk ayda görülür.

Anahtar Kelimeler:

Sigarayı bıraktırma, Cep telefonu mesajı, farkındalık, motivasyon

Cell phone-based mindfulness interventions for smoking cessation:Randominised control study

Objective: In this study smoking cessation intervention with short text messages on the phone was examined. Unlike other studies, the awareness-based messages were sent to one group that would keep their motivation high for a happy life and to the other group awareness-based messages that drew attention to the harms of smoking. Method: The study population consisted of smokers (n=286). The sample was composed of cases who applied to the outpatient clinic for different reasons, smoked for more than one year and had similar demographic data and smoking-related data. The motivations for quitting smoking were not looked at. Participants were randomly divided into 2 groups. Three motivational text messages were sent to Group 1 (n=146) every day which were not about smoking. Group 2 (n=140) received 3 messages per day about the harms of smoking. The effect of this method in smoking cessation intervention was evaluated . Results: Smoking cessation rate was higher in Group 1 at first month (p= .001). However no significant difference was found in other months and in total (p> .05). Those experiencing withdrawal and hesitancy were found to be high in Group 2 (p= .002). Weight gain anxiety was higher in Group 1 (p= .003). Conclusion: Telephone awareness messages enable people to make a decision to quit smoking. Thus it is possible to reach larger groups and get results similar to those in the polyclinic. The mindfulness-based messages generate faster decisions and fewer withdrawal complaints. In this way, people who are unwilling to quit smoking can be motivated.

Keywords:

Smoking cessation, Cell phone message, mindfulness, motivation,

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