Feasibility of a Web-based Smoking Cessation Program for Vocational Students

高职学生网上戒烟计划的可行性

• 批准号: 8112340
• 负责人: ALEXANDRA LOUKAS
• 金额: $ 20.98万
• 依托单位: UNIVERSITY OF TEXAS AT AUSTIN
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-04-01 至 2013-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8112340
• 关键词: Address; Adult; Categories; Cessation of life; Characteristics; Cigarette; Control Groups; Enrollment; Female; Goals; Healthy People 2010; Individual; Intervention; Interview; Lead; Link; Morbidity - disease rate; Online Systems; Participant; Persuasive Communication; Population; Population Programs; Population Study; Prevalence; Psychosocial Factor; Randomized; Randomized Controlled Trials; Reporting; Research; Resources; Role; Sample Size; Sampling; Schools; Smoker; Smoking; Socioeconomic Status; Stress; Students; Texas; Time; Tobacco; Tobacco Use Cessation; Tobacco use; United States; Visit; Withholding Treatment; base; cigarette smoking; cost; depressive symptoms; efficacy testing; evidence base; falls; health disparity; low socioeconomic status; mortality; peer; programs; reduce tobacco use; satisfaction; smoking cessation; social cognitive theory; theories; web site; young adult

DESCRIPTION (provided by applicant): Young adults and individuals in the lowest socioeconomic status (SES) categories report the highest rates of cigarette use and lowest rates of cessation. Although young adult smokers from backgrounds characterized by low SES are just as likely as their higher SES peers to attempt to quit smoking, they are less likely to use effective cessation treatments and less likely to actually quit. Individuals who occupy lower SES categories may not use effective cessation treatments due to lack of resources, assistance, and/or support. These individuals may also prefer to quit on their own, without the use of cessation aids. Web-based programs tailored to individual characteristics relevant to smoking cessation are one of the only types of cessation programs that are self-directed and can reach large numbers of smokers for very little cost. Yet, research examining smoking cessation using tailored web-based programs has focused almost exclusively on higher SES, White female smokers. The purpose of this study is to examine the feasibility of a tailored web-based cessation program for a racially/ethnically diverse sample of young adult smokers from lower SES backgrounds. Utilization and acceptability will be assessed by randomly assigning individuals either to a tailored web-based smoking cessation program based on social cognitive theory and studies of persuasive communications or to a control condition comprising a non-tailored web-based program providing evidence- based smoking cessation information. Both programs will be self-paced, allowing individuals to choose when and where they visit them. Participants will be smokers enrolled in post-secondary vocational/technical programs who want to quit smoking. The Specific Aims of the proposed project are to 1) Determine if young adult smokers from low SES backgrounds will use a tailored web-based cessation program and find it an acceptable means for quitting, 2) Identify the psychosocial variables relevant to young adult smokers from low SES backgrounds (e.g., financial stress, role overload, depressive symptoms) that contribute to variability in utilization and acceptability of the web-based program, and 3) Use individual interviews to determine how to increase utilization and acceptability of the tailored web-based program, and maximize its appeal to young adult smokers from low SES backgrounds. If successful, this project will lead to a multi-year R01 proposal testing the efficacy of a tailored web-based smoking cessation program in a larger randomized controlled trial. Results from Specific Aims 2 and 3 will be used to modify the existing web-based program to further tailor it to the needs of young adults occupying lower SES categories. The long-term goal of this research is to develop effective smoking cessation programs for young adults from low SES backgrounds that ultimately will decrease disparities in tobacco use and tobacco-related morbidity and mortality. PUBLIC HEALTH RELEVANCE: Tobacco use remains the leading cause of preventable death in the United States. Young adults and individuals occupying the lowest socioeconomic status (SES) categories are disproportionately represented among smokers. Identifying low-cost smoking cessation programs that can reach, appeal to, and are effective for large numbers of smokers from low SES backgrounds, will have a major impact on decreasing disparities in smoking and smoking-related morbidity and mortality.

描述（由申请人提供）：年轻人和社会经济地位（SES）最低的个人报告吸烟率最高，戒烟率最低。虽然来自低社会经济地位背景的年轻成年吸烟者与他们的高社会经济地位同龄人一样有可能尝试戒烟，但他们不太可能使用有效的戒烟治疗，也不太可能真正戒烟。SES类别较低的人可能由于缺乏资源，援助和/或支持而无法使用有效的戒烟治疗。这些人也可能更喜欢自己戒烟，而不使用戒烟辅助工具。基于网络的计划针对与戒烟相关的个人特征，是唯一一种自我指导的戒烟计划，可以以很低的成本接触到大量吸烟者。然而，研究使用定制的基于网络的程序戒烟几乎完全集中在较高的SES，白色女性吸烟者。本研究的目的是探讨一个量身定制的基于网络的戒烟计划的可行性，从较低的SES背景的年轻成年吸烟者的种族/民族多样化的样本。通过将个体随机分配至基于社会认知理论和说服性沟通研究的定制网络戒烟计划或对照条件（包括提供循证戒烟信息的非定制网络计划），评估使用和可接受性。这两个项目都是自定进度的，允许个人选择何时何地参观。参加者将是希望戒烟的中等后职业/技术课程的吸烟者。拟议项目的具体目标是：1）确定来自低SES背景的年轻成年吸烟者是否会使用定制的基于网络的戒烟计划，并发现这是一种可接受的戒烟方式，2）确定与来自低SES背景的年轻成年吸烟者相关的心理社会变量（例如，经济压力、角色超负荷、抑郁症状），这些因素会导致基于网络的计划的利用率和可接受性的变化，以及3）使用个人访谈来确定如何提高定制的基于网络的计划的利用率和可接受性，并最大限度地提高其吸引力来自低SES背景的年轻成年吸烟者。如果成功，该项目将导致一个多年的R 01提案，在一个更大的随机对照试验中测试一个定制的基于网络的戒烟计划的疗效。具体目标2和3的结果将用于修改现有的基于网络的方案，以进一步使其适应社会经济地位较低的年轻人的需求。这项研究的长期目标是为来自低SES背景的年轻人制定有效的戒烟计划，最终将减少烟草使用和烟草相关发病率和死亡率的差异。 公共卫生相关性：烟草使用仍然是美国可预防死亡的主要原因。年轻人和社会经济地位最低的人在吸烟者中所占比例不成比例。确定低成本的戒烟计划，可以达到，吸引，并有效地为大量的吸烟者从低社会经济地位背景，将有一个重大影响，减少吸烟和吸烟相关的发病率和死亡率的差距。