Text2QuitPLUS: A Text-based Smoking Cessation Intervention for Sexual and Gender Minority Groups

摘要 在性和性别少数群体(SGM)中吸烟，包括女同性恋、男同性恋、双性恋和 跨性别者(LGBT)，从不同来源报告为高度流行(46%的同性恋者 男性和女同性恋者分别为48%和48%)。考虑到SGM人群中的吸烟率是 普通人群(19%)和吸烟占比 SGM患者罹患这种致命疾病的风险增加。文本 有效 处于危险之中 莫比尔县 对于所有癌症死亡中至少30%的人来说， 消息传递程序是 用于戒烟和其他健康行为。吸引了传统上难以触及的人， 遇到戒烟干预障碍的人群，以及戒烟发生率高的人群 电话和短信的使用，这是SGM用户的情况。 很明显， 他们是 文本2戒烟是一种戒烟 根据自己选择的戒烟日期向用户发送量身定做的支持性短信的干预。虽然 该计划已在随机试验中成功地在普通人群中进行了评估，并已 也是为孕妇量身定做的，目前还没有专门针对 SGM吸烟者。本项目的目标是：(1)开发和评估为SGM量身定制的Text2QuitPLUS的设计 Text2戒烟版本，通过对16名SGM成年吸烟者进行定性研究；(2)检查 80名SGM吸烟者在1、3和6个月的随访中的招募、保留和戒烟率 随机进入原始Text2Quit或Text2QuitPLUS臂。与该计划的接触将是 也通过计算每个SGM参与者的文本消息回复数量来衡量 系统 记录 (3)对32名SGM吸烟者进行混合方法研究 在可行性试验中，为了更好地了解研究参与者对戒烟干预的可接受性。 结果将有助于减少SGM群体中与烟草有关的健康差距。艾琳·塔米·莫里 D.M.D.，M.SC，Dr.P.H.，拉丁裔科学家，被任命为加州大学终身教职助理教授 位于休斯顿的德克萨斯健康科学中心正在通过NCI K22过渡寻求3年的支持 职业生涯 为拟议的过渡期职业发展计划制定和研究。 为了填补她经验中的关键空白，她将获得专门的培训、专家建议和第一手资料 实施针对服务不足人群的行为干预经验，mHealth，高级 分析纵向数据的统计方法，以及混合方法。她还将扩大自己的知识面 以及与戒烟、SGM健康差距和研究道德相关的技能。塔米-莫里医生的 全面的培训和研究计划，由在#年成立的研究人员咨询委员会提供支持 这一领域将确保她建立一个独立资助的癌症研究计划的长期目标 预防和戒烟，重点是减少SGM与烟草有关的健康差距 个人。 旨在促进多样性的奖项

ABSTRACT Smoking among sexual and gender minority (SGM) groups, which include lesbian, gay, bisexual, and transgender (LGBT) individuals, have been reported from different sources as highly prevalent (46% for gay men and 48% for lesbians). Considering that the smoking rate within SGM groups is more than double that of the general population (19%) and that smoking accounts there is an increased risk for SGM individuals to suffer from this fatal condition. Text effective at-risk mobile for at least 30% of all cancer deaths, messaging programs are for smoking cessation and other health behaviors. appealing to traditionally hard-to-reach, populations who experience barriers to smoking cessation interventions, and who have high rates of phone and text messaging use, which is the case for SGM users. it is clear that They are Text2Quit is a smoking cessation intervention that sends tailored, supportive texts to users based on self-selected smoking quit date. Although this program has been successfully evaluated with the general population in a randomized trial and has been also tailored to pregnant women, no study has been conducted for evaluating its feasibility specifically among SGM smokers. This project aims: (1) To develop and evaluate the design of Text2QuitPLUS, an SGM-tailored version of Text2Quit, through a qualitative approach among 16 SGM adult smokers; (2) To examine recruitment, retention, and smoking abstinence rates at 1, 3, and 6-month follow-up among 80 SGM smokers randomized either into the original Text2Quit or the Text2QuitPLUS arm. Engagement with the program will be also measured bycalculating the number of text message responses for each SGM participant from the system records ; (3) To conduct mixed-method research among 32 SGM smokers completing their participation in the feasibility trial for better understanding study participants' acceptability of the cessation interventions. Results will contribute to reducing tobacco-related health disparities among SGM groups. Irene Tami-Maury, D.M.D., M.Sc., Dr.P.H., a Latina scientist appointed as a tenure-track Assistant Professor at The University of Texas Health Science Center at Houston, is seeking 3 years of support through an NCI K22 Transition Career Development for the proposed transition career development plan and research. To fill critical gaps in her experience, she will obtain specialized training, expert advice, and first-hand experience in implementing behavioral interventions targeting underserved populations, mHealth, advanced statistics for analyzing longitudinal data, and mixed methods approaches. She will also expand her knowledge and skills related to tobacco cessation, SGM health disparities, and research ethics. Dr. Tami-Maury's comprehensive training and research plans supported by an advisory committee of established researchers in the field will secure her long-term goal of establishing an independently-funded research program in cancer prevention and tobacco cessation, with a focus on reducing tobacco-related health disparities for SGM individuals. Award to Promote Diversity