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

项目总结 在全国范围内，阿拉斯加原住民和戒烟者的烟草使用率最高 缺乏专门针对这一不平等群体制定的干预措施。地理位置偏远、气候和 旅行费用是提供治疗的关键障碍。社交媒体有望成为一种可扩展的干预策略 促进吸烟者的吸烟治疗、利用和戒烟。在我们团队长期合作的基础上 与AN社区建立烟草控制研究伙伴关系，我们建议开发和试行一种文化上的 Facebook提供的相关干预措施，以促进吸烟治疗的接受和戒烟 吸烟者。Facebook的内容将包括改编自有效的CDC的数字故事讲述方法 来自前吸烟者运动的Tips™。Facebook的干预将促进以证据为基础的 治疗，例如，州戒烟热线和部落戒烟方案。 本R34申请是根据PA-16-073提交的，实现了NIDA第一阶段的目标 行为综合治疗发展计划。在Ia阶段，我们将开发Facebook干预。 这项形成性研究将使用文化差异和表层/深层结构框架来解决 文化在设计健康讯息中的影响，并采用定性和定量的预测方法 开发并对干预原型进行Beta测试。在第一阶段，我们将进行一项随机试点试验 60名成年吸烟者评估该药物的可行性、摄取率、消费者反应和潜在疗效 Facebook干预，与对照条件(戒烟/治疗转介)进行比较。主要结果将是 是否可行(例如，参与Facebook活动)以及经过生化验证的戒烟率分别为1、3和 6个月随访。次要结果将包括自我报告的戒烟治疗利用率和 戒除所有烟草/尼古丁产品。我们还将探索相互依存(关系导向 以及在改变生活方式方面的合作努力)，作为干预效果的文化相关中介。一个 社区咨询委员会将指导所有项目活动。该项目对开发一种新的 对全州范围内的人群进行行为干预以促进吸烟治疗的使用和戒烟 使用与文化相关且已经被采用的社交媒体传播工具。这项研究 意义重大，因为它将推进针对服务不足的人群的特定治疗方法的研究， 烟草使用差异组。如果试点干预成功，我们将有一个蓝图来进行大规模的， 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.