Brief computer intervention to motivate quitline use for smokers in SUD treatment

简短的计算机干预以激励吸烟者在 SUD 治疗中使用戒烟热线

• 批准号: 8369277
• 负责人: RICHARD A BROWN
• 金额: $ 29.99万
• 依托单位: BUTLER HOSPITAL (PROVIDENCE, RI)
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-08-01 至 2014-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8369277
• 关键词: Abstinence; Alcohol consumption; Alcohol or Other Drugs use; Cigarette Smoker; Computers; Counseling; Data; Development; Drug usage; Effectiveness; Feedback; General Population; Goals; Individual; Intervention; Interview; Knowledge; Link; Modification; Morbidity - disease rate; Names; Outcome; Patients; Pharmacotherapy; Populations at Risk; Prevalence; Process; Public Health; Randomized Controlled Trials; Readiness; Relative (related person); Reporting; Research; Research Personnel; Resources; Scientific Advances and Accomplishments; Services; Smoke; Smoker; Smoking; Substance Use Disorder; Tablets; Testing; Time; Tobacco; Tobacco Use Cessation; Tobacco use; Treatment Efficacy; Ursidae Family; Withholding Treatment; Work; alcohol abstinence; arm; base; brief intervention; cigarette smoking; cost; cost effective; follow-up; innovation; interest; mortality; motivational intervention; programs; prototype; public health priorities; quitline; satisfaction; smoking cessation; smoking prevalence; sobriety; treatment program

DESCRIPTION (provided by applicant): The prevalence of cigarette smoking among individuals in substance use disorder (SUD) treatment remains at about 70% or higher even as the smoking rate in the general population has declined to 20.6%. Smokers in SUD treatment bear an especially large proportion of the tobacco morbidity and mortality burden in the U.S. and ultimately are more likely to die from their tobacco use than from their other substance use. Yet the availability of smoking cessation services in SUD treatment remains relatively uncommon. The long-term goal of this program of research is to disseminate an effective, brief computer-based intervention that can be readily integrated into SUD treatment programs to motivate tobacco quitline use in patients who smoke. The overall objective of this application, which is the first step in the attainment of this long-term goal, is to fully develop this computer-based intervention, modify it based on initial piloting and feedback to insure its feasibility and acceptability, and obtain preliminary data supporting the efficacy of the intervention. This will b accomplished by pursuing three specific aims: 1) to develop and conduct preliminary pilot testing (n=20) of a brief, computer-based intervention intended to motivate tobacco quitline use among cigarette smokers in SUD treatment (TIME-TQ; Tablet computer Intervention to Motivate Engagement in Tobacco Quitline use) and to develop and pilot test a computer-based, time matched control intervention (CON), 2) to conduct a preliminary randomized controlled trial (RCT) with 60 smokers in SUD treatment, comparing TIME-TQ vs. CON, with predictions that TIME-TQ relative to CON will result in increased readiness, higher rates of tobacco treatment engagement, more quit smoking attempts and higher rates of 7-day point prevalence abstinence rates at 1- and 3-month follow-ups. Substance use outcomes over the course of the 3-month follow-up period will also be examined, and 3) to examine TIME-TQ's effects on key mechanisms during the computer session and their associations with tobacco treatment engagement and smoking outcomes at 1- and 3-month follow-ups. The research proposed is innovative in that: 1) no previous studies have implemented a computer-based motivational intervention targeting tobacco use in an SUD treatment setting, 2) the TIME-TQ intervention proposed in this application is focused on promoting tobacco treatment engagement rather than smoking cessation, per se, and 3) no previous studies have attempted to link smokers in SUD treatment with free tobacco quitlines, an efficacious and readily available resource. It is anticipated that the TIME-TQ intervention resulting from this project will have potential for broad reach to SUD treatment programs and if effective in motivating tobacco quitline use among smokers in SUD treatment, will have significant overall impact in reducing smoking-related morbidity and mortality and in advancing scientific knowledge regarding brief, computer-based tobacco interventions to increase quitline utilization. PUBLIC HEALTH RELEVANCE: The proposed research is relevant to public health because smokers in substance use disorder (SUD) treatment suffer from disproportionately high rates of tobacco morbidity and mortality, and yet the availability of smoking cessation services in SUD treatment remains relatively uncommon. The long-term goal of this program of research is to disseminate an effective, brief computer-based intervention that can be readily integrated into SUD treatment programs to motivate tobacco quitline use in patients who smoke. It is anticipated that the computer-based intervention resulting from this project will have potential fo broad reach to SUD treatment programs and if effective in motivating tobacco quitline use among smokers in SUD treatment, will have significant overall impact in reducing smoking-related morbidity and mortality and in advancing scientific knowledge regarding brief, computer-based tobacco interventions to increase quitline utilization.

描述（由申请人提供）：尽管一般人群的吸烟率已下降至 20.6%，但接受物质使用障碍 (SUD) 治疗的个体中吸烟率仍保持在约 70% 或更高。在美国，接受 SUD 治疗的吸烟者在烟草发病率和死亡率负担中所占比例尤其大，最终更有可能死于烟草使用，而不是死于其他物质使用。然而，SUD 治疗中提供戒烟服务的情况仍然相对较少。该研究计划的长期目标是传播一种有效、简短的基于计算机的干预措施，该干预措施可以很容易地整合到 SUD 治疗计划中，以激励吸烟患者使用戒烟热线。该应用程序的总体目标是 实现这一长期目标的第一步，是充分开发这种基于计算机的干预措施，根据初步试点和反馈对其进行修改，以确保其可行性和可接受性，并获得支持干预措施有效性的初步数据。这将通过追求三个具体目标来实现：1) 开发和进行初步试点测试 (n=20) 一个简短的、基于计算机的干预措施，旨在激励吸烟者在 SUD 治疗中使用戒烟热线（TIME-TQ；平板电脑干预，以促进参与烟草戒烟热线使用），并开发和试点测试基于计算机的、时间匹配的控制干预措施 (CON)，2) 进行初步随机试验 一项对 60 名接受 SUD 治疗的吸烟者进行的对照试验 (RCT)，比较了 TIME-TQ 与 CON，并预测 TIME-TQ 相对于 CON 将导致准备就绪程度提高、烟草治疗参与率更高、尝试戒烟的次数增多以及 1 个月和 3 个月随访时 7 天点流行率戒烟率更高。还将检查 3 个月随访期间的物质使用结果，以及 3) 检查 TIME-TQ 对计算机会话期间关键机制的影响及其与烟草治疗参与度和 1 个月和 3 个月随访中吸烟结果的关联。该研究的创新之处在于：1) 之前没有研究针对 SUD 治疗环境中的烟草使用实施基于计算机的动机干预，2) 本申请中提出的 TIME-TQ 干预重点是促进烟草治疗参与而不是戒烟本身，3) 之前没有研究试图将 SUD 治疗中的吸烟者与免费戒烟热线（一种有效且随时可用的资源）联系起来。预计该项目产生的 TIME-TQ 干预措施将具有广泛的潜力 SUD 治疗方案的覆盖范围，以及如果在 SUD 治疗中有效激励吸烟者使用戒烟热线，将对降低与吸烟相关的发病率和死亡率以及推进有关简短的、基于计算机的烟草干预措施的科学知识产生重大的总体影响，以提高戒烟热线的使用率。 公共健康相关性：拟议的研究与公共健康相关，因为接受物质使用障碍 (SUD) 治疗的吸烟者的烟草发病率和死亡率不成比例地高，但在 SUD 治疗中提供戒烟服务的情况仍然相对不常见。该研究计划的长期目标是传播一种有效、简短的基于计算机的干预措施，该干预措施可以很容易地整合到 SUD 治疗计划中，以激励吸烟患者使用戒烟热线。预计该项目产生的基于计算机的干预措施将有可能广泛影响 SUD 治疗计划，并且如果在 SUD 治疗中有效激励吸烟者使用戒烟热线，将对降低与吸烟相关的发病率和死亡率以及推进有关简短的、基于计算机的烟草干预措施的科学知识产生重大的总体影响，以提高戒烟热线的利用率。