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MOBILE HEALTH INTERVENTION FOR FAMILY SMOKING CESSATION IN ROMANIA

罗马尼亚家庭戒烟的移动健康干预

基本信息

批准号：
10021877
负责人：
Cristian Ioan Meghea
金额：
$ 5.89万
依托单位：
MICHIGAN STATE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-12-09 至 2020-11-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10021877
关键词：
Address Adopted Birth Car Phone Cellular Phone Cessation of life Child Clinical Control Groups Counseling Country Couples Data Development Disease Eastern Europe Effectiveness Family Female Goals Health Health Personnel Health behavior change Health system Healthcare Human Income Individual International Intervention Knowledge Life Longevity Methodology Mission Modernization Morbidity - disease rate Outcome Policies Population Postpartum Period Pregnancy Pregnant Women Prevention Preventive Intervention Public Health Randomized Randomized Controlled Trials Relapse Reproductive Health Research Review Literature Romania Self Determination Smoke Smoking Smoking Behavior Smoking Cessation Intervention Smoking Prevention Spouses System Testing Text Text Messaging Time Tobacco Training United States National Institutes of Health Woman Work base cigarette smoking design evidence base improved low and middle-income countries mHealth male maternal cigarette smoking mobile computing mortality motivational enhancement therapy novel offspring pilot trial postnatal pregnant prenatal prenatal cigarette smoking prepregnancy prevent primary outcome programs public health intervention recruit reproductive smoking cessation theories tobacco control

项目摘要

Tobacco cigarette smoking remains the leading global cause of preventable disease and death killing near- ly 6 million people each year, with most of these deaths occurring in low and middle income countries (LMICs). The potential of mHealth, especially mobile phone-based strategies, to transform health care, change health behaviors, and improve health has particular significance for LMICs where access to health providers and care is limited. Preconception and pregnancy smoking are high in the Central and Eastern Europe (CEE) with life- time negative health effects for the women and their children. There are higher odds of female smoking persis- tence during pregnancy, as well as relapse once pregnant women quit, when the male partner also smokes. It is critically important to address the smoking behavior of couples during their reproductive life. Building on our work in Romania and other CEE countries, the objectives of this application are to deter- mine in a randomized controlled trial (RCT) whether a mHealth couples intervention shows promise in increas- ing smoking cessation among pregnant couples who smoke and to build mHealth research capacity in Roma- nia. We will build on Self-Determination Theory (SDT) and Motivational Interviewing (MI), a counselling style that is successful in assisting people to quit smoking. The intervention will be novel in its use of the unique functionality of smartphones, its emphasis on the dyadic efficacy for smoking cessation, and the focus on pregnant couples. Our aims are to (1) Test the implementation feasibility, acceptability, and initial efficacy of a culturally-adapted mHealth smoking cessation intervention among couples during pregnancy and postpartum in Romania. We will recruit 60 pregnant smokers and their partners; (2) Develop mHealth research capacity by enhancing individual and institutional research capabilities in Romania and expanding the existing international research network. The study will generate a base of preliminary evidence that can be used to launch a large scale R01 pro- ject to test the effectiveness of the proposed smoking prevention intervention. With respect to expected out- comes, the proposed application is anticipated to advance understanding of the effectiveness of a proactive mHealth couple intervention enhanced by addressing couples' dyadic efficacy for smoking cessation in reduc- ing pregnancy smoking and postnatal relapse. Such results are anticipated to have a system wide sustainable positive impact on the prevention of prenatal and postnatal family smoking as the intervention has a high po- tential to be adopted in the universal health system in Romania, with applications to the US and other popula- tions. This research is also expected to have a significant impact on the methodology and design of mHealth interventions during the reproductive years. The development of the international research network and the individual and institutional mHealth research capacity building is expected to positively impact mHealth re- search in CEE and the neighboring region applied to tobacco control and other locally-relevant topics.

吸烟仍然是全球可预防疾病和死亡的主要原因