Integrating Smoking Cessation in Tattoo Aftercare

将戒烟融入纹身后护理中

• 批准号: 10452217
• 负责人: Daniel Siconolfi
• 金额: $ 23.49万
• 依托单位: RAND CORPORATION
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-07-25 至 2024-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10452217
• 关键词: Abstinence; Address; Adult; African American; Aftercare; Age; American; Attitude; Barbering; Biological; Black race; Buffers; Bundling; Communities; Complex; Diffuse; Disease; Esthetics; Evidence based intervention; Future; General Population; HIV risk; Health; Healthcare; Hypertension; Individual; Infection; Infection prevention; Intervention; Lead; Methods; Modeling; Motivation; Nicotine Withdrawal; Operative Surgical Procedures; Organ Donations; Outcome; Perception; Persons; Phase; Physiological; Plastic Surgical Procedures; Population; Primary Health Care; Protocols documentation; Psychological reinforcement; Publishing; Recording of previous events; Research; Risk; Risk Reduction; Screening for cancer; Self Efficacy; Service setting; Sexual Health; Site; Smoke; Smoker; Smoking; Smoking Cessation Intervention; Surveys; Symbolism; Tattooing; Time; Underserved Population; Vaccination; Vision; Visit; Water; Withdrawal; Work; Wound Infection; acceptability and feasibility; artist; brief motivational intervention; coronavirus disease; efficacious intervention; evidence base; healing; high reward; high risk; improved; infection risk; innovation; mHealth; male; nicotine replacement; novel strategies; pressure; psychologic; resilience; screening; smoking cessation; smoking prevalence; social; social structure; sun protection; wound healing

Project Summary. New tattoos are a missed opportunity to promote smoking cessation. The tattoo aftercare period is a nexus of biological, psychological, social, and structural points of leverage. Between one-fifth and one-third of Americans ages 18 to 65 have at least one tattoo, and among adults ages 25-39, nearly one in two persons have at least one tattoo. Smoking prevalence among persons with tattoos is greater than smoking prevalence in the general population. Tattoo parlors are a potential catchment and referral context for evidence-based smoking cessation interventions. There is a history of feasible, acceptable, and efficacious interventions in other aesthetic service settings, such as barbershops. Yet, no published studies have examined the feasibility, acceptability, or efficacy of smoking cessation interventions delivered in tattoo parlors or adjacent to tattoo sessions (e.g., as tattoo aftercare). There are at least 20,000 tattoo parlors in the U.S., and these sites present an opportunity to reach smokers who are not well-engaged with usual intervention settings. At the individual level, a new tattoo may represent a unique window of opportunity when smokers have a greater propensity to attempt and succeed at smoking cessation. First, quitting smoking may facilitate healing of the tattoo and reduce the risk of short-term complications such as infection, which can lead to poorer aesthetic outcomes and the need for additional corrective tattooing. The negative effects of smoking on wound healing are well- documented. Second, tattoos are highly symbolic, and the symbols often have psychological relevance to motivation, self-efficacy, and resilience. Brief motivational interventions could draw upon the tattoo's salience as a means to overcome ambivalence about quitting smoking. Third, bundling cessation support into tattoo aftercare may be more acceptable to smokers who are ambivalent about quitting. Bundling cessation supports with existing tattoo aftercare practices, which are a change to routine, may help to reinforce the quit attempt during the highly vulnerable period of withdrawal. Bundling may also buffer against implicit or explicit social pressure to abandon the quit attempt. There is significant potential for promoting smoking cessation in this setting. However, no published studies have addressed whether, why, and how stakeholders (shop owners, tattoo artists, and recently-tattooed smokers) would engage in this novel approach. We will: 1) Assess the perceptions and attitudes of tattoo parlor owners and artists as they relate to tattoo-related smoking cessation interventions and aftercare bundling; 2) Assess smokers' attitudes toward smoking cessation interventions and supports in the context of tattooing and aftercare; and, 3) Develop a preliminary evidence-based intervention and/or referral protocol that will promote smoking cessation in the context of tattooing and aftercare. This research has the potential to introduce a never-before explored channel and context for delivery of smoking cessation interventions. In doing so, the work stands to reach an underserved population with an efficient and scalable intervention.

项目摘要。 新的纹身是一个错过的机会，以促进戒烟。纹身后护理期是一个关系， 生物的、心理的、社会的和结构的杠杆点。五分之一到三分之一的 18至65岁的美国人至少有一个纹身，而在25至39岁的成年人中，近二分之一的人有纹身 至少有一个纹身。有纹身者的吸烟率高于有纹身者的吸烟率。 一般人口。纹身店是一个潜在的集水区和转诊环境的循证吸烟 停止干预。在其他领域，有可行、可接受和有效的干预措施的历史。 美容服务场所，如理发店。然而，没有发表的研究已经审查了可行性， 在纹身店或纹身附近提供戒烟干预的可接受性或有效性 会话（例如，纹身后护理）。美国至少有2万家纹身店，而这些地点 有机会接触到那些不太喜欢常规干预环境的吸烟者。在个人 水平，一个新的纹身可能代表一个独特的机会窗口时，吸烟者有更大的倾向， 尝试并成功戒烟。首先，戒烟可以促进纹身的愈合， 降低感染等短期并发症的风险，这些并发症可能导致美学效果较差， 需要额外的矫正纹身。吸烟对伤口愈合的负面影响很好- 记录在案。其次，纹身具有高度的象征性，这些符号通常与心理相关， 动机、自我效能和韧性。简短的动机干预可以利用纹身的突出性 来克服戒烟的矛盾心理。第三，将戒烟支持捆绑到纹身中 对于那些对戒烟犹豫不决的吸烟者来说，事后护理可能更容易接受。捆绑戒烟支持 与现有的纹身善后的做法，这是一个改变常规，可能有助于加强戒烟的尝试， 在撤退的最脆弱时期。捆绑还可以缓冲对隐式或显式社交的影响。 放弃戒烟尝试的压力这对促进戒烟有很大的潜力。 设置.然而，没有发表的研究已经解决是否，为什么，以及如何利益相关者（店主， 纹身艺术家和最近纹身的吸烟者）会参与这种新颖的方法。我们将：1）评估 纹身店老板和艺术家对纹身相关戒烟的看法和态度 干预措施和善后捆绑; 2）评估吸烟者对戒烟干预措施的态度， 在纹身和善后方面提供支持; 3）制定初步的循证干预措施 和/或转诊协议，将促进戒烟的背景下，纹身和善后。这 研究有可能为吸烟的传播引入一个从未探索过的渠道和背景 停止干预。在这样做的过程中，这项工作将以一种有效的、 可扩展的干预。