Background: Obstacles to current tobacco cessation programs include limited access and adherence to effective interventions. Digital interventions offer a great opportunity to overcome these difficulties, yet virtual reality has not been used as a remote and self-administered tool to help increase adherence and effectiveness of digital interventions for tobacco cessation. Objective: This study aimed to evaluate participant adherence and smoking cessation outcomes in a pilot randomized controlled trial of the digital intervention Mindcotine (MindCotine Inc) using a self-administered treatment of virtual reality combined with mindfulness. Methods: A sample of 120 participants was recruited in the city of Buenos Aires, Argentina (mean age 43.20 years, SD 9.50; 57/120, 47.5% female). Participants were randomly assigned to a treatment group (TG), which received a self-assisted 21-day program based on virtual reality mindful exposure therapy (VR-MET) sessions, daily surveys, and online peer-to-peer support moderated by psychologists, or a control group (CG), which received the online version of the smoking cessation manual from the Argentine Ministry of Health. Follow-up assessments were conducted by online surveys at postintervention and 90-day follow-up. The primary outcome was self-reported abstinence at postintervention, with missing data assumed as still smoking. Secondary outcomes included sustained abstinence at 90-day follow-up, adherence to the program, and readiness to quit. Results: Follow-up rates at day 1 were 93% (56/60) for the TG and 100% (60/60) for the CG. At postintervention, the TG reported 23% (14/60) abstinence on that day compared with 5% (3/60) in the CG. This difference was statistically significant (χ21=8.3; P=.004). The TG reported sustained abstinence of 33% (20/60) at 90 days. Since only 20% (12/60) of participants in the CG completed the 90-day follow-up, we did not conduct a statistical comparison between groups at this follow-up time point. Among participants still smoking at postintervention, the TG was significantly more ready to quit compared to the CG (TG: mean 7.71, SD 0.13; CG: mean 7.16, SD 0.13; P=.005). A total of 41% (23/56) of participants completed the treatment in the time frame recommended by the program. Conclusions: Results provide initial support for participant adherence to and efficacy of Mindcotine and warrant testing the intervention in a fully powered randomized trial. However, feasibility of trial follow-up assessment procedures for control group participants needs to be improved. Further research is needed on the impact of VR-MET on long-term outcomes. Trial Registration: ISRCTN Registry ISRCTN50586181; http://www.isrctn.com/ISRCTN50586181
1 September 2017 in Translational Issues in Psychological Science
Psychological factors that encourage—as well as discourage— participation in social protest are often overlooked in the social sciences. In this article, we draw together recent contributions to the understanding of the social and psychological bases of political action and inaction from the perspective of system justification theory. This perspective, which builds on theory and research on the “belief in a just world,” contends that—because of underlying epistemic, existential, and relational needs to reduce uncertainty, threat, and social discord—people are motivated (to varying degrees, as a function of personality and context) to defend, bolster, and justify the legitimacy of the social, political, and economic systems on which they depend. We review evidence that, alongside political conservatism and religiosity, system justification helps to explain resistance and acquiescence to the status quo in sociopolitical contexts as diverse as Lebanon, New Zealand, Argentina, and the United States.
The use of cell phones has increased exponentially in most countries of the world. From a psychological perspective, different techniques have been developed to assess the level of dependence towards the use of the mobile phone, the TDMB test being one of the most used. Objective. The aim of the research was to adapt and validate the TDMB and its relations with impulsivity. Method. 339 adults residing in Argentina participated in the study, with ages between 18 and 65 years (M = 37.66; SD = 12.87), of which 74.3% were women. The evaluation included the TDMD, the UPPS-P to evaluate impulsivity and ad-hoc variables related to cell phone use. Results. Adequate psychometric properties were observed for the Argentine version of the TDMB. Likewise, relationships were observed between all dimensions of the questionnaire and impulsivity, as well as differences according to the age and gender of the participants. The scope and limits of the test are discussed, as well as its relationships with the impulsivity and daily use of the mobile phone.