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Social Media Technology for Treating Tobacco Addiction

治疗烟草成瘾的社交媒体技术

基本信息

批准号：
9882967
负责人：
Cornelia Pechmann
金额：
$ 47.66万
依托单位：
UNIVERSITY OF CALIFORNIA-IRVINE
依托单位国家：
美国
项目类别：
财政年份：
2016
资助国家：
美国
起止时间：
2016-03-01 至 2022-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9882967
关键词：
Abstinence Applications Grants Award Base Pairing Behavior Biochemical Communication Detection Development Evaluation Feedback Funding Gender Goals Health Communication Health behavior change Internet Intervention Literature Measures Media Intervention Modeling Monitor Online Systems Participant Pattern Peer Group Persons Prevalence Privatization Process Randomized Randomized Controlled Trials Relapse Reporting Reproducibility Research Methodology Research Project Grants Semantics Smoker Smoking Cessation Intervention Social Network Social support Structure Support Groups Technology Testing Text Time Tobacco Tobacco Dependence Tobacco Use Cessation Treatment Efficacy Twitter United States National Institutes of Health Woman addiction arm base cancer prevention cohort cost demographics design follow-up gender difference innovation member men multidisciplinary nicotine patch novel peer peer support prevent public health relevance randomized controlled design smoking cessation social social group social media three-arm trial tobacco cessation intervention treatment as usual treatment guidelines trial design web site

项目摘要

DESCRIPTION (provided by applicant): Social Media Technology for Treating Tobacco Addiction. The internet was built for communication. This research project, with its cutting-edge social network approaches and analyses, will examine the potential of the internet, and more specifically social media, to engage health communications for quitting smoking and preventing relapse for addiction treatment and cancer prevention. Further, the design tests the personalized benefits and treatment processes of a women-centered internet cessation intervention. With initial funding from an NIH R34 innovation award, we developed and evaluated a novel online social media intervention for tobacco cessation called Tweet2Quit. Tweet2Quit is a 100-day online intervention that uses a novel, low cost, automated approach to encourage and direct peer-to-peer social support for quitting smoking. Private Twitter groups of 24 smokers are set up, and engagement is encouraged and directed by daily auto feedback and daily auto messages that suggest discussion topics consistent with US treatment guidelines for tobacco use cessation. In a randomized controlled trial (N=160), all participants received advice to quit, referral to the NCI Smokefree.gov website, and 8 weeks of nicotine patch ("usual care"); and half were then randomized to a Tweet2Quit peer support group to test the net benefit of the social media intervention. At 60-days follow- up, Tweet2Quit participants reported 40% sustained abstinence compared to 20% for controls (p=.017), and engagement in the intervention was related to abstinence (p<.001). Consistent with the tobacco treatment literature, in both study conditions, men were more likely to quit smoking than women, and the gender effect in Tweet2Quit was moderate (d=.55). Notably, women in Tweet2Quit tweeted as much as the men, though the content differed thematically. The proposed randomized controlled evaluation (N=960) of the Tweet2Quit intervention will biochemically verify abstinence out to 6-months follow-up and will test the personalized benefit for women of a women-only versus co-ed Tweet2Quit group. In a 3-arm design, we will compare: 1) usual care, 2) Tweet2Quit-coed, and 3) Tweet2Quit-women only. Each 24-person Tweet2Quit group will include 12 buddy pairs based on similarity in demographics and abstinence goals. Also automated pattern detection will identify dips in tweeting and trigger automated alerts and engagement strategies. Our primary aims test hypothesis 1: Relative to usual care (n=240), Tweet2Quit-coed groups (n=480) will achieve significantly greater bioconfirmed sustained abstinence out to 6-months follow-up, and hypothesis 2: Women in Tweet2Quit will achieve significantly greater bioconfirmed 6-months abstinence in woman-only groups (n=240) vs. coed groups (n=240 women). Our secondary aims are to test the same hypotheses based on 3-month (end of treatment) sustained abstinence and 7-day point prevalence at 1, 3, and 6 months. Exploratory aims will study the Tweet2Quit groups' social network structures with a focus on the identification of buddy pairs and social brokers and test if these relationships are stronger for women in women-only groups versus women in coed groups of Tweet2Quit.

描述（由申请人提供）：治疗烟草成瘾的社交媒体技术。互联网是为沟通而建立的。这项研究项目，其尖端的社交网络方法和分析，将研究互联网的潜力，更具体地说，社交媒体，从事戒烟和预防复发成瘾治疗和癌症预防的健康传播。此外，该设计测试了以女性为中心的互联网戒烟干预的个性化益处和治疗过程。利用NIH R34创新奖的初始资金，我们开发并评估了一种名为Tweet 2 Quit的新型在线社交媒体戒烟干预。Tweet 2 Quit是一个为期100天的在线干预，使用一种新颖，低成本，自动化的方法来鼓励和指导点对点的戒烟社会支持。建立了由24名吸烟者组成的私人Twitter群组，并通过每日自动反馈和每日自动消息鼓励和指导参与，这些消息建议与美国戒烟治疗指南一致的讨论主题。在一项随机对照试验（N=160）中，所有参与者都接受了戒烟建议，转介到NCI Smokefree.gov网站，以及8周的尼古丁贴片（“常规护理”）;然后一半被随机分配到Tweet 2 Quit同伴支持组，以测试社交媒体干预的净效益。在60天的随访中，Tweet 2 Quit参与者报告了40%的持续禁欲，而对照组为20%（p= 0.017），参与干预与禁欲有关（p<0.001）。与烟草治疗文献一致，在两种研究条件下，男性比女性更有可能戒烟，Tweet 2 Quit中的性别影响是中等的（d= 0.55）。值得注意的是，Tweet 2 Quit中的女性和男性一样多，尽管内容在主题上有所不同。 Tweet 2 Quit干预的拟议随机对照评估（N=960）将在6个月随访期间从生物化学上验证禁欲，并将测试仅女性与男女混合Tweet 2 Quit组女性的个性化益处。在3组设计中，我们将比较：1）常规护理，2）Tweet 2 Quit-coed和3）Tweet 2 Quit-women。每个24人的Tweet 2 Quit小组将包括12个基于人口统计学和禁欲目标相似性的伙伴对。此外，自动模式检测将识别推文的下降，并触发自动警报和参与策略。我们的主要目的检验假设1：相对于常规护理（n=240），Tweet 2 Quit男女混合组（n=480）将在6个月随访期间实现更大的生物证实持续禁欲，假设2：Tweet 2 Quit中的女性将在女性组（n = 240）中实现更大的生物证实6个月禁欲。我们的次要目的是基于3个月（治疗结束时）的持续禁欲和1、3和6个月时的7天时点患病率来检验相同的假设。探索性目标将研究Tweet 2 Quit群体的社交网络结构，重点是确定伙伴对和社会经纪人，并测试这些关系是否对女性群体中的女性比Tweet 2 Quit男女混合群体中的女性更强。