Fighting Temptations Free Movie Online

[Tamela]

Thesad reality is that these sources of temptation are lifelong; they do not go away. That means the person who struggles with the temptation to abuse alcohol or the person who fights against the temptation to use pornography or the person who combats the temptation to lust after another person of the opposite sex or the same sex may have to do so for a lifetime.

This is not a hopeless reality by any means. After the apostle Paul described his struggles in fighting temptation (Romans 7:15-24), he exclaimed, Thanks be to God, who delivers me through Jesus Christ our Lord! (Romans 7:25) There is forgiveness of sins through Jesus Christ. There is power through the gospel of Jesus Christ to live godly lives.

What I can suggest is that you speak with your pastor or other trusted Christian counselor to develop strategies in combating the temptations you face. If you are not able to speak with your pastor about this, you might consider the resources of Christian Family Solutions, a WELS-affiliated ministry. The organization offers in-person and video counseling.

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McRobbie HJ, Phillips-Waller A, El Zerbi C, et al. Nicotine replacement treatment, e-cigarettes and an online behavioural intervention to reduce relapse in recent ex-smokers: a multinational four-arm RCT. Southampton (UK): NIHR Journals Library; 2020 Dec. (Health Technology Assessment, No. 24.68.)

Table 21 gives the characteristics of the qualitative sample across the trial arms. Approximately 60% were from Australia, just over half (55%) were female and 30% were aged between 51 and 60 years. Just over one-third of the sample had completed only secondary education, 54% were not working and 60% were in receipt of benefits.

In the below sections, when giving illustrative quotes, we list whether participants were abstinent, lapsed or relapsed (according to the definitions given earlier), their trial arm, whether they were interviewed at the 3- or 6-month follow-up, their gender, their age (in years) and their country of origin.

Some tools were study interventions, others were non-study methods and many participants used a combination of strategies, including both study and non-study methods, simultaneously. It was commonly recognised that different strategies were likely to work for different people:

In terms of motivational strategies for relapse prevention, participants drew attention to the importance of having a clear understanding of their reasons for quitting, planning in advance and setting goals, self-positioning as a non-smoker or ex-smoker and having a strong sense of willpower, commitment and determination. Willpower was frequently perceived as the most important element, regardless of support strategies:

In relation to behavioural strategies, the importance of rewarding oneself for abstinence and changing routines (e.g. tidying up, going shopping or not drinking coffee in the morning, or at all) were highlighted. Distraction as a strategy was commonly reported in the form of walks, going to the gym, keeping busy, drinking water, using non-nicotine-containing gum and mints, breathing techniques and meditation:

Some participants mentioned noting down urges and feelings (e.g. stress) in a booklet, or recording days quit and money saved on a calendar. Some used the strategy of confronting risky situations for relapse (e.g. socialising with alcohol), whereas others felt that it was important to avoid such situations, particularly at the beginning of quitting. Indeed, reducing alcohol consumption, or stopping altogether, was mentioned by some as crucial to them staying quit:

Several participants were still using non-study medications, such as nicotine patches or varenicline, when they joined, which they carried on using throughout the study period, sometimes in addition to the study interventions:

For example, the role of social support from partners, family and friends (or for some a lack of support) was highlighted by many as an important motivation to maintaining abstinence. For some, this was having people close to them who were quitting at the same time. For others, having people to offer support when needed provided enough motivation:

Others referred to completion of the surveys as part of the bundle of interventions, without which they imagined that they would not have been able to stay quit. Some suggested that providing responses to the survey served as:

Although we did not specifically ask about the EMA substudy, some participants spontaneously mentioned the device during the interview. Like the surveys, many participants perceived the EMA substudy to be an intervention rather than a data collection tool. The device was described as helping participants realise what their triggers were by asking questions about thoughts of smoking or temptations in certain situations. It helped them to identify feelings related to the temptation to smoke, and to identify how urges might be related to certain situations, specific times and places, which they could then change or avoid:

A minority of participants mentioned not relying on any specific strategy other than contact with the study team and the study texts, and some even mentioned explicitly that they were against any other type of support:

A few participants reported that they would have appreciated the opportunity to have selected study products, but they did not have the opportunity as they were allocated to the control arm of the trial:

Price was another factor. For example, e-cigarettes had been too expensive for some participants to buy for themselves and, therefore, they selected it as part of the study, viewing them as really valuable. Price was also a factor in selection of and continuing use of NRT products. For others, the comparable price to cigarettes led them to lapse:

Worries emanated largely, but not exclusively, from participants in Australia. A few participants, again predominantly from Australia, felt that the research team could have provided detailed literature on the safety and risks of e-cigarettes, which would have helped them to decide on whether or not to use that product, particularly for first-time use:

Other concerns raised were by those who had stopped all nicotine use when they were enrolled into the relapse prevention study and did not want to start using nicotine again, as they felt that it increased the risk of relapse:

In a similar vein, many commented that offering nicotine-free e-cigarettes as a study option would have been beneficial. Some participants believed that a non-nicotine e-cigarette would help them to cope with any persistent behavioural habits related to smoking, such as providing the hand-to-mouth and exhalation of vapour actions, but without the nicotine:

In addition to a wider range of flavours, as discussed above, some participants mentioned that the study could have benefited from offering a wider range of NRT products, such as options for gum and patches. These participants perceived that the gum was more palatable than the spray and the chewing action element of the gum was viewed as:

One participant was concerned that they would have to stop using their e-cigarette soon (because of visiting family members who would not like it) and were very concerned about how they would manage (anticipating failure).

Other participants talked about using the NIC product only in certain situations and at certain times, such as at night, after meals, walking the dog, with alcohol, when stressed and when socialising, mainly as these times were when urges to smoke were greatest. Some would use the product regularly in these situations:

It was clear that, for some participants, different NIC products were used for different reasons, purposes and situations. One participant talked about using the e-cigarette in social situations and nicotine gum (a non-study product) while at work in a bar where they were not permitted to use the e-cigarette.

Many of those who had lapsed talked about how they used the NIC products to help them get back to quitting and hence did not relapse fully. Others talked about how they relapsed when they stopped NIC use:

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