Feasibility and Preliminary Effectiveness of a WeChat-based Smoking Cessation Intervention Targeting Chinese Immigrant Smokers

项目摘要/摘要 背景：华裔美国人的吸烟率高得不成比例，尤其是男性 移民。在纽约市，目前华裔美国男性的吸烟率要高得多 高于一般男性人口(28.2%对17.5%)。在外国出生的华裔美国人更有可能 比他们在美国出生的同龄人更容易吸烟。华裔美国人的吸烟率一直居高不下 很大程度上是由于两个因素：戒烟意向低，这可能归因于中国移民健康状况不佳 与吸烟的危害和戒烟的好处有关的识字，以及对传统 继续支持男性吸烟的中国社会规范。另一个因素是资源利用率低。 现有可用的戒烟资源，这可能是因为缺乏文化适应 针对华裔美国人的戒烟治疗服务及其获得治疗服务的障碍。 社交媒体使用的快速增长代表着克服吸烟障碍的机会 戒烟治疗。全球最受华人欢迎的社交媒体平台微信充分 融入中国人的日常生活，从而有可能接触到更广泛的中文受众 移民和促进戒烟。然而，还没有研究探讨微信在文化上的运用 针对中国移民吸烟者的改编戒烟干预措施。 研究：本研究的目标是设计和评估可行性、可接受性和初步效果 以微信为基础的适应文化和社会的多成分戒烟干预研究 中国移民吸烟者的背景。干预将由四个部分组成，包括完整的 自动双向移动消息系统(干预的核心)、信息图表、叙述和链接 针对华裔美国人的现有戒烟治疗服务。将开展焦点小组活动，以 指导改编信息、信息图表和讲故事的叙述。单臂飞行员测试将是 为检查干预措施的可行性和可接受性进行了调查。双臂飞行员随机化 将进行对照试验，以检查干预的初步效果。 培训：培训计划是根据我在烟草控制方面的研究经验制定的。我将接受培训，并 在社交媒体健康干预、混合方法、健康差异、临床 审判和拨款申请。教学方法包括一对一的指导，正式的课程作业， 在与本项目高度相关的领域举办讲习班、研讨会、网络研讨会和出席会议。

PROJECT SUMMARY / ABSTRACT Background: Smoking rates remain disproportionally high in Chinese Americans, particularly among male immigrants. In New York City, the current smoking rate among Chinese American men is significantly higher than the general male population (28.2% vs. 17.5%). Foreign-born Chinese Americans are more likely to smoke than their US-born counterparts. The persistently high smoking rate among Chinese Americans is largely due to two factors: low intention to quit which might be attributed to Chinese immigrants' low health literacy related to the harms of smoking and benefits of quitting, and persistent attachment to traditional Chinese social norms that continue to support smoking in men. The other factor is the low utilization of the existing available smoking cessation resources which might be explained by the lack of culturally adapted cessation treatment services targeting Chinese Americans and their access barriers to the treatment services. The fast growing use of social media represents an opportunity to overcome the access barriers to smoking cessation treatment. WeChat, the most popular social media platform among Chinese globally, is fully integrated into the daily lives of Chinese, and thereby has the potential to reach a wide audience of Chinese immigrants and promote smoking cessation. Yet, no study has explored the use of WeChat to deliver culturally adapted smoking cessation interventions targeting Chinese immigrant smokers. Research: The goal of this study is to design and evaluate the feasibility, acceptability, and preliminary effect of a WeChat-based multi-component smoking cessation intervention that is adapted to the cultural and social context of Chinese immigrant smokers. The intervention will consist of four components, including a fully automated bidirectional mobile messaging system (core of the intervention), infographics, narratives, and links to existing cessation treatment services that target Chinese Americans. Focus groups will be conducted to guide the adaptation of messages, infographics, and storytelling narratives. A single arm pilot test will be conducted to examine the feasibility and acceptability of the intervention. A two-arm pilot randomized controlled trial will be conducted to examine the preliminary effectiveness of the intervention. Training: The training plan is built upon my research experience in tobacco control. I will receive training and mentored research experience in social media health interventions, mixed methods, health disparities, clinical trials and grant writing. The pedagogical approach includes one-on-one mentorship, formal coursework, workshop, seminars, webinars, and attendance at conferences in areas of high relevance to this project.