Feasibility of a Web-based Smoking Cessation Program for Vocational Students

高职学生网上戒烟计划的可行性

• 批准号: 8239517
• 负责人: ALEXANDRA LOUKAS
• 金额: $ 16.23万
• 依托单位: UNIVERSITY OF TEXAS AT AUSTIN
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-04-01 至 2014-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8239517
• 关键词: Address; Adult; Categories; Cessation of life; Characteristics; Cigarette; Control Groups; Enrollment; Female; Goals; Healthy People 2010; Individual; Intervention; Interview; Lead; Link; Morbidity - disease rate; Online Systems; Participant; Persuasive Communication; Population; Population Programs; Population Study; Prevalence; Psychosocial Factor; Randomized; Randomized Controlled Trials; Reporting; Research; Resources; Role; Sample Size; Sampling; Schools; Smoker; Smoking; Socioeconomic Status; Stress; Students; Texas; Time; Tobacco; Tobacco Use Cessation; Tobacco use; United States; Visit; Withholding Treatment; base; cigarette smoking; cost; depressive symptoms; efficacy testing; evidence base; falls; health disparity; low socioeconomic status; mortality; peer; programs; public health relevance; reduce tobacco use; satisfaction; smoking cessation; social cognitive theory; theories; web site; young adult

DESCRIPTION (provided by applicant): Young adults and individuals in the lowest socioeconomic status (SES) categories report the highest rates of cigarette use and lowest rates of cessation. Although young adult smokers from backgrounds characterized by low SES are just as likely as their higher SES peers to attempt to quit smoking, they are less likely to use effective cessation treatments and less likely to actually quit. Individuals who occupy lower SES categories may not use effective cessation treatments due to lack of resources, assistance, and/or support. These individuals may also prefer to quit on their own, without the use of cessation aids. Web-based programs tailored to individual characteristics relevant to smoking cessation are one of the only types of cessation programs that are self-directed and can reach large numbers of smokers for very little cost. Yet, research examining smoking cessation using tailored web-based programs has focused almost exclusively on higher SES, White female smokers. The purpose of this study is to examine the feasibility of a tailored web-based cessation program for a racially/ethnically diverse sample of young adult smokers from lower SES backgrounds. Utilization and acceptability will be assessed by randomly assigning individuals either to a tailored web-based smoking cessation program based on social cognitive theory and studies of persuasive communications or to a control condition comprising a non-tailored web-based program providing evidence- based smoking cessation information. Both programs will be self-paced, allowing individuals to choose when and where they visit them. Participants will be smokers enrolled in post-secondary vocational/technical programs who want to quit smoking. The Specific Aims of the proposed project are to 1) Determine if young adult smokers from low SES backgrounds will use a tailored web-based cessation program and find it an acceptable means for quitting, 2) Identify the psychosocial variables relevant to young adult smokers from low SES backgrounds (e.g., financial stress, role overload, depressive symptoms) that contribute to variability in utilization and acceptability of the web-based program, and 3) Use individual interviews to determine how to increase utilization and acceptability of the tailored web-based program, and maximize its appeal to young adult smokers from low SES backgrounds. If successful, this project will lead to a multi-year R01 proposal testing the efficacy of a tailored web-based smoking cessation program in a larger randomized controlled trial. Results from Specific Aims 2 and 3 will be used to modify the existing web-based program to further tailor it to the needs of young adults occupying lower SES categories. The long-term goal of this research is to develop effective smoking cessation programs for young adults from low SES backgrounds that ultimately will decrease disparities in tobacco use and tobacco-related morbidity and mortality. PUBLIC HEALTH RELEVANCE: Tobacco use remains the leading cause of preventable death in the United States. Young adults and individuals occupying the lowest socioeconomic status (SES) categories are disproportionately represented among smokers. Identifying low-cost smoking cessation programs that can reach, appeal to, and are effective for large numbers of smokers from low SES backgrounds, will have a major impact on decreasing disparities in smoking and smoking-related morbidity and mortality.

描述（由申请人提供）：最低的社会经济地位（SES）类别中的年轻人和个人报告了使用卷烟使用率最高，停止率最低。尽管以低SES为特征的背景的年轻吸烟者与试图戒烟的较高的SES同龄人一样可能，但他们不太可能使用有效的戒烟治疗，而实际戒烟的可能性较小。由于缺乏资源，援助和/或支持，因此占据SES类别较低的个人可能不会使用有效的停止治疗。这些人也可能宁愿在不使用戒烟艾滋病的情况下自行退出。量身定制的与戒烟有关的个人特征量身定制的基于Web的程序是自我指导的戒烟计划的唯一类型，并且几乎没有成本就可以吸引大量吸烟者。但是，使用量身定制的基于Web的程序检查戒烟的研究几乎完全集中在更高的SES，白人女性吸烟者上。这项研究的目的是检查量身定制的基于Web的戒烟计划的可行性，用于从SES背景较低的年轻人吸烟者的种族/种族多样性样本。利用和可接受性将通过将个体随机分配给基于社会认知理论的量身定制的基于Web的吸烟戒烟计划，并对有说服力的沟通进行研究，或者针对包括基于循证的基于循证的戒烟信息的非计算基于网络的计划的控制条件。这两个程序都是自动节奏的，允许个人选择何时何地访问他们。参与者将是参加大专职业/技术计划的吸烟者，他们想戒烟。拟议项目的具体目的是1）确定来自低SES背景的年轻成年吸烟者是否使用量身定制的基于网络的戒烟计划，并发现它是戒烟的可接受手段，2）确定与低SES背景的年轻吸烟者相关的年轻人吸烟者（例如，在财务压力，抑郁症状，抑郁症状上）的性能和u的可变性），该效果的可变性和u的可变性），该症状是对u的可变性的）。提高基于Web的程序的利用率和可接受性，并最大程度地吸引了来自低SES背景的年轻吸烟者。如果成功，该项目将导致多年的R01提案测试基于Web的戒烟计划在更大的随机对照试验中的功效。特定目标2和3的结果将用于修改现有的基于Web的程序，以进一步根据占据较低SES类别的年轻人的需求进行定制。这项研究的长期目标是为来自低SES背景的年轻人制定有效的戒烟计划，最终将减少烟草使用和与烟草相关的发病率和死亡率的差异。 公共卫生相关性：烟草使用仍然是美国可预防死亡的主要原因。在吸烟者中，占据最低社会经济地位（SES）类别的年轻人和个人的代表不成比例。确定可以达到，对来自低SES背景的大量吸烟者有效的低成本戒烟计划，将对减少吸烟和吸烟相关的发病率和死亡率的差异产生重大影响。