Comparative Effectiveness of Web-based Mobile Support for the DC Tobacco Quitline

DC 烟草戒烟热线基于网络的移动支持的比较效果

• 批准号: 7941741
• 负责人: Thomas Robert Kirchner
• 金额: $ 47.95万
• 依托单位: TRUTH INITIATIVE FOUNDATION
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-30 至 2012-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7941741
• 关键词: Abstinence; Address; American; Area; Behavioral; Cellular Phone; Centers for Disease Control and Prevention (U.S.); Client; Clinical; Clinical Practice Guideline; Communities; Community Outreach; Consensus; Counseling; Data Analyses; Development; Devices; District of Columbia; Documentation; Effectiveness; Evidence based treatment; Funding; Health; Health Psychology; Informatics; Low income; Memory; Methodology; Modality; Online Systems; Outcome; Participant; Pattern; Population; Positioning Attribute; Prevalence; Process; Professional counselor; Public Health; Randomized; Randomized Controlled Trials; Recommendation; Recovery; Relative (related person); Research; Research Infrastructure; Resources; Science; Services; Smoker; Smoking Cessation Intervention; Solid; System; Technology; Testing; Time; Tobacco; Tobacco Use Cessation; United States National Institutes of Health; Work; base; comparative effectiveness; cost; design; disorder later incidence prevention; effectiveness research; falls; improved; innovation; meetings; nicotine replacement; outreach; programs; quitline; randomized trial; smoking prevalence; standard care; substance abuse treatment; symposium; tobacco control; treatment as usual; treatment effect; web-enabled

DESCRIPTION (provided by applicant): The application, titled Comparative Effectiveness of Web-based Mobile Support for the DC Tobacco Quitline, addresses Broad Challenge Area (05) Comparative Effectiveness Research, and Specific Challenge Topic 05-DA- 102 Treatment of Substance Abuse and Related Health Consequences Using Web-Based Technologies. Many national consensus documents, including the 2007 National Institutes of Health (NIH) State-of-the-Science Conference and 2008 Clinical Practice Guideline, emphasize the enormous potential to maximize the reach, use, and population impact of smoking cessation interventions via tobacco quitlines. The national network of tobacco-cessation quitlines provides a population-level framework for dissemination, yet quitline effectiveness remains modest, producing only a small impact (reach x efficacy / cost) on smoking prevalence in the U.S. While their potential to improve cessation rates via community outreach is widely acknowledged, it is also true that tobacco quitlines are principally a time-limited counseling service, providing what amount to "booster" sessions as smokers attempt to initiate and maintain abstinence between a handful of calls. As they stand, quitlines are neither intended nor staffed to provide intensive, momentary support following the dozens of temptations and lapses that typically characterize a cessation attempt. The proposed project is an additive two-group randomized controlled trial to test whether the addition of a web-based mobile quitline enhancement (MQE) system improves abstinence rates at 1-, 3-, 6-, and 9-months relative to standard care provided by the Washington D.C. Quitline (DCQL) program. This MQE system is designed to fill the gaps between quitline calls with ready access to a menu of evidenced-based treatment components, while also providing DCQL counselors with detailed information about their clients' ongoing progress with cessation - two developments that constitute a major advance over standard quitline programming. Participants will be 700 smokers who contact the DCQL and are randomized to receive either standard DCQL programming (N=300) or DCQL plus MQE (N=400). Participants assigned to standard DCQL programming will receive 6 proactive counseling sessions and free nicotine replacement therapy (NRT). Participants assigned to DCQL plus MQE will also receive mobile access to the MQE system via a web-enabled cellular telephone provided by the study. Relative to usual care, we expect that MQE will improve outcomes by improving delivery, utilization and thereby effectiveness of DCQL programming. This project is well suited for American Recovery and Reinvestment Act (ARRA) funds because it represents an extraordinary opportunity to jump-start a collaborative effort that spearheads the use of web-enabled mobile devices to enhance the efficiency, fidelity, and impact of an established tobacco quitline program that benefits underserved communities in Washington D.C. To meet this challenge our transdisciplinary team brings expertise in tobacco control, behavioral informatics, data analysis, and clinical health psychology together with solid collaborative relationships across the DC Tobacco Consortium. As such, the project is positioned to take full advantage of DCQL infrastructure to conduct a randomized trial in an accelerated timeframe. The study is unconventional and innovative in the way it leverages web-based ecological assessment methodology to literally "close the loop" between research and practice. Bolstering the effectiveness of tobacco quitlines is a critical and timely endeavor, promising to expand the potential public health impact of this "broad reach" treatment modality. Many national consensus documents emphasize the enormous potential to maximize the reach, use, and population impact of smoking cessation interventions via tobacco quitlines. The population impact of quitlines remains small (reach x efficacy / cost), because while their potential for outreach is unrivaled, they are principally a time-limited counseling service, neither intended nor staffed to provide intensive, momentary support following the dozens of temptations and lapses that typically characterize a cessation attempt. The proposed project represents an extraordinary opportunity to spearhead the use of web-enabled mobile devices to directly supplement and thereby enhance the efficiency, fidelity, and impact of an established community-based tobacco quitline program that targets underserved communities in Washington D.C.; bolstering the effectiveness of tobacco quitlines via web-based mobile technologies is a critical and timely endeavor, promising to expand the potential public health impact of this "broad reach" treatment modality.

描述（由申请人提供）：该申请，标题为DC烟草戒烟线上基于网络移动支持的比较有效性，涉及广泛的挑战领域（05）比较有效性研究和特定挑战主题05- da - 102使用基于网络的技术治疗药物滥用和相关健康后果。许多国家共识文件，包括2007年美国国立卫生研究院（NIH）科学状况会议和2008年临床实践指南，强调通过戒烟线最大限度地扩大戒烟干预措施的范围、使用和人口影响的巨大潜力。全国戒烟热线网络为传播提供了一个人口层面的框架，但戒烟热线的有效性仍然不大，对美国的吸烟率只产生很小的影响（达到x功效/成本）。尽管它们通过社区推广提高戒烟率的潜力得到广泛认可，但戒烟热线主要是一种有时间限制的咨询服务，这也是事实。当吸烟者试图在几个电话之间开始并保持戒烟时，提供相当于“助推器”的会话。就目前的情况来看，戒烟热线既不打算也不配备人员，在经历了数十次典型的戒烟尝试的诱惑和失误后，提供密集的、短暂的支持。拟议的项目是一项附加的两组随机对照试验，以测试添加基于网络的移动戒烟热线增强（MQE）系统是否能提高1个月、3个月、6个月和9个月的戒断率，相对于华盛顿特区戒烟热线（DCQL）项目提供的标准治疗。该MQE系统旨在填补戒烟热线电话之间的空白，随时可以访问基于证据的治疗组件菜单，同时还为DCQL咨询师提供有关其客户正在进行的戒烟进展的详细信息-这两项发展构成了标准戒烟热线规划的重大进步。参与者将是700名吸烟者，他们与DCQL联系，并随机接受标准DCQL编程（N=300）或DCQL加MQE （N=400）。被分配到标准DCQL计划的参与者将接受6次主动咨询和免费的尼古丁替代疗法（NRT）。分配到DCQL + MQE的参与者也将通过研究提供的具有网络功能的移动电话获得MQE系统的移动访问权限。相对于常规护理，我们期望MQE能够通过改进交付、利用和DCQL编程的有效性来改善结果。这个项目非常适合美国复苏和再投资法案（ARRA）的资金，因为它代表了一个非凡的机会，可以启动一项合作努力，率先使用支持网络的移动设备，提高已建立的戒烟计划的效率、保真度和影响，使华盛顿特区服务不足的社区受益。为了迎接这一挑战，我们的跨学科团队带来了烟草控制、行为信息学、数据分析、临床健康心理学以及DC烟草联盟之间稳固的合作关系。因此，该项目定位于充分利用DCQL基础设施，在加速的时间框架内进行随机试验。这项研究在利用基于网络的生态评估方法来实现研究与实践之间的“闭环”方面是非常规的和创新的。加强戒烟线的有效性是一项关键而及时的努力，有望扩大这种“覆盖面广”的治疗方式的潜在公共卫生影响。许多国家共识文件强调，通过戒烟线最大限度地扩大戒烟干预措施的覆盖面、使用和对人口的影响具有巨大潜力。戒烟热线对人口的影响仍然很小（达到x功效/成本），因为尽管它们的推广潜力无与伦比，但它们主要是一种有时间限制的咨询服务，既不打算也没有人员提供密集的、短暂的支持，这些支持是戒烟尝试的典型特征。拟议的项目提供了一个非凡的机会，可以率先使用支持网络的移动设备，直接补充并从而提高已建立的以社区为基础的烟草戒烟热线计划的效率、保真度和影响，该计划以华盛顿特区服务不足的社区为目标；通过基于网络的移动技术加强戒烟线的有效性是一项关键和及时的努力，有望扩大这种“覆盖面广”的治疗方式的潜在公共卫生影响。

项目成果

Cantrell et al. respond.

坎特雷尔等人。

• DOI: 10.2105/ajph.2013.301826
• 发表时间: 2014
• 期刊: American journal of public health
• 影响因子: 12.7
• 作者: Cantrell,Jennifer;Kreslake,Jennifer;Ganz,Ollie;Pearson,JenniferL;Vallone,DonnaM;Anesetti-Rothermel,Andrew;Xiao,Haijun;Kirchner,ThomasR
• 通讯作者: Kirchner,ThomasR