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Quit4hlth: Enhancing Tobacco and Cancer Control Through Framed Text Messages

Quit4hlth：通过框架短信加强烟草和癌症控制

基本信息

批准号：
8957487
负责人：
Benjamin Andrew Toll
金额：
$ 19.28万
依托单位：
MEDICAL UNIVERSITY OF SOUTH CAROLINA
依托单位国家：
美国
项目类别：
财政年份：
2015
资助国家：
美国
起止时间：
2015-09-07 至 2017-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8957487
关键词：
Abstinence Address Adult Advisory Committees Affect Behavioral Cancer Control Car Phone Caring Cessation of life Cigarette Clinical Trials Communities Counseling Decision Making Effectiveness Enrollment Expectancy Goals Intake Intervention Lead Libraries Mediator of activation protein Meta-Analysis Modeling New York Nicotine Dependence Outcome Participant Patient Self-Report Population Prevalence Preventive Printing Protocols documentation Randomized Research Risk Self Efficacy Services Smoke Smoker Smoking Smoking Cessation Intervention Telephone Testing Text Tobacco Translating United States Withholding Treatment base behavior change cigarette smoking cost effective therapy efficacy trial improved innovation nicotine replacement primary outcome programs public health relevance quitline response secondary outcome smoking cessation smoking prevalence standard care theories tobacco control treatment response

项目摘要

DESCRIPTION (provided by applicant): The overall goal of the proposed research is to address tobacco and cancer control by increasing smoking cessation rates through the use of framed text messages among smokers who enroll in quitline treatment. We will compare quit rates for smokers who receive 30 weeks of tailored, gain-framed text messages with smokers who receive 30 weeks of tailored, standard care (unframed) text messages, both combined with standard quitline treatment, to develop an effect size estimate for 7-day point prevalence abstinence smoking cessation at 30 weeks after intake. Smoking cessation support provided via text message is effective and is emerging as a standard service provided by quitlines. A recent large efficacy trial found a that the smoking cessation rate at 6 months for participants who received text-based motivational messages and behavior change support was 5.8% higher than participants who received control messages unrelated to quitting. Moreover, we have shown that in accordance with prospect theory, gain-framed quitline counseling and print messages are effective for enhancing smoking cessation, and gain-framed messages are more effective than loss-framed messages for increasing intentions to quit and quit attempts. Therefore, we plan to test a strategy to enhance the known benefits of text messaging interventions for smoking cessation by delivering gain-framed text messages. We theorize that the gain-framed text message intervention will increase cessation rates at 30 weeks as compared to unframed text messages. We chose this approach based on the population-level impact of quitlines, which involves both reach and effect. This innovative approach gives us the potential to translate our findings to all quitlines, which are state-wide treatment settings that reach millions of smokers every year. Thus, this intervention has the potential to make a substantial impact on tobacco and cancer control.

描述（由申请人提供）：拟议研究的总体目标是通过在参加戒烟治疗的吸烟者中使用框架短信来提高戒烟率，从而解决烟草和癌症控制问题。我们将比较接受30周量身定制的增益框短信的吸烟者与接受30周量身定制的标准护理（无框）短信的吸烟者的戒烟率，两者均结合标准戒烟线治疗，以估计摄入后30周的7天点戒烟率。通过短信提供的戒烟支持是有效的，并且正在成为戒烟热线提供的标准服务。最近的一项大型疗效试验发现，接受基于文本的激励信息和行为改变支持的参与者在6个月时的戒烟率比接受与戒烟无关的控制信息的参与者高5.8%。此外，我们已经表明，根据前景理论，增益框架戒烟咨询和印刷信息是有效的，促进戒烟，增益框架的信息比损失框架的信息更有效地增加戒烟的意图和戒烟尝试。因此，我们计划测试一种策略，通过发送增益框短信来增强短信干预戒烟的已知益处。我们的理论是，与无框架短信相比，增益框架短信干预将增加30周的戒烟率。我们选择这种方法是基于退出线的人口水平影响，这涉及到范围和效果。这种创新的方法使我们有可能将我们的研究结果转化为所有戒烟热线，这是全州范围内的治疗环境，每年有数百万吸烟者受益。因此，这种干预措施有可能对烟草和癌症控制产生重大影响。