SMS Turkey: Harnessing the power of TXT messaging to promote smoking cessation

描述（由申请人提供）：长期以来，吸烟一直被认为是与高发病率和死亡率相关的重大公共卫生问题。虽然高收入国家的吸烟率有所下降，但在中低收入国家并没有注意到这些趋势。土耳其尤其如此，该国在吸烟消费方面排名世界第六。15岁及以上的土耳其男子中有51-63%吸烟，土耳其妇女中有24-26%吸烟。由于肺癌是男性和女性的主要癌症相关死亡原因，因此需要有效和可获得的戒烟干预措施。手机技术代表了一个独特的机会，通过成年人已经广泛采用的交付机制提供基于证据的戒烟行为治疗。据估计，有3500万土耳其人使用手机，比固定电话普及1.8倍。手机干预是一种独特的交付方法，因为它们具有“永远在线”的能力。手机的迅速普及使我们有可能接触到那些否则可能不会利用戒烟服务的人。在对申请请求（RFA-TW-06-006）的回应中，我们建议设计和评估一种基于证据的吸烟干预措施，该措施利用土耳其成年吸烟者采用的技术。基于STOMP（通过移动的电话戒烟）新西兰，一个基于短信的戒烟计划，SMS（吸烟管理系统）土耳其将是一个社区为基础的干预措施，具有广泛的影响和高影响。为此，我们汇集了一支由吸烟和技术健康专家组成的多国团队，致力于在土耳其建立戒烟研究专业知识的能力，以减轻土耳其与吸烟相关的公共卫生负担。使用定性方法来告知设计和内容以及定量方法来评估可行性和潜在的干预效果，我们建议开发SMS土耳其，这是一种创新的戒烟计划，使用成人广泛采用的技术，目标人群不足，提供积极主动的认知行为疗法（CBT）基于理论的干预。与此同时，我们将通过培训两名医学研究员成为戒烟研究人员，并继续加强国际研究联系，为土耳其未来的戒烟工作建立能力。手机的高覆盖率使我们有可能接触到那些原本不会利用传统戒烟服务的吸烟者，这可能会对公共卫生产生巨大影响。

DESCRIPTION (provided by applicant): Smoking has long been recognized as a significant public health concern associated with great morbidity and mortality. Although smoking rates have decreased in high income countries, these trends have not been noted for tow and middle income countries. This is especially true in Turkey, which was ranked 6th in the world in smoking consumption. Between 51-63% of Turkish men and 24-26% of Turkish women 15 years of age and older are smokers. With lung cancer the leading cancer-related cause of death for both men and women, effective and accessible smoking cessation interventions are needed. Cell phone technology represents a unique opportunity to deliver evidenced-based smoking cessation behavioral treatments through a delivery mechanism already widely adopted by adults. An estimated 35 million Turks were using cell phones, making them 1.8 times more common than land lines. Cell phone interventions are a unique delivery method because of their 'always on' capability. The rapid uptake of cell phones allows us to potentially reach those who might otherwise not utilize smoking cessation services. In this response to Request for Applications (RFA-TW-06-006), we propose to design and evaluate an evidenced-based smoking intervention that takes advantage of technologies adopted by adult smokers in Turkey. Based upon STOMP (Stop smoking by Mobile Phone) New Zealand, a TXT messaging-based smoking cessation program, SMS (Smoking Management System) Turkey will be a community-based intervention that has both wide reach and high impact. To do so, we bring together a multi-national team of smoking and technology health experts dedicated to building the capacity of smoking cessation research expertise in Turkey to reduce the public health burden associated with smoking in Turkey. Using qualitative methods to inform design and content and quantitative methods to assess the feasibility and potential intervention effect, we propose to develop SMS Turkey, an innovative smoking cessation program that uses technology widely adopted by adults, an under-targeted population, to deliver a proactive, cognitive behavioral therapy (CBT)-based, theoretically grounded intervention. Simultaneously, we will build the capacity for future smoking cessation efforts in Turkey by training two medical fellows to become smoking cessation researchers, and continuing to strengthen international research ties. The high reach of cell phones allows us to potentially reach smokers who would otherwise not utilize traditional smoking cessation services, representing the possibility of a large public health impact.