A Smartphone Intervention for Pregnancy Smoking Cessation with Peer Support

在同伴支持下通过智能手机干预怀孕戒烟

• 批准号: 10057086
• 负责人: KRISTIE L FOLEY
• 金额: $ 21.08万
• 依托单位: MICHIGAN STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-08-06 至 2022-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10057086
• 关键词: Abstinence; Address; Adopted; Artificial Intelligence; Birth; Car Phone; Cellular Phone; Cessation of life; Clinical; Control Groups; Counseling; Couples; Development; Disease; Eastern Europe; Effectiveness; Friends; General Population; Goals; Health; Health Personnel; Health system; Healthcare; Human; Hybrids; Individual; International; Intervention; Knowledge; Learning; Methodology; Mission; Morbidity - disease rate; Outcome; Ownership; Persons; Phase; Population; Postpartum Period; Pregnancy; Pregnancy Tests; Pregnant Women; Prevention; Professional counselor; Psychological reinforcement; Public Health; Randomized; Randomized Controlled Trials; Research; Romania; Self Determination; Series; Smoke; Smoker; Smoking; Smoking Cessation Intervention; Spouses; Stress; System; Telephone; Testing; Tobacco; Tobacco Use Cessation; Tobacco smoking behavior; United States National Institutes of Health; Woman; Work; adaptive learning; arm; base; behavior change; craving; design; iterative design; low and middle-income countries; mHealth; mobile computing; mortality; motivational enhancement therapy; novel; offspring; peer support; pilot trial; postnatal; prenatal; prenatal cigarette smoking; prepregnancy; programs; public health intervention; reproductive; smoking abstinence; smoking cessation; smoking during pregnancy; theories; tobacco control; usability; user centered design

PROJECT SUMMARY/ABSTRACT Tobacco smoking among women in Romania increased dramatically, by close to 30%, between 2011-2018 and the share of smokers with quit attempts decreased by 37%. Tobacco kills more than 8 million people a year around the world. The burden of tobacco-related illness and death is heaviest in low- and middle-income countries (LMICs) like Romania, where 80% of the worldwide 1.1 billion smokers live. Our work showed that 30% of women smoke pre-pregnancy in Romania and half of the smokers continue during pregnancy. It is critically important to address tobacco smoking during pregnancy, an extraordinary window of opportunity for sustained cessation. The objectives of this application are to develop, implement, and test the feasibility and effectiveness of an adaptive mobile pregnancy tobacco cessation app-based intervention using deep tailoring and a self-nominated support person, and to build mHealth research capacity in Romania. We build on our pregnancy smoking cessation trials with spousal support in Romania, including the ongoing Smoke Free Together (SFT1.0) mHealth pilot trial and the Quit Together telephone counseling trial that shows preliminary evidence of efficacy, and on our partnerships in Romania. The central hypothesis is that the intervention will show evidence of feasibility and effectiveness in increasing positive support, pregnancy cessation, and postnatal abstinence. The app will be novel in its use of the unique functionality of smartphones, use of reinforcement learning (RL) and deep tailoring to continuously adapt the intervention, the emphasis on increasing positive support, and the use of the app by both smoker and quit-partner. The aims are: 1. (R21 phase). Develop and test the feasibility and acceptability of the SFT2.0 app-based mobile smoking cessation intervention with quit-partner support during pregnancy and postpartum in Romania; 2. (R33 phase). Test the SFT2.0 app-based smoking cessation intervention in a hybrid effectiveness and implementation randomized controlled trial; 3. (R21 and R33 phases). Develop mHealth research capacity by enhancing individual and institutional research capabilities in Romania and expanding the existing international research network. With respect to expected outcomes, the proposed application is anticipated to advance understanding of the effectiveness and implementation of a smartphone-based app for pregnancy smoking cessation with quit- partner support. Such results are anticipated to have a system wide sustainable positive impact on the prevention of prenatal and postnatal smoking as the intervention has a high potential to be adopted in the universal health system in Romania, with applications to the US and other populations. The development of the international research network and the individual and institutional mHealth research capacity building is expected to positively impact mHealth research in CEE and the neighboring region.

项目总结/摘要 2011年至2018年期间，罗马尼亚女性吸烟人数急剧增加近30% 尝试戒烟的吸烟者比例下降了37%。烟草导致800多万人死亡， 一年在世界各地。与烟草有关的疾病和死亡的负担在低收入和中等收入国家最重， 这些国家包括罗马尼亚，全球11亿吸烟者中有80%生活在罗马尼亚。我们的工作表明， 在罗马尼亚，30%的妇女在怀孕前吸烟，一半的吸烟者在怀孕期间继续吸烟。是 至关重要的是，解决怀孕期间吸烟问题，这是一个难得的机会之窗， 持续停止。此应用程序的目标是开发，实施和测试的可行性， 基于深度定制的自适应移动的妊娠期戒烟应用程序干预的有效性 以及一名自我提名的支持人员，并在罗马尼亚建立移动健康研究能力。我们建立在 在罗马尼亚进行的有配偶支持的怀孕戒烟试验，包括正在进行的无烟 一起（SFT1.0）移动健康试点试验和一起戒烟电话咨询试验，初步显示 以及我们在罗马尼亚的伙伴关系。核心假设是，干预将 证明增加积极支持、终止妊娠的可行性和有效性，以及 产后禁欲该应用程序将在其使用智能手机的独特功能，使用 强化学习（RL）和深度定制，以不断适应干预，强调 增加积极的支持，以及吸烟者和戒烟者使用该应用程序。目标是：1.（R21） 阶段）。开发并测试基于SFT 2.0应用程序的移动的戒烟的可行性和可接受性 在罗马尼亚，在怀孕期间和产后对退出伴侣的支持进行干预; 2. (R33阶段）。测试 基于SFT2.0 app的混合戒烟干预效果及实施随机化 对照试验; 3. (R21（R33）。通过提高个人和 提高罗马尼亚的机构研究能力，扩大现有的国际研究网络。与 关于预期成果，预计拟议的应用程序将促进对 基于智能手机的怀孕戒烟应用程序的有效性和实施情况 合作伙伴支持。预计这些结果将对整个系统产生可持续的积极影响， 预防产前和产后吸烟作为一种干预措施， 罗马尼亚的全民医疗系统，并适用于美国和其他人群。的发展 国际研究网络和个人和机构的mHealth研究能力建设是 预计将对中东欧和邻近地区的移动健康研究产生积极影响。