Latinos Kick Buts: Mobile Engagement and Cessation Support for Latino Smokers Phase II

项目摘要 尽管对戒烟服务的需求越来越大，但拉丁裔吸烟者在戒烟方面面临着显着的差异 治疗因此，从科学和商业的角度来看， 并测试最佳的文化定制方法，以招募和吸引拉丁美洲吸烟者戒烟 程序.敏捷健康拥有的Kick Buts程序已被证明是一种非常有效的移动的短信- 基于临床试验的戒烟计划，现在有180多万员工可以使用， 患者然而，拉丁裔吸烟者在该计划中的参与率非常低。在STTR第一阶段，我们 开发并测试了英语和西班牙语的文化相关版本的踢屁股计划，以更好地 参与，增加戒烟尝试并改善拉丁美洲吸烟者的戒烟结果，拉丁美洲人踢屁股 （LKB）。确保LKB商业化的下一步将是提高覆盖范围，入学率和 保留在LKB中。在第二阶段，我们的目标是比较4种基于理论的短信类型的影响 （奖励，稀缺性，恐惧/自我效能和社会规范）对拉丁裔吸烟者进入LKB的登记。我们将部署 Hackensack Meridian Health是美国最大的医疗保健机构之一， 美国的系统，增加拉丁裔吸烟者在拉丁裔踢屁股计划中的注册和保留。 拉丁裔吸烟者（N = 2，600）将随机接受每周最多5条消息（每天一次，在不同的时间点） 一天中的时间和一周中的不同日子）。吸烟者回应 这些信息将自动加入LKB程序，并开始接收"退出决策支持" 旨在指导吸烟者制定个性化戒烟计划的信息。两周后，吸烟者 不响应第一类型的消息将被重新随机化以接收前两个执行消息之一 从第一个消息传递周期产生的类型。第二个周期的无应答者将再次重新随机化 以接收另一循环的前两个执行消息。在所有三个周期完成后，我们预计， 至少有629名拉丁裔吸烟者将在LKB注册。我们将仔细跟踪参与度、保留率和满意度 关于LKB目标1.比较4种基于理论的短信类型对拉丁裔吸烟者登记的影响 到LKB。目标2：确定一周中最有可能导致入组的日期和时间， 了解按年龄、性别、社会经济地位和出生国划分的不同信息的注册情况。目的 3：评估临床人群对LKB的参与度和满意度，并生成戒烟估计值 在不同的拉丁裔群体中。

PROJECT SUMMARY Despite a growing need for smoking cessation services, Latino smokers face notable disparities in cessation treatment. Consequently, there is a big opportunity, both from a scientific and a business perspective, to develop and test the most optimal culturally tailored approaches to enroll and engage Latino Smokers into cessation programs. The Kick Buts program owned by Agile Health has shown to be a highly effective mobile text message- based smoking cessation program in clinical trials and is now available to more than 1.8 million employees and patients. However, Latino smokers’ engagement rates in the program are very low. In the STTR Phase I, we developed and tested a culturally-relevant version of the Kick Buts program in English and Spanish to better engage, increase quit attempts and improve cessation outcomes among Latino smokers, Latinos Kick Buts (LKB). The next step to assure the commercialization of the LKB will be to improve the reach, enrollment and retention in the LKB. In this Phase II our goal is to compare the impact of 4 theory-based text message types (reward, scarcity, fear/self-efficacy and social norms) on enrollment of Latino smokers into LKB. We will deploy these messages among Latino smokers served by Hackensack Meridian Health, one of the largest healthcare systems in the U.S., to increase the enrollment and retention of Latino smokers in the Latinos Kick Buts program. Latino smokers (N = 2,600) will be randomized to receive up to five messages/week (once a day at different times of the day and different days of the week) from one of the four message types. Smokers responding to these messages will be automatically enrolled in the LKB program and begin to receive “quit decision support” messages designed to guide smokers to develop a personalized quit plan. Two weeks later, smokers who do not respond to the first type of messages will be re-randomized to receive one of the top two performing message types arising from the first cycle of messaging. Non-responders to the second cycle will be re-randomized again to receive another cycle of the top two performing messages. After all three cycles are complete, we expect that at least 629 Latino smokers will enroll in LKB. We will carefully track engagement, retention, and satisfaction with LKB. Aim 1. To compare the impact of 4 theory-based text message types on enrollment of Latino smokers into LKB. Aim 2: To identify days of the week and times of the day most likely to lead to enrollment as well as understand enrollment into different messages by age, gender, socioeconomic status, and country of birth. Aim 3: To assess engagement and satisfaction with LKB in a clinic population and generate estimates of cessation among diverse group of Latinos.