Development of a Tailored eHealth Smoking Intervention for Community Colleges

描述（由申请人提供）：烟草使用是癌症死亡的主要原因。鼓励和协助戒烟是至关重要的，因为在30岁之前戒烟可以大大降低癌症死亡的风险。社区大学生是一个优先考虑的人群，因为他们的吸烟率高于其他年轻人，而且缺乏针对这一群体的有效戒烟计划。烟草控制研究面临的一个挑战是让高危人群参与戒烟计划。该提案使用一种新颖的方法解决这些问题。 这个职业发展奖的长期目标是发展卡拉J.贝格，博士。作为一个独立的转化癌症控制研究人员，结合创新的方法来预防癌症，包括烟草行业市场细分研究，以告知戒烟信息，电子健康干预策略，并针对癌症预防，特别是烟草控制不足，高风险的年轻人量身定制的消息。她的短期职业目标是过渡到独立的癌症预防研究。在五年的奖励期内，她将开发一个知识库，以支持针对社区大学吸烟者的有效电子健康戒烟干预措施的开发和实施。职业发展活动包括市场细分研究、电子健康干预开发、健康行为理论、癌症预防和尼古丁依赖的生物学基础等方面的培训。烟草业利用市场细分研究（确定具有相似兴趣、目标和价值观的群体）来促进吸烟。我们建议采用这些相同的策略，以推广戒烟和使用戒烟服务。我们的目标是开发和测试使用市场细分的可行性，以加强定制的电子健康戒烟干预的一部分。该计划包括三项研究。研究1（调查）和2（焦点小组）旨在（1）确定社区大学吸烟者的市场细分，定量和定性评估吸烟态度和行为的差异;（2）调查首选的沟通渠道（互联网，手机等）。用于干预递送和用于干预的适当消息。在研究3中，我们将进行一项2组随机试验（n=95/组），比较增强剪裁（基于市场细分+吸烟相关因素）与标准剪裁（仅吸烟相关因素），作为eHealth戒烟干预的一部分。这项可行性研究的主要结果将是网站使用超过6周的干预期。次要结局将包括禁欲（自我报告和可替宁验证）和信息处理。这项建议是创新的，解决了文献中的重要空白，包括社区大学生对在线干预和健康风险行为的坚持（即，高风险，服务不足的年轻人群体）。这些经验将为贝格博士提供技能，以启动一个独立的职业生涯作为一个电子健康癌症预防研究员。明尼苏达大学是一个很好的环境，这一建议：（1）通过其国家癌症研究所指定的综合癌症中心，它作为烟草和癌症研究的国家领导者的地位;（2）公共卫生学院及其完善的电子健康研究计划;（3）卡尔森管理学院的实力，其中包括市场营销研究所;以及（4）明尼苏达大学网络支持这项工作。导师团队，Jasjit Ahluwalia博士，Lawrence An博士和Barbara Loken博士分别是烟草控制研究和服务不足人群，年轻成年吸烟者电子健康研究和反烟草营销策略的领导者。因此，候选人，环境和导师团队（与强大的科学顾问委员会一起）很好地匹配，以解决这个研究和职业发展计划。

DESCRIPTION (provided by applicant): Tobacco use is the leading cause of cancer deaths. Encouraging and assisting cessation early in life is critical given that quitting by age 30 dramatically reduces the risk of cancer death. Community college students are a priority population given their high rate of smoking compared to other young adults and lack of effective cessation programs targeting this group. A challenge facing tobacco control research is engaging high-risk populations in smoking cessation programs. This proposal addresses these issues using a novel approach. The long-term goal of this career development award is to develop Carla J. Berg, Ph.D. as an independent translational cancer control researcher, combining innovative approaches to cancer prevention including tobacco industry market segmentation research to inform smoking cessation messages, eHealth intervention strategies, and tailored messaging aimed at cancer prevention, specifically tobacco control among underserved, high-risk young adults. Her short-term career goals are to transition into independent cancer prevention research. Over the five-year award period, she will develop a knowledge base to will support development and implementation of an effective eHealth smoking cessation intervention targeting community college smokers. Career development activities include training in market segmentation research, eHealth intervention development, health behavior theory, cancer prevention, and biological bases of nicotine dependence. The tobacco industry has used market segmentation research (identification of groups with similar interests, goals, and values) to promote the uptake of smoking. We propose to apply these same tactics to promote smoking cessation and use of cessation services. We aim to develop and test the feasibility of using market segmentation to enhance tailoring as part of an eHealth cessation intervention. The plan involves 3 studies. Studies 1 (survey) and 2 (focus groups) aim to (1) identify market segments of community college smokers and quantitatively and qualitatively assess differences in smoking attitudes and behaviors; and (2) investigate preferred communication channels (internet, cell phone, etc.) for intervention delivery and appropriate messages for the intervention. In Study 3, we will conduct a 2-group randomized trial (n=95/group) comparing enhanced tailoring (based on market segment + smoking-related factors) vs. standard tailoring (smoking-related factors only) as part of an eHealth smoking cessation intervention. The primary outcome for this feasibility study will be website use over a 6-week intervention period. Secondary outcomes will include abstinence (both self-report and cotinine-validated) and message processing. This proposal is innovative and addresses important gaps in the literature, including adherence to online interventions and health risk behaviors among community college students (i.e., a high-risk, underserved group of young adults). These experiences will provide Dr. Berg with skills to launch an independent career as an eHealth cancer prevention researcher. The University of Minnesota is an excellent environment for this proposal given: (1) its standing as a national leader in tobacco and cancer research through its NCI-designated Comprehensive Cancer Center; (2) the School of Public Health and its well-established program in eHealth research; (3) the strength of the Carlson School of Management, which houses the Institute for Research in Marketing; and (4) its network of Minnesota colleges to support this work. The team of mentors, Drs. Jasjit Ahluwalia, Lawrence An, and Barbara Loken are leaders in tobacco control research and underserved populations, eHealth research among young adult smokers, and anti-tobacco marketing strategies, respectively. Thus, the candidate, the environment, and the mentorship team (in conjunction with a strong Scientific Advisory Board) are well matched to address this research and career development plan.