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.

项目摘要/摘要 罗马尼亚女性吸烟的烟草急剧增加，近30％，2011年至2018年之间 戒烟尝试的份额减少了37％。烟草杀死了超过800万人 全球一年。在低收入和中等收入中，与烟草有关的疾病和死亡的负担最重 罗马尼亚等国家（LMIC），全球11亿吸烟者居住的国家中有80％的人居住。我们的工作表明 30％的妇女在罗马尼亚吸烟前的孕妇和一半的吸烟者在怀孕期间继续进行。这是 至关重要的是解决怀孕期间吸烟，这是一个非凡的机会之窗 持续停止。本应用程序的目标是开发，实施和测试可行性和 适应性移动怀孕的有效性，使用深裁缝基于戒烟应用程序干预 以及一个自我提名的支持者，并在罗马尼亚建立MHealth研究能力。我们以我们的 罗马尼亚的怀孕戒烟试验，并在罗马尼亚进行配偶支持，包括持续的烟雾 一起（SFT1.0）MHealth试点试验和退出电话咨询审判，该试验显示了初步的 有效性的证据，以及我们在罗马尼亚的合作伙伴关系。中心假设是干预将 显示出可行性和有效性在增加积极支持，妊娠停止和有效性的证据 产后禁欲。该应用将在使用智能手机独特功能的情况下是新颖的 强化学习（RL）和深度剪裁以不断调整干预措施，重点是 增加积极的支持，以及吸烟者和戒烟合伙人使用该应用程序。目的是：1。（R21 阶段）。开发和测试SFT2.0基于APP的移动吸烟戒烟的可行性和可接受性 在怀孕期间和罗马尼亚产后戒烟的干预； 2。（R33相）。测试 在混合有效性和实施中，基于应用程序的SFT2.0戒烟干预随机 对照试验； 3。（R21和R33阶段）。通过增强个人和 罗马尼亚的机构研究能力并扩大了现有的国际研究网络。和 尊重预期的结果，预计拟议的应用将提高人们对 有效和实施基于智能手机的应用程序，以戒烟，以戒烟 伴侣支持。预计此类结果将对该系统产生广泛的可持续积极影响 预防产前和产后吸烟，因为干预具有很高的潜力 罗马尼亚的通用卫生系统，适用于美国和其他人口。发展 国际研究网络以及个人和机构MHealth研究能力建设是 预计将对CEE和邻近地区的MHealth研究产生积极影响。