A Fully Automated and Culturally-Adapted mHealth Intervention for Smoking Cessation Among Black Smokers with HIV
针对感染艾滋病毒的黑人吸烟者戒烟的全自动且适应文化的移动健康干预措施
基本信息
- 批准号:10675133
- 负责人:
- 金额:$ 67.39万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2020
- 资助国家:美国
- 起止时间:2020-09-08 至 2025-04-30
- 项目状态:未结题
- 来源:
- 关键词:AIDS/HIV problemAcuteAdherenceAdultAffectiveAfrican AmericanAnti-Anxiety AgentsAnti-Retroviral AgentsAnxietyApplications GrantsBehavioralBiochemicalBlack AmericanBlack PopulationsBlack raceCellular PhoneChronic DiseaseClinicalCommunitiesComplexDataDevelopmentDiscriminationDisease ManagementDisease OutcomeDistressEcological momentary assessmentEducationEnrollmentEthnic OriginExpert OpinionExposure toFeedbackFoundationsFutureGeneral PopulationGrantHIVHIV diagnosisHealthHealth PromotionIndividualInterventionInterviewKnowledgeLiteratureMediatingMental DepressionMethodsModelingMorbidity - disease rateNational Cancer InstituteNicotineOutcomeParticipantPersonsPharmaceutical PreparationsPilot ProjectsPlayPopulation InterventionPrejudiceProcessPsychopathologyPublic HealthPublishingQuality of lifeRaceRandomizedResearchResearch PersonnelResourcesRiskRisk FactorsRoleSmokeSmokerSmokingSmoking Cessation InterventionStressTarget PopulationsTelephoneTestingWorkaddictionanxiety sensitivitybarrier to carebasebehavioral healthbehavioral health interventionbodily sensationcigarette smokecigarette smokingcommunity based participatory researchcommunity cliniccontextual factorscopingemotion regulationevidence baseexperiencefollow up assessmentfollow-uphealth care availabilityhealth care qualityhealth disparityhealth inequalitiesimprovedlow socioeconomic statusmHealthmembermobile applicationmortalitynicotine replacementnovelnovel strategiespilot testpsychoeducationracial discriminationracial minorityracismrecruitside effectskillssmoking abstinencesmoking cessationsocial health determinantssocial stigmastress symptomstressor
项目摘要
ABSTRACT
People with HIV/AIDS (PWH) are twice as likely to smoke cigarettes compared with the general population.
Furthermore, PWH are less likely to quit smoking, likely due to the complex inter-play among co-occurring behavioral
risk factors, stigma, limited resources, experiences of racism and discrimination, and diminished access to health care.
Importantly, cigarette smoking is a significant risk factor for both HIV-related and non-HIV-related morbidity and
mortality among PWH. Health disparities observed among smokers with HIV are compounded by the tendency for
PWH to have lower socioeconomic status, lower education attainment, and lower access to healthcare. A major
contributing barrier to smoking cessation and HIV disease management among Black adults with HIV appears to be
their increased exposure to interoceptive-stress symptoms (e.g., anxiety, bodily sensations, stress-related burden due
to racism or HIV diagnosis discrimination or stigma). Consequently, smoking cessation interventions and HIV disease
management directed toward Black smokers with HIV might benefit from specific focus on increasing the ability to
cope with interoceptive stress. Within this context, anxiety sensitivity (AS) is a core affective vulnerability factor that is
implicated in internal distress that has emerged as a leading mechanistic target for behavioral health change. Yet, past
work has not leveraged the potential of AS to better understand smoking, HIV disease management outcomes, and
interoceptive stress relations among this health disparities group. The present proposal aims to refine and extend our
novel, culturally adapted, and initially tested mHealth intervention that targets AS among Black smokers (MASP) to
Black smokers with HIV. A total of 72 Black smokers with HIV and elevated AS will be enrolled and randomly
assigned to either: (1) the smartphone-based National Cancer Institute (NCI) QuitGuide app for standard mobile
smoking cessation treatment or (2) the individually tailored and automated MASP smoking cessation app for Black
smokers with HIV. Participants will complete a baseline assessment, pre- and post-quit ecological momentary
assessments, and follow-up assessments at weeks 1, 2 (quit date), 3, 4, 5, 6, and 28 (26 weeks post-quit) via the app
as well as receive nicotine replacement therapy. A portion of participants will also complete a qualitative interview via
phone at the 6-week post-baseline follow-up. This pivotal work will lay the foundation for a new approach to integrated
treatment among Black smokers with HIV that has the potential to overcome barriers to treatment, reduce practitioner
burden, and provide a readily available resource to support this vulnerable and underserved health disparities group.
摘要
艾滋病毒/艾滋病患者(PWH)吸烟的可能性是普通人群的两倍。
此外,PWH不太可能戒烟,可能是由于共同发生的行为之间复杂的相互作用,
风险因素、耻辱感、资源有限、种族主义和歧视经历以及获得医疗保健的机会减少。
重要的是,吸烟是艾滋病毒相关和非艾滋病毒相关发病率的一个重要危险因素,
威尔斯亲王医院的死亡率。在感染艾滋病毒的吸烟者中观察到的健康差距因以下趋势而加剧:
威尔斯亲王医院的社会经济地位较低,教育程度较低,获得医疗服务的机会较少。一个主要
在感染艾滋病毒的黑人成年人中,戒烟和艾滋病毒疾病管理的障碍似乎是
他们对内感受性应激症状的暴露增加(例如,焦虑,身体感觉,压力相关的负担,
种族主义或艾滋病毒诊断歧视或污名化)。因此,戒烟干预和艾滋病毒疾病
针对感染艾滋病毒的黑人吸烟者的管理可能会受益于特别关注提高以下能力:
科普内感受性压力在这种情况下,焦虑敏感性(AS)是一个核心的情感脆弱性因素,
与内在痛苦有关,已经成为行为健康改变的主要机制目标。然而,过去
工作没有利用AS的潜力来更好地了解吸烟,艾滋病毒疾病管理结果,
内感受性压力关系。目前的建议旨在完善和扩大我们的
一种新颖的、适应文化的、经过初步测试的移动健康干预措施,针对黑人吸烟者中的AS(MASP),
黑人吸烟者携带艾滋病毒总共将随机招募72名患有艾滋病毒和AS升高的黑人吸烟者
分配给:(1)基于智能手机的国家癌症研究所(NCI)QuitGuide应用程序,用于标准移动的
戒烟治疗或(2)针对黑人的个性化定制和自动化MASP戒烟应用程序
吸烟者携带艾滋病毒参与者将完成基线评估,戒烟前后的生态瞬时
通过应用程序在第1、2(戒烟日期)、3、4、5、6和28周(戒烟后26周)进行评估和随访评估
以及接受尼古丁替代疗法。部分参与者还将通过以下方式完成定性访谈:
在基线后6周随访时进行电话随访。这一关键工作将为采取新的综合办法奠定基础,
艾滋病毒感染的黑人吸烟者的治疗有可能克服治疗障碍,减少医生
负担,并提供随时可用的资源,以支持这一脆弱和服务不足的健康差距群体。
项目成果
期刊论文数量(0)
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Ezemenari M Obasi其他文献
The Roles of Race and Sex in Addiction Research
种族和性别在成瘾研究中的作用
- DOI:
- 发表时间:
2013 - 期刊:
- 影响因子:0
- 作者:
Ezemenari M Obasi;Jaime L. Richards;Delishia M. Pittman;J. Ingram;M. R. Beasley;Kristen L. Ratliff - 通讯作者:
Kristen L. Ratliff
Construction and validation of the Measurement of Acculturation Strategies for People of African Descent (MASPAD).
非洲人后裔文化适应策略衡量 (MSPAD) 的构建和验证。
- DOI:
- 发表时间:
2010 - 期刊:
- 影响因子:3.3
- 作者:
Ezemenari M Obasi;Frederick T. L. Leong - 通讯作者:
Frederick T. L. Leong
Ethnic group differences in reasons for living and the moderating role of cultural worldview.
族群生存原因差异及文化世界观的调节作用.
- DOI:
10.1037/a0019720 - 发表时间:
2010 - 期刊:
- 影响因子:3.3
- 作者:
R. Walker;David A. Alabi;Jessica Roberts;Ezemenari M Obasi - 通讯作者:
Ezemenari M Obasi
Psychological Distress, Acculturation, and Mental Health-Seeking Attitudes among People of African Descent in the United States: A Preliminary Investigation.
美国非洲人后裔的心理困扰、文化适应和寻求心理健康的态度:初步调查。
- DOI:
- 发表时间:
2009 - 期刊:
- 影响因子:0
- 作者:
Ezemenari M Obasi;Frederick T. L. Leong - 通讯作者:
Frederick T. L. Leong
Construction and Initial Validation of the Worldview Analysis Scale (WAS)
世界观分析量表(WAS)的构建和初步验证
- DOI:
10.1177/0021934707305411 - 发表时间:
2009 - 期刊:
- 影响因子:1.1
- 作者:
Ezemenari M Obasi;Lisa Y. Flores;Linda James - 通讯作者:
Linda James
Ezemenari M Obasi的其他文献
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{{ truncateString('Ezemenari M Obasi', 18)}}的其他基金
Investigating SARS-CoV-2 Vaccine Hesitancy in Houston
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- 批准号:
10642571 - 财政年份:2022
- 资助金额:
$ 67.39万 - 项目类别:
Helping Everyone Achieve a LifeTime of Health - Future Addiction Scientist Training
帮助每个人实现一生的健康——未来成瘾科学家培训
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10263449 - 财政年份:2021
- 资助金额:
$ 67.39万 - 项目类别:
Helping Everyone Achieve a LifeTime of Health - Future Addiction Scientist Training
帮助每个人实现一生的健康——未来成瘾科学家培训
- 批准号:
10555252 - 财政年份:2021
- 资助金额:
$ 67.39万 - 项目类别:
Helping Everyone Achieve a LifeTime of Health - Future Addiction Scientist Training
帮助每个人实现一生的健康——未来成瘾科学家培训
- 批准号:
10398253 - 财政年份:2021
- 资助金额:
$ 67.39万 - 项目类别:
Addressing tobacco-related and lung cancer inequities among Black adults: A mixed methods pilot project
解决黑人成年人中与烟草相关和肺癌相关的不平等问题:混合方法试点项目
- 批准号:
10558917 - 财政年份:2020
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Evaluating Telemedicine-Related Opioid Use Disorder (OUD) Services in Underserved Populations: A Comparison of Waiver and Post-waiver Periods
评估服务不足人群中与远程医疗相关的阿片类药物使用障碍 (OUD) 服务:豁免期和豁免期的比较
- 批准号:
10808296 - 财政年份:2020
- 资助金额:
$ 67.39万 - 项目类别:
HEALTH Center for Addictions Research and Cancer Prevention
成瘾研究和癌症预防健康中心
- 批准号:
10381562 - 财政年份:2020
- 资助金额:
$ 67.39万 - 项目类别:
Latinx Smokers: Evaluating Ethnic Microaggressions on Smoking Behavior and Relapse
拉丁裔吸烟者:评估种族微侵犯对吸烟行为和复吸的影响
- 批准号:
10558887 - 财政年份:2020
- 资助金额:
$ 67.39万 - 项目类别:
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