Social Media Intervention to Promote Smoking Treatment Utilization and Cessation among Alaska Native Smokers

项目摘要 在全国范围内，烟草使用的流行率在阿拉斯加原住民（AN）中最高， 缺乏专门为这一不平等群体制定的干预措施。地理位置偏远，气候， 旅行费用是提供治疗的主要障碍。社交媒体有望成为一种可扩展的干预策略 促进AN吸烟者的吸烟治疗利用和戒烟。基于我们团队长期以来 烟草控制研究与AN社区的伙伴关系，我们建议开发和试点测试一个文化 相关的，Facebook提供的干预措施，以促进AN的吸烟治疗吸收和戒烟 吸烟者。Facebook内容将包括改编自有效CDC的数字讲故事方法 Tips™ from Former Smokers运动。Facebook的干预将促进使用基于证据的 治疗，例如，国家戒烟热线和部落戒烟计划。 此R34申请是根据PA-16-073提交的，符合NIDA第一阶段的目标 行为综合治疗发展计划。在第一阶段，我们将开发Facebook干预。 这种形成性研究将使用文化差异和表层/深层结构框架来解决 文化对设计健康信息的影响，并采用定性和定量的预测试方法， 开发并测试干预原型。在Ib期，我们将进行一项随机试点试验， 60名成年AN吸烟者，以评估 Facebook干预，与对照条件（退出线/治疗转诊）相比。主要成果将 可行性（例如，Facebook参与度）和经过生物化学验证的戒烟率分别为1，3， 6个月随访。次要结局将包括自我报告的戒烟治疗利用率， 戒除所有烟草/尼古丁产品。我们还将探讨相互依赖性（关系取向 以及在生活方式改变方面的合作努力）作为干预效果的文化相关中介。一 社区咨询委员会将指导所有项目活动。该项目是创新的发展新的 行为干预，以达到全州范围内的AN人，以促进吸烟治疗的利用和戒烟 使用具有文化相关性并已被采用的社交媒体沟通工具。研究 意义重大，因为它将推进针对服务不足的AN的人群特异性治疗研究， 烟草使用差异组。如果试点干预成功，我们将有一个蓝图， 随机对照疗效试验

PROJECT SUMMARY Nationally, the prevalence of tobacco use is highest among Alaska Native (AN) people and tobacco cessation interventions developed specifically for this disparity group are lacking. Geographic remoteness, climate, and travel costs are key barriers to treatment delivery. Social media has promise as a scalable intervention strategy to promote smoking treatment utilization and cessation for AN smokers. Building on our team's longstanding tobacco control research partnership with the AN community, we propose to develop and pilot-test a culturally relevant, Facebook-delivered intervention to promote smoking treatment uptake and cessation among AN smokers. The Facebook content will include a digital storytelling approach adapted from the effective CDC Tips™ from Former Smokers campaign. The Facebook intervention will promote the use of evidence-based treatment, e.g., state quitline and tribal cessation programs. This R34 application is submitted in response to PA-16-073, fulfilling the objectives for Stage I of the NIDA behavioral integrative treatment development program. In Stage Ia, we will develop the Facebook intervention. This formative research will use the cultural variance and surface/deep structure frameworks to address the influence of culture in designing health messages, and adopt qualitative and quantitative pretesting methods to develop and beta-test the intervention prototype. In Stage Ib, we will conduct a randomized pilot trial enrolling 60 adult AN smokers to evaluate the feasibility, uptake, consumer response, and potential efficacy of the Facebook intervention, compared to a control condition (quitline/treatment referral). The primary outcomes will be feasibility (e.g., Facebook engagement) and the biochemically-verified smoking abstinence rate at 1, 3, and 6 months follow-up. Secondary outcomes will include self-reported smoking cessation treatment utilization and abstinence from all tobacco/nicotine products. We will also explore interdependence (relationship orientation and collaborative efforts in lifestyle change) as a culturally relevant mediator of intervention efficacy. A community advisory committee will guide all project activities. The project is innovative for developing a new behavioral intervention to reach AN people statewide to promote smoking treatment utilization and cessation using social media communication tools that are culturally relevant and have already been adopted. The study is significant because it will advance research on population-specific treatments for an underserved, AN, tobacco-use disparity group. If the pilot intervention is successful, we will have a blueprint to conduct a large, randomized, controlled, efficacy trial.