TY - JOUR
T1 - Greater engagement in valued activities is associated with less barriers to quitting smoking among smokers with mobility impairments
AU - Borrelli, Belinda
AU - Endrighi, Romano
AU - Dunsiger, Shira
AU - Busch, Andrew M.
AU - Bock, Beth C.
AU - Risica, Patricia Markham
AU - Hughes, Rosemary B.
AU - Lasater, Thomas
N1 - Publisher Copyright:
© 2023 Elsevier Inc.
PY - 2023/10
Y1 - 2023/10
N2 - 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.
AB - 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.
KW - Behavioral activation
KW - Depression
KW - Mobility impairments
KW - Pleasant events
KW - Smoking
KW - Smokers
KW - Cross-Sectional Studies
KW - Motivation
KW - Humans
KW - Disabled Persons
KW - Smoking Cessation
KW - Smoking/epidemiology
UR - http://www.scopus.com/inward/record.url?scp=85160053648&partnerID=8YFLogxK
UR - https://www.mendeley.com/catalogue/641c1a30-4ea5-3e05-893b-c1e2fb7eb8a2/
U2 - 10.1016/j.dhjo.2023.101480
DO - 10.1016/j.dhjo.2023.101480
M3 - Article
C2 - 37236878
AN - SCOPUS:85160053648
SN - 1936-6574
VL - 16
SP - 101480
JO - Disability and Health Journal
JF - Disability and Health Journal
IS - 4
M1 - 101480
ER -