Twitter-enabled Mobile Messaging for Smoking Relapse Prevention

支持 Twitter 的移动消息用于预防吸烟复吸

• 批准号: 8505466
• 负责人: Cornelia Pechmann
• 金额: $ 13.9万
• 依托单位: UNIVERSITY OF CALIFORNIA-IRVINE
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-07-01 至 2014-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8505466
• 关键词: Abstinence; Behavior; Car Phone; Clinical; Communication; Data; Development; Ensure; Feedback; Guidelines; Individual; Interdisciplinary Study; Internet; Intervention; Life; Methodology; Methods; Monitor; National Cancer Institute; Online Systems; Participant; Persons; Phase; Phase II Clinical Trials; Prevalence; Protocols documentation; Randomized; Randomized Controlled Trials; Relapse; Research; Services; Smoker; Social Network; Social support; Support Groups; Symptoms; Technology; Testing; Text; Training; Treatment Protocols; Withholding Treatment; Work; base; comparative efficacy; computer generated; computer program; cost; disorder later incidence prevention; experience; innovation; member; new technology; nicotine patch; novel; peer; peer influence; primary outcome; protocol development; screening; smoking cessation; smoking relapse; success; tobacco prevention; treatment strategy; trial comparing; virtual; web site

DESCRIPTION (provided by applicant): Smoking relapse rates remain high, innovative strategies are needed to lower them, and technology may help. This developmental research will examine whether providing virtual (web-based) social support to smokers, through Twitter-enabled interactive peer texting, can help smokers quit and avoid relapses. Twitter is a free social networking and micro-blogging service, one of the most advanced and novel technologies available today that can provide social support to smokers, and it is the only service that provides free texting to groups. It is global and has many features that are associated with treatment success including interactive, multi-way, live messaging and mobile accessibility, because the messages go instantly to mobile phones and to the web. In Phase I, we will develop a treatment protocol for smoking cessation and relapse prevention that is based on Twitter-enabled interactive peer messaging (Aim 1). In a one-year protocol development study (N=40), we will form two 20-person virtual quit smoking groups of smokers intending to quit in the next 30 days and encourage the members to interactively text each other on mobile phones. All participants will receive 8 weeks of free nicotine patches and referral to the National Cancer Institute's (NCI) online Smokefree.gov Quit Guide; they will also be asked to select a quit date in the next 2 weeks to ensure everyone is facing similar cessation tasks and symptoms and thereby facilitate peer communication. The primary outcomes will be 7-day point prevalence abstinence at 7, 30 and 60 days following the quit date. An automated computer program will monitor each group's engagement by analyzing the number of Twitter messages exchanged by date and username, and will provide computer-generated feedback to the groups to optimize engagement. In this study, we will also test our methods for recruitment and screening, Twitter training, and assessments and refine our protocol as needed to ensure a viable Phase II trial. In Phase II, we will conduct a two-condition randomized controlled trial (Aim 2). Again, all participants (N=240) will receive 8 weeks of free nicotine patches and referral to the NCI's online Smokefree.gov Quit Guide, and will be asked to identify a quit date in the next 2 weeks. Randomization, at the individual level, will be to one of two conditions: (1) Twitter-enabled interactive peer messaging that consists of virtual quit-smoking groups that interactively text (protocol developed in Phase I), or (2) a control condition, which will not receive the Twitter intervention. There will be 6 quit-smoking Twitter support groups with 20 smokers randomly assigned to each group (N=120, plus 120 controls). The primary outcomes will be 7-day point prevalence abstinence at 7, 30 and 60 days following the quit date. This two phase research will provide pivotal pilot data and crucial information about the viability and methodology of a longer-term and broader scale randomized controlled trial.

描述(由申请者提供)：吸烟复发率仍然很高，需要创新的策略来降低它们，技术可能会有所帮助。这项发展研究将考察通过推特支持的互动同伴短信向吸烟者提供虚拟(基于网络)的社会支持是否可以帮助吸烟者戒烟并避免复发。Twitter是一项免费的社交网络和微博服务，是当今最先进和最新颖的技术之一，可以为吸烟者提供社交支持，也是唯一一项向团体提供免费短信的服务。它是全球性的，具有许多与治疗成功相关的功能，包括互动、多路、实时消息和移动可访问性，因为消息会立即发送到手机和网络上。在第一阶段，我们将开发一种戒烟和预防复发的治疗方案，该方案基于推特启用的交互式对等消息(AIM 1)。在一项为期一年的协议开发研究中(N=40)，我们将组成两个20人的虚拟戒烟小组，这些吸烟者打算在未来30天内戒烟，并鼓励成员通过手机互动发短信。所有参与者都将获得为期8周的免费尼古丁贴片，并被推荐到国家癌症研究所(NCI)的在线Smokefre.gov戒烟指南；他们还将被要求在未来2周内选择戒烟日期，以确保每个人都面临类似的戒烟任务和症状，从而促进同行交流。主要结果将是戒烟后7天、30天和60天的7天时点戒断率。一个自动化的计算机程序将通过分析按日期和用户名交换的Twitter消息数量来监控每个小组的参与度，并将向这些小组提供计算机生成的反馈，以优化参与度。在这项研究中，我们还将测试我们的招募和筛选、推特培训和评估的方法，并根据需要改进我们的方案，以确保可行的第二阶段试验。在第二阶段，我们将进行一项两条件随机对照试验(目标2)。同样，所有参与者(N=240)将获得8周的免费尼古丁贴片，并被推荐到NCI的在线Smokefre.gov戒烟指南，并将被要求在接下来的2周内确定戒烟日期。在个人层面上，随机化将针对以下两种情况之一：(1)启用Twitter的互动同行消息，由虚拟戒烟小组交互发送短信(第一阶段制定的协议)，或(2)不接受Twitter干预的控制条件。将有6个戒烟Twitter支持小组，每个小组随机分配20名吸烟者(N=120，外加120名对照组)。主要结果将是戒烟后7天、30天和60天的7天时点戒断率。这两个阶段的研究将提供关键的试点数据和关于长期和更广泛规模的随机对照试验的可行性和方法学的关键信息。

项目成果

Randomised controlled trial evaluation of Tweet2Quit: a social network quit-smoking intervention.

• DOI: 10.1136/tobaccocontrol-2015-052768
• 发表时间: 2017-03
• 期刊: Tobacco control
• 影响因子: 5.2
• 作者: Pechmann C;Delucchi K;Lakon CM;Prochaska JJ
• 通讯作者: Prochaska JJ

Perceived Costs versus Actual Benefits of Demographic Self-Disclosure in Online Support Groups.

• DOI: 10.1002/jcpy.1200
• 发表时间: 2021-07
• 期刊: JOURNAL OF CONSUMER PSYCHOLOGY
• 影响因子: 4.8
• 作者: Pechmann, Cornelia (Connie);Yoon, Kelly Eunjung;Trapido, Denis;Prochaska, Judith J.
• 通讯作者: Prochaska, Judith J.