TY - JOUR
T1 - Within-person associations between psychological and contextual factors and lapse incidence in smokers attempting to quit
T2 - A systematic review and meta-analysis of Ecological Momentary Assessment studies
AU - Perski, Olga
AU - Kwasnicka, Dominika
AU - Kale, Dimitra
AU - Schneider, Verena
AU - Szinay, Dorothy
AU - ten Hoor, Gill
AU - Asare, Bernard Yeboah-Asiamah
AU - Verboon, Peter
AU - Powell, Daniel
AU - Naughton, Felix
AU - Keller, Jan
N1 - Acknowledgements: OP and DKa receives salary support from Cancer Research UK (PRCRPGNov21\100002). The authors would like to thank David Simons for his help with the R code.
PY - 2023/2/20
Y1 - 2023/2/20
N2 - Abstract Background and Aims When attempting to stop smoking, discrete smoking events (?lapses?) are strongly associated with a return to regular smoking (?relapse?). No study has yet pooled the psychological and contextual antecedents of lapse incidence, captured in Ecological Momentary Assessment (EMA) studies. This systematic review and meta-analysis aimed to synthesise within-person psychological and contextual predictor-lapse associations in smokers attempting to quit. Methods We searched Ovid MEDLINE, Embase, PsycINFO and Web of Science. A narrative synthesis and multilevel, random-effects meta-analyses were conducted, focusing on studies of adult, non-clinical populations attempting to stop smoking, with no restrictions on setting. Outcomes were the association between a psychological (e.g., stress, cravings) or contextual (e.g., cigarette availability) antecedent and smoking lapse incidence; definitions of ?lapse? and ?relapse?; the theoretical underpinning of EMA study designs; and the proportion of studies with pre-registered study protocols/analysis plans and open data. Results We included 61 studies, with 19 studies contributing ≥1 effect size(s) to the meta-analyses. We found positive relationships between lapse incidence and ?environmental and social cues? (k = 12, odds ratio [OR] = 4.53, 95% confidence interval [CI] = 2.02, 10.16, p = 0.001) and ?cravings? (k = 10, OR = 1.71, 95% CI = 1.34, 2.18, p
AB - Abstract Background and Aims When attempting to stop smoking, discrete smoking events (?lapses?) are strongly associated with a return to regular smoking (?relapse?). No study has yet pooled the psychological and contextual antecedents of lapse incidence, captured in Ecological Momentary Assessment (EMA) studies. This systematic review and meta-analysis aimed to synthesise within-person psychological and contextual predictor-lapse associations in smokers attempting to quit. Methods We searched Ovid MEDLINE, Embase, PsycINFO and Web of Science. A narrative synthesis and multilevel, random-effects meta-analyses were conducted, focusing on studies of adult, non-clinical populations attempting to stop smoking, with no restrictions on setting. Outcomes were the association between a psychological (e.g., stress, cravings) or contextual (e.g., cigarette availability) antecedent and smoking lapse incidence; definitions of ?lapse? and ?relapse?; the theoretical underpinning of EMA study designs; and the proportion of studies with pre-registered study protocols/analysis plans and open data. Results We included 61 studies, with 19 studies contributing ≥1 effect size(s) to the meta-analyses. We found positive relationships between lapse incidence and ?environmental and social cues? (k = 12, odds ratio [OR] = 4.53, 95% confidence interval [CI] = 2.02, 10.16, p = 0.001) and ?cravings? (k = 10, OR = 1.71, 95% CI = 1.34, 2.18, p
KW - ambulatory assessment
KW - Ecological Momentary Assessment
KW - smoking cessation
KW - smoking lapse
KW - systematic review
KW - meta-analysis
U2 - 10.1111/add.16173
DO - 10.1111/add.16173
M3 - Article
JO - Addiction
JF - Addiction
SN - 0965-2140
ER -
