Pediatrician Delivered Smoking Cessation Messages for Parents: A Latent Class Approach to Behavioral Phenotyping.
Pediatrician Delivered Smoking Cessation Messages for Parents: A Latent Class Approach to Behavioral Phenotyping.
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DOI：
10.1016/j.acap.2020.07.018
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发表时间：
2021-01
影响因子：
3.1
通讯作者：
Fiks AG
中科院分区：
文献类型：
--
作者：
Jenssen BP;Kelly MK;Faerber J;Hannan C;Asch DA;Shults J;Schnoll RA;Fiks AG
信息框架可以用来激励成年吸烟者戒烟，但它对儿科环境中父母的价值尚不清楚。了解父母对戒烟信息的偏好可能有助于临床医生调整干预措施以增加戒烟。我们进行了一项离散选择实验，在该实验中，儿科患者的父母吸烟者对旨在增加戒烟治疗的26条信息的相对重要性进行了评级。信息因信息所针对的对象（儿童、父母、家庭）、信息是以收益为框架还是以损失为框架（强调参与治疗的好处或不参与治疗的代价）以及所包括的具体结果（例如，一般健康、癌症、呼吸道疾病、财务影响）而有所不同。参与者包括4个儿科初级保健站点的180名父母吸烟者。我们使用潜在类别分析的消息评级，以确定具有相似偏好的父母群体。多项逻辑回归描述了与组成员关系相关的儿童和父母特征。我们确定了3组对信息有相似偏好的父母：第1组优先考虑吸烟对孩子的影响（n=92，51%），第2组喜欢获得框架信息（n=63，35%），第3组喜欢强调吸烟对经济影响的信息（n=25，14%）。与第1组相比，第2组的父母更有可能具有有限的健康知识，并且有一个6岁以上的孩子患有哮喘。我们确定了3组父母吸烟不同的信息偏好。这项工作可以为不同父母群体的定制戒烟信息的测试提供信息，这是一种支持动机精准医学的行为表型分析形式。
Message framing can be leveraged to motivate adult smokers to quit, but its value for parents in pediatric settings is unknown. Understanding parents’ preferences for smoking cessation messages may help clinicians tailor interventions to increase quitting. We conducted a discrete choice experiment in which parent smokers of pediatric patients rated the relative importance of 26 messages designed to increase smoking cessation treatment. Messages varied on who the message featured (child, parent, family), whether the message was gain- or loss-framed (emphasizing benefits of engaging or costs of failing to engage in treatment), and the specific outcome included (e.g. general health, cancer, respiratory illnesses, financial impact). Participants included 180 parent smokers at 4 pediatric primary care sites. We used latent class analysis of message ratings to identify groups of parents with similar preferences. Multinomial logistic regression described child and parent characteristics associated with group membership. We identified 3 groups of parents with similar preferences for messages: Group 1 prioritized the impact of smoking on the child (n=92, 51%), Group 2 favored gain-framed messages (n=63, 35%), and Group 3 preferred messages emphasizing the financial impact of smoking (n=25, 14%). Parents in Group 2 were more likely to have limited health literacy and have a child over age 6 and with asthma, compared to Group 1. We identified 3 groups of parent smokers with different message preferences. This work may inform testing of tailored smoking cessation messages to different parent groups, a form of behavioral phenotyping supporting motivational precision medicine.
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33.9
作者：
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通讯作者：
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