Social Media Intervention to Promote Smoking Treatment Utilization and Cessation among Alaska Native Smokers

社交媒体干预促进阿拉斯加本土吸烟者的吸烟治疗利用和戒烟

• 批准号: 10166016
• 负责人: Christi A Patten
• 金额: $ 7.79万
• 依托单位: MAYO CLINIC ROCHESTER
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-05-01 至 2022-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10166016
• 关键词: Address; Administrative Supplement; Affect; Alaska Native; Alcohol or Other Drugs use; Anxiety; COVID-19; COVID-19 pandemic; Centers for Disease Control and Prevention (U.S.); Clinical Trials; Communication; Data; Effectiveness; Enrollment; Evaluation; Facebook; Foundations; Funding; Grant; Intervention; Measures; Media Intervention; Morbidity - disease rate; National Institute of Drug Abuse; Native-Born; Parents; Participant; Patient Self-Report; Process; Resources; Risk; Severities; Smoker; Smoking; Smoking Cessation Intervention; Social isolation; Social support; Stress; Surveys; Testing; Time; TimeLine; Tobacco; Treatment outcome; United States National Institutes of Health; Work; addiction; coronavirus disease; efficacy trial; evidence base; experience; follow-up; health disparity; interest; mortality; primary outcome; smoking cessation; social media; therapy development; virtual

PROJECT SUMMARY This application is for an administrative supplement (PA-18-591) to NIDA-funded R34 grant “Social Media Intervention to Promote Smoking Treatment Utilization and Cessation among Alaska Native Smokers” (R34 DA46008). It is responsive to the NIDA notice of special Interest, NOT-DA-20-047 and meets the stated objective to understand the broad impacts of COVID-19 (e.g., anxiety, social isolation) on access to addiction treatment and substance use. The parent R34 grant is a Stage I treatment development grant to develop and pilot test a Facebook (FB) intervention for AN smokers statewide. With the advent of the COVID-19 pandemic, now more than ever, virtual options, such as social media, hold promise as sustainable and scalable intervention strategies to promote access to smoking cessation treatment among Alaska Native (AN) people, and other vulnerable and underserved health disparity groups who experience a disproportionate burden of tobacco-related morbidity/mortality and who may also be disproportionately affected by COVID-19. In this supplement, we propose to adapt and evaluate perceived effectiveness of new content for the FB intervention relevant to COVID-19 and smoking, using a rigorous participatory approach, as was done in developing other content. We will also collect data on self-reported impacts of COVID-19 on our outcomes of treatment utilization and cessation within our ongoing pilot clinical trial. Our Specific Aims (within the scope, timeline, and current evaluation process of the current R34) are to: 1) Assess the perceived effectiveness of social media content and communication on COVID-19 and smoking (N=40). We will use existing content on COVID-19 (e.g., CDC Tips™ campaign videos) for adaptation. Potential content adaptations for COVID-19 messaging that may impact treatment utilization and quitting as barriers or facilitators include stress, anxiety, perceived risks, social isolation, and social support; and 2) Explore the self-reported impact of COVID-19 perceived risks, severity, and COVID-related anxiety, stress, financial impacts, social isolation, and social support, on our primary outcome of smoking treatment utilization and cessation in our ongoing R34 pilot clinical trial (N=60) at 6-months follow-up. Our measures have been pilot tested and were selected from a bank of COVID-19 measures provided by the NIH. Expanding FB intervention content to address COVID-19 and evaluating COVID-19 impacts, within the parent R34 grant, is timely and significant. This work will provide the foundation for a larger Stage II efficacy trial.

项目摘要 本申请是对NIDA资助的R34补助金“社交媒体”的行政补充（PA-18-591 在阿拉斯加土著吸烟者中促进吸烟治疗利用和戒烟的干预措施”（R34 DA46008）。它是对NIDA特别关注通知NOT-DA-20-047的响应，并符合规定的 目的是了解COVID-19的广泛影响（例如，焦虑、社会孤立）对成瘾的影响 治疗和物质使用。父R34赠款是第一阶段治疗开发赠款，用于开发和 在全州范围内对AN吸烟者进行Facebook（FB）干预的试点测试。随着COVID-19疫情的到来， 如今，社交媒体等虚拟选项比以往任何时候都更有希望实现可持续和可扩展 促进阿拉斯加土著人（AN）获得戒烟治疗的干预战略， 以及其他脆弱和得不到充分服务的健康差距群体，他们承受着不成比例的医疗负担， 烟草相关的发病率/死亡率，以及可能受到COVID-19不成比例影响的人群。在这 作为补充，我们建议调整和评估FB干预的新内容的感知有效性 与COVID-19和吸烟相关，采用严格的参与性方法，就像在制定其他 内容我们还将收集有关COVID-19对我们治疗结果的自我报告影响的数据 在我们正在进行的试点临床试验中使用和停止。我们的具体目标（在范围、时间轴和 当前R34）的当前评估过程是：1）评估社交媒体的感知有效性 关于COVID-19和吸烟的内容和沟通（N=40）。我们将使用关于COVID-19的现有内容 (e.g., CDC Tips™活动视频）进行调整。针对COVID-19消息传递的潜在内容调整 可能影响治疗利用和戒烟的障碍或促进因素包括压力，焦虑， 风险、社会隔离和社会支持;以及2）探索COVID-19感知风险的自我报告影响， 严重程度，以及与COVID相关的焦虑，压力，财务影响，社会孤立和社会支持，对我们的 在我们正在进行的R34试点临床试验（N=60）中， 6-个月随访。我们的措施已经过试点测试，并从COVID-19的银行中选择 国家卫生研究院提供的措施。扩大FB干预内容以应对COVID-19并评估 COVID-19的影响，在母R34补助金内，是及时和重大的。这项工作将提供基础 进行更大规模的II期疗效试验

项目成果

Social Media Intervention to Promote Smoking Treatment Utilization and Cessation Among Alaska Native People Who Smoke: Protocol for the Connecting Alaska Native People to Quit Smoking (CAN Quit) Pilot Study.

社交媒体干预促进阿拉斯加原住民吸烟者的吸烟治疗利用和戒烟：阿拉斯加原住民戒烟（CAN Quit）试点研究协议。

• DOI: 10.2196/15155
• 发表时间: 2019
• 期刊: JMIR research protocols
• 影响因子: 1.7
• 作者: Sinicrope,PamelaS;Koller,KathrynR;Prochaska,JudithJ;Hughes,ChristineA;Bock,MarthaJ;Decker,PaulA;Flanagan,ChristieA;Merritt,ZoeT;Meade,CrystalD;Willetto,AbbieL;Resnicow,Ken;Thomas,TimothyK;Patten,ChristiA
• 通讯作者: Patten,ChristiA