Twitter-Based Intervention for Young Adult African American Blunt Smokers

7.项目摘要/摘要 这项以患者为导向的导师研究职业发展奖(K23)将发展申请者Dr。 Latrice Montgomery，成为一名独立调查员，他可以评估数字健康技术以改进 在非洲裔美国青年中参与和治疗大麻和烟草的共同使用。职业生涯 计划建议培训和阶段IA-IB干预开发研究，并延长申请者的优先 研究和培训，以满足三个领域的职业发展目标：1)临床试验方法和 纵向数据分析，特别是戒烟试验(温胡森)，2)互联网的发展- 基于社交媒体的干预措施，以解决非裔美国年轻人中共同使用大麻和烟草的问题 成人(普罗查斯卡和布德尼)和3)混合方法研究(普莱诺·克拉克)。这些目标将是 通过正式的课程、研讨会和会议完成，并由 上瘾领域。在本申请中，将在申请者培训的基础上进行三项相关研究 目标，并将有助于加深对如何应用社交媒体来宣传直白的理解 在非洲裔美国年轻人中减少使用。钝化(中空的烟草雪茄壳已填充 大麻)在非裔美国年轻人中被广泛使用，并与更多 严重的大麻使用问题，如无法减少使用，以及健康问题，如增加 由于接触大量一氧化碳，有患心血管和肺部疾病的风险。尽管如此 虽然药物使用对健康有负面影响，但针对钝性使用的干预措施很少，尤其是 在非裔美国年轻人中。Twitter等社交媒体网站提供了独特的机会 提供基于健康的在线干预措施，因为它们很受欢迎，而且有能力接触到服务不足和 可能不愿进入或继续从事传统药物滥用的弱势群体 治疗。因此，申请者将从本奖项中获得的培训和技能应用于以下项目 研究目的：(1)用混合的方法表征文化规范、钝化使用、戒烟的模式 对基于社交媒体的钝性疾病干预的经验、治疗需求以及态度和偏好 在非洲裔美国年轻人中减少使用，(2)从混合方法中得出综合结论 为基于Twitter的干预的开发和试点测试提供信息的数据，以及3)进行小规模 测试基于推特的治疗的可接受性、可行性和初步疗效的随机临床试验 对非裔美国年轻人迟钝吸烟者的干预。培训的经验和结果 拟议的工作将使申请者能够寻求未来独立的NIH资金来开发这一系列 研究、调整和测试未来基于互联网的社交媒体对大麻和烟草共同使用的干预措施 在非裔美国年轻人中。

7. Project Summary/Abstract This Mentored Patient-Oriented Research Career Development Award (K23) will develop the applicant, Dr. LaTrice Montgomery, into an independent investigator who can evaluate digital health technologies to improve engagement and treatment of cannabis and tobacco co-use among African American young adults. The career plan proposes training and stage IA-IB intervention development research and extends the applicant’s prior research and training to address career development goals in three areas: 1) clinical trials methodology and longitudinal data analysis, especially for smoking cessation trials (Winhusen), 2) the development of internet- based social media interventions to address co-use of cannabis and tobacco among African American young adults (Prochaska and Budney) and 3) mixed methods research (Plano Clark). These goals will be accomplished through formal coursework, seminars, and conferences under the mentorship of leaders in the addiction field. In this application, three related studies will be conducted that build on the applicant’s training goals and will contribute to an increased understanding of how social media can be applied to promote blunt use reduction among African American young adults. Blunts (hollowed-out tobacco cigar shells that are filled with cannabis) are widely used among African American young adults and have been associated with more severe cannabis use problems, such as inability to cut down use, and health problems, such as an increased risk of cardiovascular and pulmonary diseases due to high levels of carbon monoxide exposure. Despite these negative drug use and health effects, few interventions have been designed to address blunt use, especially among African American young adults. Social media sites, such as Twitter, present unique opportunities to deliver online health-based interventions due to their popularity and ability to reach underserved and vulnerable populations who might be reluctant to enter or remain engaged in traditional substance abuse treatment. The applicant will therefore apply the training and skills acquired from this award to the following research aims: (1) use mixed methods to characterize the cultural norms, patterns of blunt use, quit experiences, treatment needs, and attitudes and preferences toward social-media based interventions for blunt use reduction among African American young adults, (2) draw integrated conclusions from mixed methods data to inform the development and pilot testing of a Twitter-based intervention and 3) conduct a small randomized clinical trial to test the acceptability, feasibility and initial efficacy of a Twitter-based treatment intervention for African American young adult blunt smokers. The training experience and results from the proposed work will position the applicant to pursue future independent NIH funding to develop this line of research and adapt and test future internet-based social media interventions for cannabis and tobacco co-use among African American young adults.