Abstract：
Sexual and gender minority (SGM) adults face unique challenges in accessing smoking cessation care due to stigma tied to their identities and smoking. While cessation apps show promise in the general population, their efficacy for SGM adults is unclear. This study utilized data from a randomized trial to compare two cessation apps, iCanQuit (Acceptance and Commitment Therapy-based) and QuitGuide (US Clinical Practice Guidelines-based) among 403 SGM adults. The primary outcome was self-reported complete-case 30-day abstinence from cigarette smoking at 12 months. Mediation analyses explored whether interventions operated through acceptance of cues to smoke and app engagement. At 12 months, quit rates did not differ between arms (26% iCanQuit vs. 22% QuitGuide, OR = 1.22; 95% CI: 0.74 to 2.00, p = .43). iCanQuit positively impacted cessation via acceptance of cues to smoke (indirect effect = 0.23; 95% CI: 0.06 to 0.50, p < .001) and demonstrated higher engagement (no. logins, 28.4 vs. 12.1; p < .001) and satisfaction (91% vs. 75%, OR = 4.18; 95% CI: 2.12 to 8.25, p < .001) than QuitGuide. Although quit rates did not differ between arms, acceptance of cues to smoke seemed to play a crucial role in helping SGM adults quit smoking. Future interventions should consider promoting acceptance of cues to smoke in this population.
摘要：
由于与身份和吸烟有关的污名，性和性别少数（SGM）成年人在获得戒烟护理方面面临着独特的挑战。虽然戒烟应用程序在普通人群中显示出希望，其对SGM成人的疗效尚不清楚.这项研究利用随机试验的数据来比较两个戒烟应用程序，403名SGM成人中的iCanQuit（基于接受和承诺治疗）和QuitGuide（基于美国临床实践指南）。主要结果是自我报告的在12个月时完全戒烟30天。中介分析探讨了干预措施是否通过接受吸烟和应用程序参与的线索来运作。12个月时,两组的戒烟率没有差异(26%iCanQuit与22%QuitGuide,OR=1.22；95%CI：0.74至2.00，p=.43）。iCanQuit通过接受吸烟线索对戒烟产生积极影响(间接效应=0.23；95%CI：0.06至0.50，p<.001)，并表现出更高的参与度(没有。登录,28.4vs.12.1；p<.001）和满意度（91%与75%,OR=4.18；95%CI：2.12至8.25，p<.001）比QuitGuide。尽管不同武器的戒烟率没有差异，接受吸烟线索似乎在帮助SGM成年人戒烟中起着至关重要的作用。未来的干预措施应考虑促进该人群对吸烟线索的接受。
