Addressing Tobacco Use Disparities through an Innovative Mobile Phone Intervention: The textto4gosmokelesstobacco

通过创新的手机干预措施解决烟草使用差异：textto4gosmokelesstobacco

• 批准号: 8957285
• 负责人: Devon Noonan
• 金额: $ 47.7万
• 依托单位: DUKE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-08-01 至 2018-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8957285
• 关键词: Abstinence; Academic Research Enhancement Awards; Address; Adopted; Algorithms; American; Cancer Control; Car Phone; Cellular Phone; Computers; Control Groups; Counseling; Cues; Data Collection; Discipline of Nursing; Eating; Fatigue; Friends; Future; Goals; Head and Neck Cancer; Health; Incidence; Intervention; Knowledge; Length; Life; Malignant Neoplasms; Measures; Methods; Morbidity - disease rate; Online Systems; Participant; Patient Self-Report; Patients; Population; Quality of life; Randomized; Randomized Controlled Trials; Reading; Recruitment Activity; Research; Research Infrastructure; Research Personnel; Risk; Rural; Rural Health; Rural Population; Sampling; Schedule; School Nursing; Schools; Services; Site; Smokeless Tobacco; Students; Survival Rate; Techniques; Testing; Text; Time; Tobacco; Tobacco use; United States National Institutes of Health; Urine; Vulnerable Populations; Xerostomia; base; cancer health disparity; cancer prevention; effective intervention; group intervention; health disparity; high risk; improved; innovation; malignant mouth neoplasm; mortality; primary outcome; programs; public health relevance; rural area; smokeless tobacco cessation; smoking cessation; socioeconomics; successful intervention; tobacco control

 DESCRIPTION (provided by applicant): Rural Americans are a vulnerable group at high risk for tobacco-related illness. Smokeless tobacco use is high among rural Americans at 11% and has not decreased significantly in the past decade. Rural Americans who want to quit have access to few innovative interventions. This is a significant missed opportunity for tobacco control in this population. Scheduled Gradual Reduction (SGR) may be an effective intervention to help smokeless tobacco users quit and has been minimally studied. Delivering SGR interventions via Short Message Service (SMS) text messaging is an innovative way to increase reach of smokeless tobacco cessation interventions in rural populations. We propose a 3-year pilot randomized controlled trial to evaluate the feasibility, acceptability and preliminary efficay of a SGR intervention via SMS text messaging plus SMS Support Messages in decreasing smokeless tobacco use in a rural population. The SGR group (n=60) will receive a four week SGR program delivered via SMS text messages plus SMS support messages. The control group (n=30) will receive SMS support messages to aid in quitting. We will use a variety of recruitment methods to obtain our sample and will use 2:1 treatment allocation strategy to be sure we have an adequate sample in the intervention group to generate reliable effect sizes for future studies. Primary outcomes for each participant will be: 1) proportion of messages read (feasibility); 2) ratings of the usefulness of the intervention received (acceptability) and 3) smokeless tobacco cessation at 3 and 6 months (preliminary efficacy). This will be the first SMS texting intervention using SGR with smokeless tobacco users targeting rural smokeless tobacco users who lack access to innovative and effective interventions. If successful, this study can be easily disseminated to rural smokeless tobacco users to aid in cessation, thus helping to decrease tobacco related health disparities.

 描述（由申请人提供）：美国农村地区是罹患烟草相关疾病高风险的弱势群体。美国农村地区的无烟烟草使用率高达 11%，并且在过去十年中并未显着下降。想要戒烟的美国农村人几乎无法获得创新干预措施。这是在该人群中错失的控烟良机。计划逐步减少（SGR）可能是帮助无烟烟草使用者戒烟的有效干预措施，但目前的研究很少。通过短信服务 (SMS) 短信提供 SGR 干预措施是扩大农村人口无烟戒烟干预措施覆盖面的创新方式。我们提议进行一项为期 3 年的试点随机对照试验，以评估通过短信加短信支持消息进行 SGR 干预以减少农村人口无烟烟草使用的可行性、可接受性和初步效果。 SGR 小组（n=60）将收到通过 SMS 文本消息和 SMS 支持消息传递的为期四周的 SGR 计划。对照组（n=30）将收到短信支持消息以帮助戒烟。我们将使用各种招募方法来获取样本，并使用 2:1 治疗分配策略来确保干预组中有足够的样本，以便为未来的研究产生可靠的效应量。每个参与者的主要结果是： 1) 阅读消息的比例（可行性）； 2) 所接受干预措施的有效性评级（可接受性）和 3) 3 个月和 6 个月时的无烟戒烟情况（初步疗效）。这将是首次使用 SGR 对无烟烟草使用者进行短信干预，针对缺乏创新和有效干预措施的农村无烟烟草使用者。如果成功，这项研究可以很容易地传播给农村无烟烟草使用者以帮助戒烟，从而有助于减少与烟草相关的健康差异。