Take a Break: mHealth-assisted skills building challenge for unmotivated smokers

 描述（由申请人提供）：吸烟仍然是美国主要的可预防死亡原因，大多数吸烟者在任何给定时间都不准备戒烟。在此R 01应用程序中，我们提出了创新的“休息一下”项目，这是一项戒烟诱导试验，利用NRT采样和可访问和参与的移动的健康技术，包装在游戏的概念中。在戒烟研究中，大多数证据适用于少数吸烟者，即那些积极戒烟的人。这种已知的差距是显著的，因为大多数吸烟者-那些没有准备好戒烟的人，也被描述为在戒烟分阶段框架的“动机阶段”的吸烟者，历史上没有成为戒烟干预的重点。Take a Break的组成部分包括短暂的3周体验，在此期间为吸烟者提供尼古丁替代疗法;给予游戏;鼓励尝试短暂的禁欲期;奖励参与的认可点;并允许继续使用该技术。游戏包括挑战问题，以评估吸烟行为和渴望，并提供即时反馈，以及一套工具，可在需要时帮助发展应对技能。我们假设，与仅NRT组相比，休息组在“休息”期间禁欲的天数更多，在"休息"期结束时自我效能感增加更多，首次尝试戒烟的时间更短， 6个月后退出。如果休息一下被证明是有效的，它有很大的潜力广泛，非传统的传播。我们的具体目标是目标1：完善休息mHealth工具和实施计划。目的2：进行一项关于休息一下的有效性的随机试验。目标3：对AIM 2随机临床试验的参与者进行为期6个月的随访，以评估尝试戒烟的时间、尝试戒烟的次数和6个月经生化验证的普遍戒烟点。休息干预旨在提高自我效能，并支持动机阶段吸烟者的新技能。它还将为这一吸烟人群提供有价值的见解，并增加我们对哪些工具可能有效帮助他们戒烟的理解。

 DESCRIPTION (provided by applicant): Smoking continues to be the major preventable cause of mortality in the United States, and the majority of smokers are not ready to quit at any given time. In this R01 application, we propose the innovative "Take a Break" project, a smoking cessation induction trial utilizing NRT-sampling and accessible and engaging mobile health technology, wrapped in concepts of a game. In smoking cessation research, the majority of evidence applies to the minority of smokers, those actively quitting. This known gap is significant because the majority of smokers - those who are not ready to quit smoking, also described as smokers in the "Motivation Phase" of the Phased Framework of Smoking Cessation, historically have not been the focus of cessation interventions. Components of Take a Break include a brief 3-week experience during which smokers are provided nicotine replacement therapy; given the game; encouraged to try a brief period of abstinence; rewarded with recognition points for participation; and allowed continued access to the technology. The game includes Challenge Questions to assess smoking behavior and cravings and provide immediate feedback, and a suite of tools available at the point of need to help develop coping skills. We hypothesize that, compared with the NRT-only group, the Take a Break group will have a greater number of days abstinent during the `break' period, a greater increase in self-efficacy at the end of the `break' period, a lower time to first quit attempt, and a higher rate of quit at 6 months. If Take a Break proves to be effective, it has great potential for widespread, non- traditional dissemination. Our Specific Aims are AIM 1: Refine the Take a Break mHealth tool and implementation program. AIM 2: Conduct a randomized trial of the effectiveness of Take a Break. AIM 3: Follow participants in the AIM 2 randomized clinical trial for 6 months to evaluate time to quit attempts, number of quit attempts, and 6-month biochemically verified point prevalent cessation. The Take a Break intervention is designed to increase self-efficacy and support new skills for Motivation Phase smokers. It also will provide valuable insight into this population of smokers and increase our understanding of which tools may be effective in helping them quit smoking.