Smartphone Based Smoking Cessation Intervention for Socioeconomically Disadvantaged Adults

针对社会经济弱势成年人的基于智能手机的戒烟干预

• 批准号: 10552631
• 负责人: Michael S. Businelle
• 金额: $ 46.76万
• 依托单位: UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-02-01 至 2025-01-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10552631
• 关键词: Abstinence; Address; Adherence; Adult; Algorithms; Attenuated; Biochemical; Cause of Death; Cellular Phone; Cigarette; Clinic; Counseling; Data; Disease; Ecological momentary assessment; Educational Status; Effectiveness; Exposure to; Failure; Feasibility Studies; Female; Goals; Hour; Household; Income; Individual; Intervention; Measurement; Moods; Morbidity - disease rate; Motivation; Native Americans; Nicotine Dependence; Occupational Status; Oklahoma; Ownership; Participant; Pharmaceutical Preparations; Pilot Projects; Population; Poverty; Psychosocial Factor; Public Health; Randomized; Research; Resources; Risk; Risk Assessment; Risk Estimate; Risk Factors; Schedule; Smoke; Smoker; Smoking; Smoking Cessation Intervention; Social support; Socioeconomic Status; Stress; Technology; Telephone; Time; Tobacco; Transportation; United States; Work; arm; assessment application; comparative efficacy; contextual factors; coping; cost; craving; experience; flexibility; handheld mobile device; health disparity; improved; individualized medicine; insight; low socioeconomic status; male; mortality; negative affect; nicotine craving; nicotine replacement; novel; rural area; smartphone application; smoking abstinence; smoking cessation; smoking prevalence; socioeconomic disadvantage; tailored messaging; treatment group

PROJECT SUMMARY/ABSTRACT Smoking is the leading preventable cause of death and disease in the United States. Although multiple clinic and phone based smoking cessation treatments have been proven effective, most smoking cessation attempts are unaided and unsuccessful. Furthermore, smoking prevalence in socioeconomically disadvantaged adults is higher and cessation rates are lower than among adults with higher socioeconomic status. Previous research has indicated multiple causes of high cessation failure among socioeconomically disadvantaged smokers including greater exposure to other smokers, and higher levels of stress and nicotine cravings. One recent study found that smartphone based ecological momentary assessments (EMAs) can be used to identify moments of high smoking lapse risk in the hours preceding a lapse. Specifically, EMA data were used to create a six-item smoking lapse risk estimator that identified 80% of all smoking lapses within 4 hours of the first lapse. This lapse risk estimator was included as a key component of the smartphone based Smart Treatment (Smart-T) smoking cessation app. The Smart-T app assesses risk for smoking lapse multiple times per day and automatically tailors treatment content based upon an individual's current risk for lapse and currently experienced lapse triggers. Smart-T includes other components (e.g., on demand tips for coping with cravings, stress, mood; benefits of quitting; one click call to the smoking cessation helpline; smoking cessation medication tips). The single arm Smart-T pilot study (N=59) indicated very promising 3 month biochemically verified cessation rates and analyses of EMA data indicated that tailored treatment content attenuated targeted lapse triggers. The proposed study (N=450) will compare the longer-term effects of the Smart-T smoking cessation app with the free and publically available NCI QuitGuide smoking cessation app (Aim 1). It is hypothesized that significantly more participants randomized to the Smart-T condition will be abstinent 26 weeks after a scheduled quit date than those assigned to the QuitGuide app. The second aim of the proposed study will determine if Smart-T messages that are tailored to address key smoking lapse risk variables in real- time (i.e., urge, stress, cigarette availability, cessation motivation) reduce participant ratings of these lapse risk variables compared with similar situations that do not receive this tailored content (QuitGuide group). Automated, tailored, low burden, and easily accessible interventions may be used to help socioeconomically disadvantaged smokers, a population with substantial barriers that have hampered the use of traditional smoking cessation treatments, to quit smoking. Thus, this intervention has the potential to deliver a significant public health impact to exactly those who need it most.

项目摘要/摘要 在美国，吸烟是主要的可预防的死亡和疾病原因。虽然有多家诊所 基于电话的戒烟治疗已经被证明是有效的，大多数戒烟尝试 都是没有帮助和不成功的。此外，在社会经济上处于不利地位的成年人的吸烟率是 与社会经济地位较高的成年人相比，戒毒率更高和更低。以前的研究 已经指出了社会经济上处于不利地位的吸烟者戒烟失败的多种原因 包括更多地接触其他吸烟者，以及更高水平的压力和尼古丁渴望。最近的一次 研究发现，基于智能手机的生态瞬时评估(EMAS)可以用来识别 在吸烟结束前的几个小时内有高吸烟风险的时刻。具体地说，EMA数据用于 创建六项吸烟风险评估，确定80%的吸烟者在吸烟后4小时内吸烟 第一个失误。此失误风险估计器作为基于智能手机的Smart的关键组件包括在内 治疗(Smart-T)戒烟应用程序。Smart-T应用程序多次评估吸烟失误的风险 并根据个人当前的失误和风险自动定制治疗内容 目前有经验的失误触发器。Smart-T包括其他组件(例如，按需提示应对 渴望、压力、情绪；戒烟的好处；一键拨打戒烟帮助热线；戒烟 用药提示)。单臂Smart-T先导研究(N=59)显示了非常有希望的3个月生物化学 经核实的戒断率和对EMA数据的分析表明，量身定制的治疗内容有针对性地减弱 失误触发点。这项拟议的研究(N=450)将比较Smart-T吸烟的长期影响 戒烟应用程序与免费和公开提供的NCI QuitGuide戒烟应用程序(目标1)。它是 假设有更多随机进入Smart-T状态的参与者将禁欲26 比分配给QuitGuide应用程序的戒烟日期晚几周。建议的第二个目标是 研究将确定为解决关键吸烟失误风险变量而量身定做的Smart-T消息是否真实- 时间(例如，冲动、压力、香烟供应、戒烟动机)降低了参与者对这些失误风险的评级 与没有收到此定制内容的类似情况进行比较的变量(QuitGuide组)。 自动化、量身定制、低负担和易于获得的干预措施可以用来帮助社会经济 弱势吸烟者，这一群体有大量的障碍，阻碍了传统吸烟的使用 戒烟治疗，戒烟。因此，这种干预有可能带来重大的 对公共健康的影响恰恰是那些最需要它的人。

项目成果

Racial and ethnic differences in distress, discrimination, substance use coping, and nicotine use among parents during COVID-19.

COVID-19 期间，父母在痛苦、歧视、物质使用应对和尼古丁使用方面存在种族和民族差异。

• DOI: 10.1080/15332640.2022.2128960
• 发表时间: 2022
• 期刊: Journal of ethnicity in substance abuse
• 影响因子: 1.3
• 作者: Clawson,AshleyH;Cole,AshleyB;Kurien,ChristineS;Blair,AlexandraL
• 通讯作者: Blair,AlexandraL

Daily use of nicotine replacement medications is related to daily smoking status: An ecological momentary assessment study.

• DOI: 10.1016/j.drugalcdep.2021.109161
• 发表时间: 2021-12-01
• 期刊: Drug and alcohol dependence
• 影响因子: 4.2
• 作者: Hébert ET;Bhushan T;Ra CK;Frank-Pearce S;Alexander AC;Cole AB;Kendzor DE;Businelle MS
• 通讯作者: Businelle MS

An update on ACEs domain frequencies across race/ethnicity and sex in a nationally representative sample.

全国代表性样本中跨种族/民族和性别的 ACE 域频率的更新。

• DOI: 10.1016/j.chiabu.2022.105686
• 发表时间: 2022
• 期刊: Child abuse & neglect
• 影响因子: 4.8
• 作者: Cole,AshleyB;Armstrong,CassidyM;Giano,ZacharyD;Hubach,RandolphD
• 通讯作者: Hubach,RandolphD

COVID-19 Mental Health Impacts Among Parents of Color and Parents of Children with Asthma.

• DOI: 10.1007/s40615-022-01311-9
• 发表时间: 2023-06
• 期刊: JOURNAL OF RACIAL AND ETHNIC HEALTH DISPARITIES
• 影响因子: 3.9
• 作者: Clawson, Ashley H;Cole, Ashley B;Nwankwo, Cara N;Blair, Alexandra L;Pepper-Davis, Morgan;Ruppe, Nicole M
• 通讯作者: Ruppe, Nicole M