@misc{10481/106562,
year = {2025},
month = {9},
url = {https://hdl.handle.net/10481/106562},
abstract = {Background: Tobacco use remains a major public health concern among young adults and
is often complicated by co-occurring addictive behaviors. Objective: This study analyzed
motivation for change, assessed with the decisional balance framework, in relation to
multiple addictions among young smokers seeking treatment. Methods: Ninety-eight
participants from the University of Granada enrolled in either an app-based cognitive–
behavioral therapy (CBT) program (n = 35) or a traditional face-to-face CBT program
(n = 63). Recruitment relied on self-identification and voluntary participation. Standardized instruments were applied to measure nicotine dependence (FTND), behavioral and
substance-related addictions (MULTICAGE CAD-4), cannabis dependence (SDS), and
motivation for change (DBQ). Logistic and stepwise regression analyses were conducted
to identify predictors of treatment choice and motivational outcomes. Results: Younger
participants and students were more likely to choose the app-based program. Compulsive
buying was linked to perceiving more disadvantages of smoking, whereas sex addiction,
cannabis dependence, and other substance addictions were associated with perceiving
fewer disadvantages. Conclusions: Treatment preferences and motivational profiles differ
according to age, academic status, and co-occurring addictions. These findings highlight
the need to tailor smoking cessation strategies to individual profiles and support the role of
mobile health tools in engaging digitally oriented populations.},
publisher = {MDPI},
keywords = {Smoking cessation},
keywords = {app-based therapy},
keywords = {face-to-face therapy},
title = {Young Smokers’ Therapy Preferences: App-Based vs. Face-to-Face Treatment in the Context of Co-Addictions},
doi = {10.3390/healthcare13182326},
author = {López-Torrecillas, Francisca and Arcos-Rueda, María del Mar and Cobo-Rodríguez, Beatriz and Muñoz-López, Lucas},
}