e-Decidete: Mobile Cessation Support for Latino Smokers

e-Decidete：为拉丁裔吸烟者提供移动戒烟支持

• 批准号: 9218746
• 负责人: Ana Paula Cupertino
• 金额: $ 64.49万
• 依托单位: UNIVERSITY OF KANSAS MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-01-10 至 2017-08-25
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9218746
• 关键词: Abstinence; Accident and Emergency department; Address; Adoption; Area; Behavioral; Cellular Phone; Cessation of life; Cigarette; Clinic; Communities; Continuity of Patient Care; Cotinine; Counseling; Data; Development; Disease; Elements; Enhancement Technology; Evaluation; Evidence based treatment; Future; Goals; Health; Individual; Interdisciplinary Study; Intervention; Knowledge; Latino; Mediator of activation protein; Methods; Minority; Modeling; Morbidity - disease rate; Motivation; Not Hispanic or Latino; Outcome; Participant; Pattern; Pharmacotherapy; Pharmacy facility; Population; Prevalence; Process; Protocols documentation; Provider; Quality of life; Recruitment Activity; Resources; Risk; Self Efficacy; Services; Smoker; Smoking; Smoking Cessation Intervention; System; Tablets; Telephone; Testing; Text; Therapeutic; Tobacco; Tobacco use; United States; Work; arm; base; community based service; community setting; eHealth; experience; follow up assessment; health care availability; health disparity; improved; innovation; mobile computing; mortality; outreach; primary outcome; programs; public health priorities; quitline; satisfaction; skills; smoking cessation; standard care; successful intervention; therapy design; treatment disparity; treatment effect; treatment response

Project Summary - eDecídete: Mobile Cessation Support for Latino Smokers Latinos are less likely than non-Hispanic whites to have access to health, to have knowledge of existing smoking cessation resources, to receive advice to stop smoking, and to participate in smoking cessation programs. Mobile technologies can dramatically enhance the reach of effective smoking cessation interventions. However, the reach of mobile interventions among Latinos remains minimal despite the fact that Latinos utilize smartphones at a higher rate. The primary aim of this study is to examine the efficacy of eDecídete (Spanish for “you can choose”), an innovative 12 week mobile smoking cessation intervention based on this work that incorporates two elements: 1) a tablet-based e-health educational session that collects personal smoking-related information to develop an individualized quit plan and guide automated and interactive text messaging; and 2) a text messaging program that includes educational information, behavioral strategies, motivational and supportive messaging, and prompts to use pharmacotherapy to support smoking cessation. Aim 1. To evaluate the impact of the culturally accommodated eDecídete program versus standard care on smoking abstinence at Month 6 among Latino smokers. At Month 6, smokers in eDecídete will have significantly higher cotinine-verified 7-day point prevalence abstinence (no cigarettes in the past 7 days) than smokers in the control arm. Aim 2. To assess therapeutic alliance, pharmacotherapy utilization, and self-efficacy as mediators of the presumed treatment effect on cotinine-verified 7-day smoking abstinence at Month 6 among Latino smokers. Our hypothesis is that eDecídete will have greater efficacy for smoking cessation than standard care by increasing therapeutic alliance, utilization of pharmacotherapy, and self-efficacy to quit. Aim 3. To conduct a process evaluation that can inform findings and future improvements. The evaluation will assess 1) satisfaction with the program and its components; 2) text-message system utilization patterns and common content themes in text message interactions among eDecídete participants.

项目摘要-eDecíDETE：为拉丁裔吸烟者提供移动戒烟支持 与非西班牙裔白人相比，拉美裔白人不太可能获得医疗保健，不太可能了解现有的 戒烟资源，接受戒烟建议，参与戒烟 程序。移动技术可以极大地提高有效戒烟的覆盖面 干预措施。然而，移动干预在拉丁裔中的覆盖范围仍然很小，尽管事实是 拉美裔美国人使用智能手机的比例更高。这项研究的主要目的是检查 EDecíDETE(西班牙语中“你可以选择”的意思)，一种创新的12周移动戒烟干预 基于这项工作，它结合了两个元素：1)基于平板电脑的电子健康教育会议，收集 个人吸烟相关信息，以制定个性化的戒烟计划和指导，自动化和 交互式文本消息传递；以及2)包括教育信息、行为 策略、激励和支持性信息，以及使用药物疗法支持吸烟的提示 停止。目的1.评估适应文化的eDECINDETE计划与 拉丁裔吸烟者在6个月时戒烟的标准护理。在6个月时，吸烟者在 EDecíDETE将有显著更高的可替宁验证的7天点戒烟盛行率(在 过去7天)比控制臂中的吸烟者更多。目的2.评估治疗联盟、药物治疗 利用和自我效能作为可替宁验证的7天假定治疗效果的中介 拉丁裔吸烟者在6个月时的戒烟情况。我们的假设是，eDecídetee将有更大的 与标准护理相比，通过增加治疗联盟、利用 药物治疗，自我效能戒烟。目标3.进行能够提供信息的过程评估 研究结果和未来的改进。评估将评估1)对计划的满意度及其 组件；2)文本消息系统使用模式和文本消息中常见的内容主题 EDecídete参与者之间的互动。