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

项目概要/摘要 背景：华裔美国人的吸烟率仍然很高，尤其是男性 移民.在纽约市，目前美国华裔男性的吸烟率明显偏高 比一般男性人口（28.2%对17.5%）。外国出生的华裔美国人更有可能 比美国出生的同龄人吸烟。华裔美国人的吸烟率居高不下， 这主要是由于两个因素：一是中国移民的健康状况不佳， 与吸烟的危害和戒烟的好处有关的识字率，以及对传统的 中国的社会规范继续支持男性吸烟。另一个因素是， 现有的戒烟资源，这可能是由于缺乏适应文化的 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。 社交媒体的快速增长为克服吸烟障碍提供了机会 停止治疗。微信是全球华人最受欢迎的社交媒体平台， 融入中国人的日常生活，从而有可能接触到广泛的中国受众 移民和促进戒烟。然而，没有研究探讨过微信在文化上的使用 针对中国移民吸烟者的适应性戒烟干预。 研究：本研究的目的是设计和评估可行性，可接受性和初步效果 基于微信的多成分戒烟干预，适应文化和社会 中国移民吸烟者的背景。干预措施将包括四个组成部分，包括一个全面的 自动双向移动的消息传递系统（干预的核心）、信息图、叙述和链接 针对华裔美国人的戒烟治疗服务。将进行焦点小组讨论， 指导信息、信息图表和故事叙述的改编。将进行单臂试验， 以检查干预的可行性和可接受性。一名双臂飞行员随机 并会进行对照试验，以检验干预的初步成效。 培训：培训计划基于我在烟草控制方面的研究经验。我将接受培训， 社会媒体健康干预，混合方法，健康差异，临床 审判和授权书撰写。教学方法包括一对一的指导，正式的课程， 讲习班，研讨会，网络研讨会，并出席与本项目高度相关的领域的会议。

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.