Quit4hlth: Enhancing Tobacco and Cancer Control Through Framed Text Messages

 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加框短信来提高戒烟率，从而解决烟草和癌症控制问题。我们将比较接受30周定制、增益框架短信的吸烟者和接收30周定制、标准护理(非框架)短信(两者都结合标准戒烟治疗)的吸烟者的戒烟率，以制定在摄入30周后7天点戒烟患病率的效果大小估计。通过短信提供的戒烟支持是有效的，并正在成为QuiLines提供的一项标准服务。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个月后的戒烟率比收到与戒烟无关的控制信息的参与者高5.8%。此外，根据前景理论，我们已经证明，获得框架戒烟咨询和打印信息对于促进戒烟是有效的，并且在增加戒烟意图和戒烟尝试方面，获得框架消息比损失框架消息更有效。因此，我们计划测试一种策略，通过发送带有增益框架的短信来增强短信干预戒烟的已知益处。我们的理论是，与非框架短信相比，增益框架短信干预将在30周内提高戒断率。我们选择这种方法是基于QuiLine在人口层面的影响，这既涉及到覆盖范围，也涉及到影响。这种创新的方法使我们有可能将我们的发现转化为所有戒烟热线，这些戒烟热线是全州范围的治疗设置，每年覆盖数百万吸烟者。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。

 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.