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

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

项目成果

期刊论文数量(0)
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科研奖励数量(0)
会议论文数量(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。
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.
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
休斯顿调查 SARS-CoV-2 疫苗犹豫情况
  • 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
  • 批准号:
    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
  • 资助金额:
    $ 67.39万
  • 项目类别:
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:
Administrative Core
行政核心
  • 批准号:
    10915891
  • 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:
RCMI Administrative Core
RCMI 管理核心
  • 批准号:
    10671365
  • 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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