Communication Messages to Reduce Youth Multiple Tobacco Product Use

减少青少年多种烟草产品使用的沟通信息

• 批准号: 10505773
• 负责人: Sarah Kowitt
• 金额: $ 15.97万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-13 至 2027-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10505773
• 关键词: Adult; Affective; Age; Applications Grants; Award; Cigar; Cigarette; Cognitive; Communication; Communication Research; Cues; Development; Educational workshop; Effectiveness; Electronic cigarette; Elements; Emotions; Experimental Designs; Focus Groups; Goals; Image; Intervention; K-Series Research Career Programs; Lead; Mental Health; Mentorship; Methods; Myocardial Infarction; Nicotine; Nicotine Dependence; Pattern; Performance; Prevalence; Randomized; Randomized Controlled Trials; Reaction; Research; Research Activity; Respiratory Disease; Risk; Risk Factors; Self Efficacy; Smoker; Socioeconomic Status; Stroke; Symptoms; Testing; Text Messaging; Time; Tobacco; Tobacco Dependence; Tobacco use; Training; United States; Work; Youth; apprenticeship; arm; base; behavioral outcome; cardiovascular risk factor; career; communication theory; design; eHealth; effectiveness testing; experimental study; hands on research; health communication; high risk; innovation; interest; low socioeconomic status; prevent; preventable death; substance use; theories; tobacco control; tobacco products; tobacco user

PROJECT SUMMARY/ABSTRACT Tobacco use remains the leading cause of preventable death in the United States. Almost 50% of youth tobacco users now concurrently use two or more tobacco products—defined as multiple tobacco product (MTP) use. Youth MTP use is concerning because it associated with a two-fold increase in nicotine dependence symptoms, decreased likelihood of successful quitting, and increased risk of other substance use and mental health problems. Many communication messages exist to warn youth of the harms of specific tobacco products, like e-cigarettes or cigarettes. However, almost all tobacco communication messages focus on one tobacco product at a time, which could lead MTP users to consume the tobacco product that is not the target of the messages. Moreover, these communication messages may not work well with MTP users who are more likely than single tobacco users to underestimate the harms of tobacco, be more dependent on nicotine, and be of lower socioeconomic status (SES). The overarching goal of the proposed K01 project is to develop and evaluate messages about the harms of MTP use. The primary hypothesis is that MTP messages will increase intentions to quit using all tobacco products more than existing messages that focus only on single tobacco products and control messages. A secondary goal is to determine the impact of messages among youth at higher risk of MTP use, specifically youth of lower SES. In Aim 1, I will identify effective themes for youth-oriented messages that communicate the harms of MTP use. In Aim 2, I will develop a set of high impact messages that discourages MTP use among youth and determine whether other message elements (e.g., testimonials, quitting approach, self-efficacy cue) increase tobacco quit intentions using a discrete choice experiment (DCE) with youth MTP users. Finally, in Aim 3, I will conduct a three-arm pilot randomized controlled trial (RCT) with youth MTP users (50% lower SES) to see if the MTP messages delivered as text messages over a two-week period increase tobacco quit intentions more than existing messages that focus only on single tobacco products and control messages. This research would make significant and timely contributions to the development of tobacco control communication strategies in the United States and is responsive to FDA’s interest in communications research. My long-term career goal is to conduct independent research that focuses on preventing and reducing youth tobacco use through health communication interventions. This career development award will help me reach this goal by providing new training in a) health communication theory and message development, b) experimental design for health communication research, including design of discrete choice experiments, and c) eHealth interventions for youth. My training plan includes apprenticeships with my mentorship team, formal coursework, hands-on research activities, and workshops. This award will culminate in a R01 application for a full-scale RCT testing the effectiveness of MTP messages on quit attempts and other behavioral outcomes among youth MTP users.

项目概要/摘要 烟草使用仍然是美国可预防死亡的主要原因。近50%的年轻人 烟草使用者现在同时使用两种或多种烟草产品——定义为多种烟草产品 （MTP）使用。青少年使用 MTP 令人担忧，因为它与尼古丁含量增加两倍有关 依赖性症状、成功戒烟的可能性降低以及使用其他物质的风险增加 和心理健康问题。许多沟通信息都是为​​了警告青少年特定行为的危害 烟草产品，如电子烟或香烟。然而，几乎所有烟草传播信息 一次专注于一种烟草产品，这可能会导致 MTP 使用者消费以下烟草产品： 不是消息的目标。此外，这些通信消息可能无法与 MTP 很好地配合 比单一烟草使用者更有可能低估烟草危害的使用者 依赖尼古丁，并且社会经济地位 (SES) 较低。拟议的总体目标 K01 项目旨在开发和评估有关 MTP 使用危害的信息。主要假设是 MTP 信息将比现有信息更能提高戒烟所有烟草制品的意愿 仅关注单一烟草产品和控制信息。第二个目标是确定影响 向使用 MTP 风险较高的青少年，特别是社会经济地位较低的青少年传达的信息。在目标 1 中，我将确定 面向年轻人的有效主题，传达使用 MTP 的危害。在目标 2 中，我将 制定一套高影响力的信息，阻止青少年使用 MTP，并确定其他措施是否 信息元素（例如感言、戒烟方法、自我效能提示）增加戒烟意愿 对青年 MTP 用户进行离散选择实验 (DCE)。最后，在目标 3 中，我将进行三臂训练 针对青年 MTP 用户（SES 低 50%）的试点随机对照试验 (RCT)，以了解 MTP 信息是否有效 在两周内以短信形式发送的戒烟意愿比现有的戒烟意愿更高 仅关注单一烟草产品和控制信息的信息。这项研究将使 对烟草控制传播战略的制定做出了重大而及时的贡献 美国并响应 FDA 对通信研究的兴趣。我的长期职业目标是 进行独立研究，重点是通过健康预防和减少青少年吸烟 沟通干预。该职业发展奖将通过提供新的机会帮助我实现这一目标 a) 健康传播理论和信息开发，b) 健康实验设计培训 传播研究，包括离散选择实验的设计，以及 c) 电子健康干预措施 青年。我的培训计划包括与我的导师团队一起学徒、正式课程、实践 研究活动和研讨会。该奖项最终将导致 R01 申请全面 RCT 测试 MTP 信息对青年 MTP 用户戒烟尝试和其他行为结果的有效性。