| Abstrakt: |
In recent years, mindfulness and acceptance and commitment therapy (ACT) have gained popularity as interventions for smoking cessation. Additionally, since the COVID-19 pandemic, remotely delivered interventions are also being increasingly used. This systematic review aimed to study effectiveness of remotely delivered mindfulness and ACT-based interventions in terms of smoking-related outcomes. Interventions were considered if they were delivered telephonically, through mobile, or through web applications to participants. Last search of Web of Science, Mendeley, PubMed, and PsycINFO was on 7th October 2022. Fifteen studies (7736 participants) were selected and evaluated by two independent reviewers through the revised Cochrane Risk-of-Bias. Of these, 5 had used mindfulness-based and 10 had used ACT-based interventions. No mindfulness-based interventions that looked into abstinence showed a significant difference between intervention and control group at follow-up. Only 2 out of 10 ACT-based interventions showed a significant difference between groups at follow-up. Of the five mindfulness-based interventions measuring cigarettes per day (CPD), only two showed significant difference with control group. Similarly, of four ACT-based interventions measuring CPD, only two showed higher decline in CPD than control. Limitation of these studies, which may explain the lack of significant difference between control and intervention groups, have been classified into problems in design, follow-up, and technology. ACT-based interventions were comparatively more robust and uses more stringent measures to check intervention effectiveness. Overall, most studies showed no significant difference in abstinence rates of remotely delivered interventions group and control groups. Future research and practical implications have been discussed. [ABSTRACT FROM AUTHOR] |
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