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Mobile Application for Guided Imagery to Address Smoking, Diet and Physical Activ

用于解决吸烟、饮食和身体活动问题的引导图像移动应用程序

基本信息

批准号：
8788510
负责人：
JUDITH SARAH GORDON
金额：
$ 16.62万
依托单位：
UNIVERSITY OF ARIZONA
依托单位国家：
美国
项目类别：
财政年份：
2014
资助国家：
美国
起止时间：
2014-01-01 至 2016-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8788510
关键词：
Acute Address Adult Affect Behavior Behavioral Body Image Body Weight Cancer Etiology Car Phone Cellular Phone Cessation of life Chronic Chronic Disease Chronic Obstructive Airway Disease Cognitive Data Development Diet Dietary Practices Dietary intake Eating Elements Enrollment Ensure Environment Ethnic Origin Ethnic group Feedback Female Focus Groups Future Guided imagery Health Health behavior Imagery Internet Intervention Investigation Life Style Link Malignant neoplasm of lung Measures Overweight Participant Patient Self-Report Persons Physical activity Population Prevention Procedures Public Health Race Randomized Controlled Trials Records Relapse Reporting Research Research Personnel Resources Risk Risk Factors Self Efficacy Smoke Smoker Smoking Technology Testing Text Therapeutic Time Tobacco Use Cessation Tobacco use United States Weight Weight Gain Woman base behavior change cost effectiveness craving design diaries diet and exercise effective intervention efficacy testing experience good diet health application innovation interactive multimedia mHealth male men mobile application nicotine craving non-smoker primary outcome programs prototype racial and ethnic response self esteem smoking cessation theories tobacco abstinence tool usability

项目摘要

DESCRIPTION (provided by applicant): Tobacco use among women now approaches that of men, with approximately 27 million women smokers in the United States alone. Lung cancer is the leading cause of cancer death among women, and more than 180,000 women die of other illnesses linked to smoking annually. Women report greater difficulties quitting smoking and are more likely to relapse than men. In addition, tobacco use co-varies with poor dietary practices and lack of physical activity, with 92% of smokers reporting at least one other health risk factor. The presence of multiple behavioral risk factors greatly increases the risk of developing many acute and chronic conditions (e.g., MI, COPD, etc.). Concerns surrounding weight gain, negative body image, and low self-efficacy, may be key factors affecting smoking cessation among weight-concerned women smokers. These smokers are less satisfied with their bodies, have lower self-esteem, and are more concerned about becoming overweight than non-smokers. These findings suggest that targeting weight concern, body image and self-efficacy to quit with weight-concerned women who smoke may be an effective intervention strategy. One cognitive approach, guided imagery, has been successfully employed in separate lines of inquiry to address physical activity, diet and smoking cessation. However, guided imagery has not been employed to target weight concerned women who smoke or to simultaneously target smoking, diet, and exercise behavior in a single intervention. The proposed study would be the first of its kind to create a theory-based, guided imagery intervention to assist weight-concerned women smokers to quit. While imagery is an effective therapeutic tool for behavior change, the mode of delivery has generally been in-person, limiting the dissemination of guided imagery-based interventions to large populations. Mobile health applications (mobile apps) delivered via smart phones offer a unique channel through which to distribute imagery-based interventions. The use of a mobile app offers an innovative approach to addressing the multiple behaviors involved in smoking cessation efforts of weight-concerned women, and has the potential to reach large numbers of women smokers. If successful, a mobile application for guided imagery could be used to address other health behaviors as well. The present project aims to develop and test the feasibility of a mobile health application using guided imagery in order to increase smoking cessation among a population of weight-concerned women smokers. We will also collect data on the eating and physical activity behaviors of our participants before and after receiving the imagery intervention. Results of this study will prepare us for a future randomized controlled trial to test the efficacy and cost-effectiveness of a multi-behavioral, guided imagery mobile health application versus a single smoking cessation imagery mobile health application.

描述（由申请人提供）：女性的烟草使用率现已接近男性，仅在美国就有大约 2700 万女性吸烟者。肺癌是女性癌症死亡的主要原因，每年有超过 180,000 名女性死于与吸烟有关的其他疾病。女性比男性戒烟更困难，而且更容易复吸。此外，烟草使用与不良饮食习惯和缺乏体力活动共同变化，92% 的吸烟者报告至少还有一项其他健康风险因素。多种行为风险因素的存在大大增加了罹患许多急性和慢性疾病（例如心肌梗死、慢性阻塞性肺病等）的风险。对体重增加、负面身体形象和自我效能感低的担忧可能是影响关注体重的女性吸烟者戒烟的关键因素。这些吸烟者对自己的身体不太满意，自尊心较低，并且比不吸烟者更担心体重超标。这些发现表明，针对体重问题、身体形象和自我效能感，对关注体重的吸烟女性戒烟可能是一种有效的干预策略。一种认知方法，即引导意象，已成功应用于不同的调查领域，以解决身体活动、饮食和戒烟问题。然而，引导意象尚未用于针对关注体重的吸烟女性，或在单次干预中同时针对吸烟、饮食和运动行为。这项拟议的研究将是同类研究中第一个创建基于理论、引导意象干预的研究，以帮助关注体重的女性吸烟者戒烟。虽然意象是行为改变的有效治疗工具，但其传递方式通常是面对面的，这限制了基于意象引导的干预措施向大量人群的传播。通过智能手机提供的移动健康应用程序（移动应用程序）提供了一个独特的渠道来分发基于图像的干预措施。移动应用程序的使用提供了一种创新方法来解决关注体重的女性戒烟努力中涉及的多种行为，并有可能惠及大量女性吸烟者。如果成功，将推出一个移动应用程序引导图像也可用于解决其他健康行为。本项目旨在开发和测试使用引导图像的移动健康应用程序的可行性，以提高关注体重的女性吸烟者的戒烟率。我们还将收集参与者在接受意象干预前后的饮食和身体活动行为的数据。这项研究的结果将为我们未来的随机对照试验做好准备，以测试多行为引导图像移动健康应用程序与单一戒烟图像移动健康应用程序的功效和成本效益。