Feasibility and acceptability of remote procedures to study tobacco product use and respiratory health: an observational study.
Feasibility and acceptability of remote procedures to study tobacco product use and respiratory health: an observational study.
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DOI：
10.1136/bmjopen-2022-065962
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发表时间：
2022-12-01
期刊：
影响因子：
2.9
通讯作者：
中科院分区：
文献类型：
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作者：
获得生态上有效的生物样本对于了解烟草使用对呼吸系统的影响至关重要，但可能是繁重的。在两个不同的样本中，我们研究了完全远程研究肺功能和呼吸健康的可行性和可接受性。观察性可行性和可接受性研究。从美国南加州既往研究和广告中招募的18-25岁（习惯使用电子烟相关的生物医学呼吸效应[BREATHE]研究）和21-65岁（成人IQOS呼吸[AIRS]研究）的成人（BREATHE（AIRS）：N=77（N=31）完成基线，n=64（n=20）完成可行性和可接受性测量）。这两项研究的共同入选标准是拥有智能手机，愿意下载应用程序和英语流利。此外，呼吸参与者报告了三种烟草使用模式之一。AIRS参与者每天吸烟，并愿意使用加热的烟草产品。排除标准为医学禁忌症。为期4周的研究包括5次虚拟研究访视、每日两次生态瞬时评估日记和肺量测定评估以及每周一次的鼻上皮衬里液和唾液收集。所有研究访视均通过视频会议进行;研究材料和生物标本通过邮件交换。与会者报告了每日日记、呼吸测试、生物标本收集和运输的可行性和可接受性。调查评估了对每日日记和呼吸测试的时间安排和总体经验的看法，生物标本采集的难度和总体经验，以及发送和接收货物的经验。大多数参与者评价每日日记和呼吸测试为可管理（62.5%-95.0%）和可接受（54.7%-70.0%）。呼吸测试经常被描述为“有趣”（55.0%-57.8%）和“容易”（25.0%-48.4%）。大多数参与者报告生物标本采集容易（50.0%-85.0%），运输容易发送（87.5%-95.0%）、接收（95.3%-95.0%）和安排（56.3%-60.0%）。没有参加国收到状况不佳的货物。远程研究程序可能是可行的和可以接受的，以促进烟草研究，可能会导致更多样化的参与者样本和更普遍的研究结果。
Obtaining ecologically valid biological samples is critical for understanding respiratory effects of tobacco use, but can be burdensome. In two diverse samples, we examined feasibility and acceptability of studying pulmonary function and respiratory health entirely remotely. Observational feasibility and acceptability study. Adults age 18–25 (Biomedical Respiratory Effects Associated through Habitual Use of E-Cigarettes [BREATHE] Study) and 21–65 (Adult IQOS Respiratory [AIRS] Study) recruited from previous research studies and advertisements in Southern California, USA (BREATHE (AIRS): N=77 (N=31) completed baseline, n=64 (n=20) completed feasibility and acceptability measures). Shared inclusion criteria for the two studies were ownership of a smartphone, willingness to download applications and English fluency. In addition, BREATHE participants reported one of three tobacco use patterns. AIRS participants smoked daily and were willing to use a heated tobacco product. Exclusion criteria were medical contraindications. A 4-week study consisted of five virtual study visits, twice daily ecological momentary assessment diaries and spirometry assessments, and weekly Nasal Epithelial Lining Fluid and saliva collection. All study visits were conducted via video conference; study materials and biospecimens were exchanged via mail. Participants reported feasibility and acceptability of daily diaries, breath tests, biospecimen collection and shipments. Surveys assessed perceptions of timing and overall experience of daily diaries and breath tests, difficulty of and overall experience with biospecimen collection, and experience sending and receiving shipments. Most participants evaluated daily diaries and breath tests as manageable (62.5%–95.0%) and likeable (54.7%–70.0%). Breath tests were frequently described as ‘interesting’ (55.0%–57.8%) and ‘easy’ (25.0%–48.4%). Most participants reported that biospecimen collection was easy (50.0%–85.0%), and that shipments were easy to send (87.5%–95.0%), receive (95.3%–95.0%) and schedule (56.3%–60.0%). No participants received shipments in poor condition. Remote research procedures may be feasible and acceptable to facilitate tobacco research studies, potentially resulting in more diverse samples of participants and more generalisable research results.
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