Real-time and subjective predictors of vape pod use among young adults with mental health concerns

有心理健康问题的年轻人使用电子烟的实时和主观预测因素

• 批准号: 10379387
• 负责人: JOEL TSEVAT
• 金额: $ 19.76万
• 依托单位: UNIVERSITY OF TEXAS HLTH SCIENCE CENTER
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-04-01 至 2024-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10379387
• 关键词: Address; Adolescent; Alcohols; Anxiety; Behavior; Behavior assessment; Behavioral; Case Study; Cigarette Smoker; Conflict (Psychology); Data; Dependence; Development; Devices; Disease; Dose; Ecological momentary assessment; Electronic Nicotine Delivery Systems; Environment; Evaluation; Family; Flavoring; Foundations; Frequencies; Future; General Population; Generations; Goals; Health; Individual; Intervention; Interview; JUUL; Knowledge; Lead; Link; Literature; Marijuana; Measures; Mental Depression; Mental Health; Methods; Moods; National Institute of Drug Abuse; Nicotine; Nicotine Dependence; Nicotine Withdrawal; Participant; Pattern; Perception; Persons; Population; Prospective Studies; Recommendation; Relaxation; Reporting; Research; Research Priority; Rewards; Risk; Risk Factors; Salts; Science; Smoker; Stress; Substance of Abuse; Suggestion; Symptoms; Text Messaging; Time; Tobacco; Tobacco Use Cessation; Tobacco use; Vulnerable Populations; Youth; associated symptom; combustible cigarette; comorbidity; contextual factors; craving; depressive symptoms; design; handheld mobile device; insight; mHealth; marijuana use; mood symptom; negative mood; novel; peer; reduce symptoms; risk perception; social; stress reduction; substance use; tobacco products; university student; vaping; young adult

PROJECT SUMMARY/ABSTRACT Electronic Nicotine Delivery Systems (“ENDS”) use among young people has increased dramatically over the past two years, largely due to the increase in popularity of vape pods, a novel type of ENDS product that delivers nicotine and flavorings through “nicotine salts.” This rapid increase in use is alarming given the high potential for nicotine dependence; vape pods contain the highest nicotine concentrations of ENDS on the market. While the research on vape pod use is still nascent, one population that may be uniquely susceptible to use includes YAs with mental health concerns. YAs with mental health concerns report higher use of tobacco products, including ENDS, than their peers. Recent research has found that symptoms of depression and anxiety are positively associated with ENDS use behaviors among YAs. The associations between mental health concerns and ENDS use among YAs is concerning as individuals with mental health concerns suffer disproportionately from tobacco-related health effects and report greater difficulty in quitting as compared to the general population. Nicotine dependence is particularly problematic among this population as nicotine causes fluctuations in mood, such as depressive symptoms and stress, which, in turn, may lead to more frequent use among these individuals. To date, there is limited research investigating factors associated with ENDS use generally, and vape pod use specifically, among YAs with mental health concerns. Such information is needed to inform the development of tailored cessation intervention efforts for this vulnerable population. In order to fill the gap in understanding novel tobacco product use (i.e. vape pod use) among YAs with mental health concerns, this study will utilize state-of-the-science ecological momentary assessment (EMA) and qualitative interviews to investigate real-time antecedents of vape pod use among YAs with symptoms of depression and/or anxiety. Thus, this study has the following aims: 1) to assess real-time predictors of vape pod use, as well as patterns of use, in a prospective study of YAs (n=50) with symptoms of depression and/or anxiety by using EMA, and 2) to explore perceptions of vape pod use and recommendations for future vape pod cessation interventions through the use of qualitative interviews (n=50). The EMA portion of the study will investigate antecedents of use, including social setting, concurrent substance use (other tobacco products, alcohol, and marijuana), mood, craving, among others. As EMA cannot capture all relevant constructs, we will supplement our EMA analyses with qualitative interviews. Qualitative interviews will provide important insights and context regarding our EMA findings, as well as elicit suggestions for the design and content of the future intervention. This research directly addresses NIDA research priorities, including 1) relationships between ENDS use and comorbidities (i.e. mental health concerns), and 2) ENDS use with concurrent use of other tobacco products and other substances of abuse. This study will also serve as the foundation for a novel cessation intervention for YA vape pod users with depression and/or anxiety.

项目摘要/摘要 年轻人中的电子尼古丁输送系统（“末端”）的使用已大大增加 过去两年，很大程度上是由于vape豆荚的普及增长，这是一种新型的末端产品，该产品类型 通过“尼古丁盐”提供尼古丁和调味料。鉴于高度的这种快速增加令人震惊 尼古丁依赖性的潜力； vape豆荚包含最高的尼古丁浓度 市场。虽然对使用vape豆荚的研究仍然很新生，但一个可能具有独特感染的人群 使用包括具有心理健康问题的YA。 YA与心理健康有关报告报告了更高的使用 烟草产品（包括目的）比同龄人。最近的研究发现抑郁症的象征 动画与末端使用YAS之间的行为呈正相关。精神之间的关联 YA之间的健康问题和目的的使用是因为患有心理健康问题的人会受到影响 与烟草相关的健康影响不成比例，并报告与 普通人群。尼古丁的依赖性在该人群中尤其有问题 导致情绪波动，例如抑郁症状和压力，这又可能导致更多 这些人经常使用。迄今为止，研究因素有限 在与心理健康有关的YA中，最终使用末端，并特别使用Vape Pod。这样的信息 需要为这一脆弱人群的量身定制的戒烟干预工作开发。在 为了填补理解新颖的烟草产品使用（即使用vape Pod的使用）的空白 健康问题，这项研究将利用科学的生态瞬时评估（EMA）和 定性访谈调查YA中使用Vape Pod使用的实时前因，症状 抑郁和/或动画。这是这项研究的以下目的：1）评估vape的实时预测指标 在对YAS（n = 50）的前瞻性研究中，豆荚的使用以及使用模式 通过使用EMA和2）探索使用vape豆荚的看法和未来vape的建议 通过使用定性访谈（n = 50），POD停止干预措施。研究的EMA部分将 调查使用的先例，包括社会环境，并发药物使用（其他烟草产品， 酒精和大麻），情绪，渴望等。由于EMA无法捕获所有相关的结构，我们将 通过定性访谈补充我们的EMA分析。定性访谈将提供重要的见解 以及有关我们的EMA发现的背景，以及对未来的设计和内容提出建议 干涉。这项研究直接解决了NIDA研究的重点，包括1） 目的使用和合并症（即心理健康问题），2）结束同时使用其他 烟草产品和其他滥用物质。这项研究还将成为小说的基础 YA VAPE POD用户的戒烟干预措施，患有抑郁症和/或动画。