eDecídete: Mobile Cessation Support for Latino Smokers

eDecéte：为拉丁裔吸烟者提供移动戒烟支持

• 批准号: 10180403
• 负责人: Ana Paula Cupertino
• 金额: $ 90.6万
• 依托单位: UNIVERSITY OF ROCHESTER
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-01-10 至 2021-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10180403
• 关键词: Abstinence; Accident and Emergency department; Address; Adoption; Area; Behavioral; Cellular Phone; Cessation of life; Cigarette; Clinic; Communities; Continuity of Patient Care; Cotinine; Counseling; Data; Development; Disease; Elements; Enhancement Technology; Evaluation; Evidence based treatment; Future; Goals; Health; Individual; Interdisciplinary Study; Intervention; Knowledge; Latino; Mediator of activation protein; Methods; Minority; Modeling; Morbidity - disease rate; Motivation; Not Hispanic or Latino; Outcome; Participant; Pattern; Pharmacotherapy; Pharmacy facility; Population; Prevalence; Process; Protocols documentation; Quality of life; Resources; Risk; Self Efficacy; Services; Smoker; Smoking; Smoking Cessation Intervention; System; Tablets; Telephone; Testing; Text Messaging; Therapeutic; Tobacco; Tobacco use; United States; Work; arm; base; community based service; community clinic; community setting; eHealth; experience; follow up assessment; health care availability; health disparity; improved; innovation; mobile computing; mortality; outreach; primary outcome; programs; public health priorities; quitline; recruit; satisfaction; service providers; skills; smoking abstinence; smoking cessation; standard care; successful intervention; therapy design; treatment disparity; treatment effect; treatment response

Project Summary - eDecídete: Mobile Cessation Support for Latino Smokers Latinos are less likely than non-Hispanic whites to have access to health, to have knowledge of existing smoking cessation resources, to receive advice to stop smoking, and to participate in smoking cessation programs. Mobile technologies can dramatically enhance the reach of effective smoking cessation interventions. However, the reach of mobile interventions among Latinos remains minimal despite the fact that Latinos utilize smartphones at a higher rate. The primary aim of this study is to examine the efficacy of eDecídete (Spanish for “you can choose”), an innovative 12 week mobile smoking cessation intervention based on this work that incorporates two elements: 1) a tablet-based e-health educational session that collects personal smoking-related information to develop an individualized quit plan and guide automated and interactive text messaging; and 2) a text messaging program that includes educational information, behavioral strategies, motivational and supportive messaging, and prompts to use pharmacotherapy to support smoking cessation. Aim 1. To evaluate the impact of the culturally accommodated eDecídete program versus standard care on smoking abstinence at Month 6 among Latino smokers. At Month 6, smokers in eDecídete will have significantly higher cotinine-verified 7-day point prevalence abstinence (no cigarettes in the past 7 days) than smokers in the control arm. Aim 2. To assess therapeutic alliance, pharmacotherapy utilization, and self-efficacy as mediators of the presumed treatment effect on cotinine-verified 7-day smoking abstinence at Month 6 among Latino smokers. Our hypothesis is that eDecídete will have greater efficacy for smoking cessation than standard care by increasing therapeutic alliance, utilization of pharmacotherapy, and self-efficacy to quit. Aim 3. To conduct a process evaluation that can inform findings and future improvements. The evaluation will assess 1) satisfaction with the program and its components; 2) text-message system utilization patterns and common content themes in text message interactions among eDecídete participants.

项目摘要 - eDecídete：为拉丁裔吸烟者提供移动戒烟支持 与非西班牙裔白人相比，拉丁美洲人不太可能获得健康、了解现有的知识 戒烟资源，接受戒烟建议，并参与戒烟 程序。移动技术可以极大地提高有效戒烟的范围 干预措施。然而，尽管事实上，拉丁美洲人的移动干预范围仍然很小 拉丁美洲人使用智能手机的比例更高。本研究的主要目的是检验以下方法的功效 eDecídete（西班牙语，意为“你可以选择”），一项创新的 12 周移动戒烟干预措施 基于这项包含两个要素的工作：1）基于平板电脑的电子健康教育课程，收集 个人吸烟相关信息，以制定个性化戒烟计划并指导自动化和 交互式短信； 2) 一个短信程序，其中包括教育信息、行为信息 策略、激励性和支持性信息，以及提示使用药物疗法来支持吸烟 停止。目标 1. 评估文化适应 eDecídete 计划与 拉丁裔吸烟者第 6 个月戒烟的标准护理。第 6 个月时，吸烟者 eDecídete 将显着提高经过可替宁验证的 7 天点戒烟率（在 过去 7 天）比对照组的吸烟者高。目标 2. 评估治疗联盟、药物治疗 利用和自我效能作为可替宁验证的 7 天治疗效果的中介变量 拉丁裔吸烟者在第 6 个月戒烟。我们的假设是 eDecídete 将有更大的 通过增加治疗联盟、利用 药物治疗和戒烟自我效能。目标 3. 进行过程评估，以提供信息 调查结果和未来的改进。评估将评估 1) 对计划及其内容的满意度 成分; 2）短信系统使用模式和短信中常见的内容主题 eDecídete 参与者之间的互动。