Effectiveness of a smoking cessation algorithm integrated into HIV primary care

纳入艾滋病毒初级保健的戒烟算法的有效性

• 批准号: 10163034
• 负责人: Heidi M. Crane
• 金额: $ 9.71万
• 依托单位: UNIVERSITY OF ALABAMA AT BIRMINGHAM
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-30 至 2021-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10163034
• 关键词: AIDS/HIV problem; Abstinence; Address; Adolescent and Young Adult; Affect; African American; Age; Alabama; Algorithmic Software; Algorithms; Appointment; Attitude; Belief; Biochemical; Boston; Cannabis; Caring; Cessation of life; Characteristics; Chronic Disease; Cigarette; Climate; Clinic; Clinic Visits; Clinical; Clinical Trials; Computerized Medical Record; Control Groups; Diabetes Mellitus; Dimensions; Disease Management; Effectiveness; Effectiveness of Interventions; Ensure; Evaluation; Focus Groups; Frequencies; Funding; Future; General Population; Goals; HIV; Health; Hour; Hybrids; Hypertension; Individual; Infrastructure; Institutes; Insurance; Intervention; Interview; Knowledge; Laws; Legal; Legal Status; Life; Life Expectancy; Lung; Marijuana; Massachusetts; Medical; Medical Marijuana; Mental Health; Mental disorders; Methadone; Methods; Modality; Morbidity - disease rate; Motivation; Neighborhood Health Center; Nicotine Dependence; Outcome; Parents; Participant; Patients; Pattern; Perception; Pharmaceutical Preparations; Pharmacology; Pharmacotherapy; Physicians; Physiological; Pilot Projects; Population; Positioning Attribute; Prevalence; Primary Health Care; Provider; Psychosocial Factor; Randomized; Recommendation; Reporting; Research; Resources; Risk; Risk Factors; Self Efficacy; Self Medication; Site; Smoke; Smoker; Smoking; Smoking Cessation Intervention; Smoking Status; Statutes and Laws; System; Technology; Testing; Time; Tobacco; Tobacco Use Cessation; Tobacco Use Disorder; Tobacco use; Training; Universities; Visit; Washington; Woman; Work; aged; arm; base; care providers; cigarette smoke; climate change; clinical care; clinical practice; clinical research site; comorbidity; comparative efficacy; cost; cost effectiveness; cost estimate; demographics; design; effectiveness evaluation; effectiveness trial; experience; follow-up; individual patient; interest; intervention cost; marijuana legalization; marijuana use; marijuana vaping; men who have sex with men; modifiable risk; mortality; novel; parent project; pleasure; post intervention; primary outcome; programs; reduce tobacco use; secondary analysis; smoking cessation; standard of care; success; successful intervention; tobacco cessation intervention; tobacco products; tool; treatment arm; treatment as usual; treatment comparison; treatment group; uptake; vaping; young adult

Project Summary/Abstract People living with HIV (PLWH) aged 18-24 disproportionately use tobacco with half of those individuals also using some form of cannabis. While the exact amount of PLWH aged 18-24 who co-use tobacco and cannabis is unknown, the amount of co-users is only expected to increase due to changing cannabis legislation and increasing availability and popularity of vaping both tobacco and cannabis products. Unfortunately, these changes have the potential to have a profound impact on the morbidity of PLWH aged 18-24. Tobacco alone is known to be detrimental to lung health and while cannabis has been shown to have similar physiologic effects on lung health as tobacco, the combined effects of tobacco and cannabis and specifically for those who are vaping are less well studied among PLWH. Furthermore, among individuals who are attempting tobacco cessation, cannabis use has been shown to lead to difficulties with tobacco cessation and even tobacco re-initiation. Use of a decisional algorithm tool that aids providers in prescribing pharmacotherapy for tobacco cessation during routine clinical care is one promising strategy for tobacco cessation. While the parent study of this supplement seeks to evaluate the effectiveness of this decisional tool in tobacco cessation among PLWH engaged in care at three clinical sites (University of Washington, University of Alabama at Birmingham, Fenway Community Health Center), the purpose of this supplemental proposal is to understand how tobacco-cannabis co-use affects tobacco cessation in PLWH aged 18-24 who were randomized to receive the decisional algorithm tool. Focus groups and in-depth interviews will be used to examine patient and provider attitudes about tobacco cessation modalities and cannabis’ effects on cessation. Additionally, a secondary analysis from specific aim 1 of the parent study will be performed on PLWH aged 18-24. Primary outcomes will include an evaluation of the feasibility and acceptability of the algorithm tool and a comparison of the point prevalence abstinence and cannabis frequency at 6 months between tobacco and cannabis co-users and tobacco-only users. Findings from this study will help inform the next iteration of the algorithm by providing specific information on PLWH aged 18-24 who co-use tobacco and cannabis.

项目摘要/摘要 18-24岁的艾滋病毒（PLWH）的人不成比例地使用烟草，其中一半 个人还使用某种形式的大麻。而确切的PLWH年龄18-24岁 谁共同使用烟草和大麻尚不清楚，同事的数量仅有望 由于改变大麻立法以及增加的可用性和普及而增加 烟烟和大麻产品。不幸的是，这些变化有可能 对18-24岁的PLWH的发病率产生深远影响。众所周知，仅烟草 对肺部健康有害，虽然大麻已被证明具有相似的生理 对肺部健康的影响，如烟草，烟草和大麻的综合作用以及 专门针对那些在PLWH中进行的vap的人。此外，中间 试图戒烟的个人，大麻使用已被证明导致 烟草戒烟甚至烟草重新定型的困难。使用决策算法 辅助提供者在例行过程中开出烟草戒烟的药物治疗的工具 临床护理是戒烟的一种承诺策略。在父母研究的同时 补充旨在评估该决策工具在烟草停止中的有效性 在三个临床场所（华盛顿大学，大学）从事护理的PLWH中 阿拉巴马州的伯明翰，芬威社区健康中心），此补充的目的 提案是了解烟草 - 纳比斯的共同使用如何影响PLWH中的烟草戒烟 年龄18-24岁的人被随机接收决策算法工具。焦点小组和 深入的访谈将用于检查患者，提供者参加烟草 停止方式和大麻对戒烟的影响。此外，二级分析 来自父母研究的特定目标1将对18-24岁的PLWH进行。基本的 结果将包括对算法工具的可行性和可接受性的评估和 在6个月之间6个月时的戒酒率和大麻频率的比较 烟草和大麻共同用户和仅烟草用户。这项研究的发现将有所帮助 通过提供有关18-24岁的PLWH的特定信息，告知算法的下一次迭代 谁共同使用烟草和大麻。