eDecídete: Mobile Cessation Support for Latino Smokers

项目摘要- eDecídete：为拉丁裔吸烟者提供移动的戒烟支持 拉丁裔人比非西班牙裔白人更不可能获得健康，了解现有的 戒烟资源，接受戒烟建议，并参与戒烟 程序.移动的技术可以大大提高有效戒烟的覆盖面 干预措施。然而，拉丁美洲人中移动的干预的范围仍然很小，尽管事实上， 拉丁裔使用智能手机的比例更高。本研究的主要目的是检查 eDecídete（西班牙语：“你可以选择”），一项为期12周的创新性移动的戒烟干预 基于这项工作，包括两个要素：1）基于平板电脑的电子健康教育会议， 个人吸烟相关信息，以制定个性化的戒烟计划，并指导自动和 交互式文本消息传送;以及2）文本消息传送程序，其包括教育信息、行为信息、 策略，激励和支持信息，并提示使用药物治疗来支持吸烟 停止目标1。评估文化适应的eDecídete计划与 拉丁裔吸烟者在第6个月时戒烟的标准治疗。在第6个月，吸烟者 eDecídete将有显著更高的可替宁验证的7天点戒烟率（ 在过去7天内）比对照组中的吸烟者。评估联合治疗，药物治疗 利用率和自我效能作为可替宁经验证的7天 第6个月时拉丁裔吸烟者的戒烟率。我们的假设是，eDecídete将有更大的 通过增加治疗联合， 药物治疗和自我效能来戒烟。目标3。进行过程评估， 调查结果和未来的改进。评估将评估1）对该计划的满意度及其 2）文本消息系统使用模式和文本消息中的常见内容主题 参与者之间的互动。

Project Summary - eDecídete: Mobile Cessation Support for Latino Smokers Latinos are less likely than non-Hispanic whites to have access to health, to have knowledge of existing smoking cessation resources, to receive advice to stop smoking, and to participate in smoking cessation programs. Mobile technologies can dramatically enhance the reach of effective smoking cessation interventions. However, the reach of mobile interventions among Latinos remains minimal despite the fact that Latinos utilize smartphones at a higher rate. The primary aim of this study is to examine the efficacy of eDecídete (Spanish for “you can choose”), an innovative 12 week mobile smoking cessation intervention based on this work that incorporates two elements: 1) a tablet-based e-health educational session that collects personal smoking-related information to develop an individualized quit plan and guide automated and interactive text messaging; and 2) a text messaging program that includes educational information, behavioral strategies, motivational and supportive messaging, and prompts to use pharmacotherapy to support smoking cessation. Aim 1. To evaluate the impact of the culturally accommodated eDecídete program versus standard care on smoking abstinence at Month 6 among Latino smokers. At Month 6, smokers in eDecídete will have significantly higher cotinine-verified 7-day point prevalence abstinence (no cigarettes in the past 7 days) than smokers in the control arm. Aim 2. To assess therapeutic alliance, pharmacotherapy utilization, and self-efficacy as mediators of the presumed treatment effect on cotinine-verified 7-day smoking abstinence at Month 6 among Latino smokers. Our hypothesis is that eDecídete will have greater efficacy for smoking cessation than standard care by increasing therapeutic alliance, utilization of pharmacotherapy, and self-efficacy to quit. Aim 3. To conduct a process evaluation that can inform findings and future improvements. The evaluation will assess 1) satisfaction with the program and its components; 2) text-message system utilization patterns and common content themes in text message interactions among eDecídete participants.