American Indian mHealth Smoking Dependence study (PQ4)

美洲印第安人移动健康吸烟依赖研究 (PQ4)

• 批准号: 8705476
• 负责人: DANIEL G PETEREIT
• 金额: $ 50.5万
• 依托单位: AVERA MCKENNAN
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-17 至 2016-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8705476
• 关键词: Abstinence; Address; Adult; American Indians; Awareness; Behavior; Behavioral; Breath Tests; Cancer Patient; Cancer Survivor; Car Phone; Carbon Monoxide; Cellular Phone; Chronic Disease; Cities; Cognitive; Communities; Community Hospitals; Counseling; Data; Dependence; Devices; Diagnosis; Education; Ensure; Epidemic; Female; Health; Hospitals; Incidence; Individual; Intention; Intervention; Knowledge; Life; Link; Maintenance; Malignant Neoplasms; Measures; Mission; Motivation; Native Americans; Nicotine Dependence; Not Hispanic or Latino; Outcome; Participant; Patient Self-Report; Patients; Pharmacotherapy; Phase; Planning Theory; Population; Population Intervention; Relapse; Research; Reservations; Risk Factors; Rivers; Rural; Sampling; Sioux Indians; Smoke; Smoking; Smoking Behavior; Social support; South Dakota; Surveys; Testing; Teton Sioux Indian; Text; Tobacco; Tobacco Use Cessation; Tobacco use; Translating; Tribes; Walking; Wireless Technology; Work; base; behavior influence; cancer health disparity; cancer recurrence; cancer risk; cancer therapy; cigarette smoking; cost; design; hazard; insight; mHealth; male; mortality; nicotine replacement; northern plains; novel; programs; reservation-based; response; smoking cessation; smoking prevalence; social; success; survivorship; tool; willingness

DESCRIPTION (provided by applicant): Northern Plains American Indians have the highest tobacco use compared with other American Indians and non-Hispanic Whites. Notably, the rate for tobacco related cancers also are higher among Northern Plains American Indians as compared to American Indians living in other regions and for non-Hispanic Whites living in the Northern Plains and elsewhere in the US. Although awareness of these elevated rates of tobacco-related cancers is well known throughout American Indian communities, Northern Plains American Indian adults continue to use tobacco. In addition, Northern Plains American Indian patients with cancer continue to smoke despite knowing that this behavior is related to cancer recurrence, new cancers and other chronic illnesses. Rapid City Regional Hospital's (RCRH) mission is to reduce cancer mortality among American Indians in the Northern Plains. In 2002, Dr. Petereit, the PI for this project, developed the Walking Forward Program which is designed to address cancer disparities among Western South Dakota tribes. To accomplish this, Community Research Representatives have been hired to work with the reservation-based Cheyenne River Sioux, Rosebud Sioux, and Pine Ridge Lakota Sioux and the Rapid City urban Indian community. This study will focus on American Indians living on the Cheyenne River, Rosebud and Pine Ridge Reservations. The proposed project, "American Indian mHealth Smoking Dependence Study (PQ4)," is designed to answer the research question, "Why don't Northern Plain American Indians alter tobacco use behaviors known to increase the risk of cancer?" The study is based on the Theory of Planned Behavior and uses a phase- based framework. mHealth (mobile health), the use of wireless devices such as cell phones to provide health- related information, will facilitate attainment of project aims as it offers a low-cost, efficient way to provide health-related messages to rural and other populations. This will be feasible for this study as access to wireless technology is rapidly increasing among Northern Plains American Indians. The specific aims for the study are: Aim 1: Measure factors that predict smoking behaviors among Northern Plains American Indians; Aim 2: Identify issues and risk factors related to smoking persistence and high relapse behaviors, regardless of knowledge about smoking hazards, among Northern Plains American Indians; and Aim 3: Using the Theory for Planned Behavior, develop and adapt existing tobacco cessation interventions for use with adult Northern Plains American Indians who smoke cigarettes daily. Outcome data will reveal predictors of intention to quit smoking, successful quit attempts, and relapse. Other social cognitive variables that ensure initial quit attempts are translated into longer term abstinence wil be identified. Study results will impact tobacco use among Northern Plains American Indians by providing insight into designing effective cessation interventions for this population.

描述(申请人提供)：与其他美洲印第安人和非西班牙裔白人相比，美国印第安人的烟草使用量最高。值得注意的是，与生活在其他地区的美国印第安人以及居住在北部平原和美国其他地方的非西班牙裔白人相比，与烟草相关的癌症的发病率在北部平原美国印第安人中也更高。尽管美国印第安人社区都知道与烟草相关的癌症发病率上升是众所周知的，但北平原的印第安人成年人继续使用烟草。此外，北平原美洲印第安人癌症患者继续吸烟，尽管他们知道这种行为与癌症复发、新发癌症和其他慢性病有关。快速城市地区医院(RCRH)的使命是降低北部平原地区美洲印第安人的癌症死亡率。2002年，该项目的PI Petereit博士开发了Walking Forward计划，旨在解决南达科他州西部部落之间的癌症差异。为了实现这一目标，社区研究代表被聘请到以保留地为基础的夏延河苏族、罗斯巴德苏族和松树岭拉科塔苏族以及拉皮特城城市印度社区工作。这项研究将重点关注生活在夏延河、玫瑰花蕾和松岭保留地的美国印第安人。这项名为《美国印第安人mHealth吸烟依赖研究(PQ4)》的拟议项目旨在回答这样一个研究问题：为什么北部平原的美国印第安人不改变已知的会增加癌症风险的烟草使用行为？这项研究以计划行为理论为基础，并使用了基于阶段的框架。移动健康(移动健康)，即使用手机等无线设备提供与健康有关的信息，将有助于实现项目目标，因为它提供了一种低成本、高效率的方式，向农村和其他人口提供与健康有关的信息。这对于这项研究来说是可行的，因为北部平原美洲印第安人获得无线技术的机会正在迅速增加。这项研究的具体目标是：目标1：测量预测北部平原印第安人吸烟行为的因素；目标2：确定与北部平原印第安人吸烟持续和高复发行为有关的问题和风险因素，而不考虑对吸烟危害的了解；以及目标3：利用计划行为理论，开发和调整现有的戒烟干预措施，供每天吸烟的成年北部平原印第安人使用。结果数据将揭示戒烟意图、成功戒烟尝试和复发的预测因素。确保最初戒烟尝试转化为长期戒酒的其他社会认知变量将被确定。研究结果将通过为这一人群设计有效的戒烟干预措施提供洞察，从而影响北平原美洲印第安人的烟草使用。