APPSPIRE: expanding the reach of an innovative tobacco control program for youth

描述(由申请者提供)：移动电话技术为健康交流和干预的创新方法提供了各种机会。下一代智能手机设备的出现放大了这些机会，这些设备能够进行丰富的多媒体和复杂的交互。基于智能手机的程序可以无缝地集成到用户的日常生活和自然环境中，以提供定制的健康消息、交互式心理社交活动、认知练习、瞬时评估等。到目前为止，很少有研究评估利用智能手机应用程序促进吸烟预防和戒烟的策略，目前这个快速传播的技术平台上几乎没有循证控烟计划的例子。该项目的目的是研究针对智能手机的下一代交互式多媒体干预的可行性，该干预将在青少年和年轻人中促进预防和戒烟。干预将基于现有的名为ASPIRE的计算机程序，并将以变化的跨理论模型、社会认知理论和成瘾框架为指导。这项研究的目的是开发该计划的概念验证实施，并评估该原型的可行性和初步影响。我们将从当地一所大学招募15名活跃吸烟者和15名非吸烟者，并评估该应用程序的吸引力、可接受性和在现场的使用情况。拟议的研究将建立在我们广泛的联邦资助的烟草和青年项目系列上，利用行为理论和创新的计算机技术。这项建议是根据我们的调查小组在一些极具前景的烟草项目中取得的丰富经验而提出的。这项研究将极大地促进我们对年轻成年吸烟者的烟草控制的理解，他们代表了一个研究不足的人群。它将为未来的工作提供信息，以调查智能手机技术可用于健康交流和有效促进健康行为改变的方式。

DESCRIPTION (provided by applicant): Mobile phone technology offers a variety of opportunities for innovative approaches to health communication and intervention. These opportunities have been amplified by the emergence of next-generation smartphone devices that are capable of rich multimedia and sophisticated interactivity. Smartphone-based programs can be integrated seamlessly into a user's daily life and natural setting to deliver tailored healt messaging, interactive psychosocial activities, cognitive exercises, momentary assessments and much more. Few studies to date have evaluated strategies for leveraging smartphone applications to promote smoking prevention and cessation, and very few examples of evidence-based tobacco control programs currently exist for this rapidly spreading technology platform. The purpose of this project is to investigate the feasibility of a next-generation interactive multimedia intervention for smartphones that will promote smoking prevention and cessation among adolescents and young adults. The intervention will be based on an existing computer-based program entitled ASPIRE, and will be guided by the trans-theoretical model of change, social-cognitive theory, and addiction framework. The aims of this study are to develop a proof-of-concept implementation of the program and to evaluate this prototype for feasibility and preliminary impact. We will recruit 15 active smokers and 15 non-smokers from a local university and evaluate the application's appeal, acceptability, and usage in the field. The proposed research will be built upon our extensive federally funded line of tobacco and youth projects utilizing behavioral theory and innovative computer technology. The proposal is based on the considerable experience gained in a number of highly promising tobacco projects conducted by our investigative team. This study will significantly advance our understanding of tobacco control among young adult smokers, who represent an understudied population. It will inform future work to investigate ways in which smartphone technology may be used for health communication and effective promotion of health behavior change.