Effects of Message Framing on Cessation among Couples where both Partners Smoke

消息框架对双方吸烟的夫妇戒烟的影响

• 批准号: 8436206
• 负责人: ISAAC M LIPKUS
• 金额: $ 18.11万
• 依托单位: DUKE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-03-01 至 2015-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8436206
• 关键词: Abstinence; Affect; Appearance; Attention; Behavioral; Cells; Commit; Couples; Data; Disadvantaged; Evaluation; Exposure to; Failure; Family; Future; Guidelines; Health; Home environment; Individual; Influentials; Intervention; Interview; Investigation; Joints; Life; Literature; Measures; Mediator of activation protein; Motivation; Outcome; Participant; Patient Self-Report; Persons; Prevalence; Process; Public Health; Questionnaires; Randomized; Reaction; Relapse; Research; Research Personnel; Risk; Self Efficacy; Smoke; Smoker; Smoking; Smoking Behavior; Smoking Cessation Intervention; Social support; Surveys; System; Text; Time; Transcript; Work; Writing; base; behavior change; clinical practice; coping; cost; design; effective intervention; follow-up; high risk; insight; member; novel; post intervention; randomized trial; risk perception; self help; sex; smoking cessation; theories; therapy design

DESCRIPTION (provided by applicant): Couples in which both members smoke represent key targets for smoking cessation interventions. Quit rates are lower and relapse rates are higher among these individuals, and each person's health risks are amplified due to exposure to their partner's smoking. As a strategy to promote quit, and despite these facts, message framing interventions have not highlighted how smoking outcomes related to health, appearance and finances might affect both partners in a couple jointly. For couples in which both partners smoke, intervention messages can highlight how positive outcomes of quitting (i.e., positive frame) or costs of not quitting (i.e., negative frame) affect the individual smoker or the couple. This study extends prior framing research by examining how gain- versus loss-framed messages focused on individual- versus couple-level outcomes influence (a) message acceptance, operationalized by evaluations of message accuracy, credibility and outcome relevance; (b) likely mediators of successful cessation at both individual and relationship levels, including intentions, risk perceptions, self- and dyadic efficacy, and communal coping operationalized both by self-report and first person plural pronoun use (we-talk) in a couple conversation about quitting; and (c) smoking behavior change over 6 months, verified biochemically. Participants will be 120 couples (married or living as married, same and opposite sex) in which both members smoke and neither plans to quit during the next 30 days. We will randomize couples to 1 of 4 cells in a 2 x 2 factorial design that crosses gain vs. loss frame with self vs. couple outcomes focus. The specific intervention manipulations will be implemented and reinforced via written narratives, summaries of key framing points, and booster messages given 1 week after the initial intervention session. In addition to a baseline assessment before randomization, couples will complete an immediate post-intervention survey assessing message acceptance plus hypothesized individual and relational mediators; participate in a joint post-intervention interview about smoking (with transcripts later yielding "we-talk" via automatic text analysis); and provide follow-up data 1 and 6 months later to assess outcomes such as intentions to quit, amount smoked, and cessation. We hypothesize that (a) framed messages focused on couple- rather than individual-level outcomes will be more effective in motivating quitting; (b) gain-framed messages will be more persuasive than loss-framed messages, especially when the message outcome focus is the couple; (c) couple-focused messages will be most effective in prompting hypothesized relational change mechanisms such as dyadic efficacy and communal coping; and (d) all these associations will be stronger in couples with high relationship quality. If results provide preliminary support for these novel and uninvestigated hypotheses, effect size estimates will be used to propose a larger randomized trial. This research should add important strategic insights to new applications of message framing in clinical practice and public health when the high-risk target group is couples in which both partners smoke.

描述（由申请人提供）：两个成员烟雾的夫妻代表了戒烟干预措施的关键目标。这些人的戒烟率较低，复发率更高，并且由于暴露于伴侣的吸烟中，每个人的健康风险都会放大。作为促进戒烟的策略，尽管这些事实，但消息框架干预措施并未强调与健康，外观和财务相关的吸烟结果如何共同影响双方。对于两个伴侣抽烟的夫妻，干预信息可以突出戒烟的积极结果（即积极的框架）或不退出的成本（即负面框架）会影响单个吸烟者或夫妇。这项研究通过研究如何通过评估信息准确性，可信度和结果相关性评估来操作的，将收集到个人与夫妇级别的结果影响（a）信息接受（a）信息的影响（a）信息接受（a）信息的影响（a）信息，从而扩展了先前的框架研究； （b）可能在个人和关系水平上成功停止的调解人， 包括意图，风险感知，自我和二元效力以及通过自我报告和第一人称复数代词使用（We-Talk）在一对有关退出的对话中运作的公共应对； （c）在6个月内，吸烟行为改变了生化。参与者将是120对夫妇（已婚或与已婚，同性和异性生活在一起），在接下来的30天内，两个成员都会吸烟，两者都没有计划退出。我们将在2 x 2阶乘设计中将夫妇随机到4个单元中的1个，该设计与与损失框架相比 自我与情侣成果的重点。特定的干预操作将通过书面叙述，关键框架点的摘要以及在初次干预课后1周发出的助推器消息来实施和加强。除了在随机分组之前进行基线评估外，夫妻还将完成干预后调查评估信息接受以及假设的个人和关系调解人；参加有关吸烟后的干预后访谈​​（成绩单后来通过自动文本分析产生“ We-Talk”）；并在1和6个月后提供后续数据，以评估诸如戒烟，抽烟和停止的意图之类的结果。我们假设（a）集中在夫妇而不是个人级别的结果上会更有效地激励退出； （b）与损失框架的消息相比，增益框架的消息将更具说服力，尤其是当消息结果焦点是这对夫妇时； （c）以夫妇为中心的信息将最有效地提示假设的关系变化机制，例如二元疗效和公共应对； （d）在关系质量高的夫妇中，所有这些关联都将更加强大。如果结果为这些新颖和未经研究的假设提供初步支持，则效应大小估计将用于提出更大的随机试验。这项研究应在临床实践和公共卫生中的消息框架的新应用中增加重要的战略见解，而高风险的目标群体是双方都吸烟的夫妻。