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

 描述（由申请人提供）：移动的电话技术为健康通信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扩大了这些机会，这些设备能够提供丰富的多媒体和复杂的交互性。基于智能手机的程序可以无缝集成到用户的日常生活和自然环境中，以提供量身定制的健康信息，交互式心理活动，认知练习，瞬时评估等等。到目前为止，很少有研究评估利用智能手机应用程序促进烟草预防和戒烟的策略，目前几乎没有基于证据的烟草控制计划的例子存在于这个几乎无处不在的技术平台。这项为期3年的第二阶段STTR旨在加强和评估一项基于智能手机的计划AppSPIRE，该计划为青少年和年轻人提供量身定制的戒烟和预防培训。干预是基于现有的证据为基础的计算机为基础的程序，名为ASPIRE，并由跨理论模型的变化，社会认知理论和成瘾框架的指导。本研究的目的是提高原型应用程序，被认为是可行的，可用的和可接受的第一阶段的研究，并评估400名不同种族的学生在一个大型城市社区学院系统的有效性程序。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线利用行为理论和创新的计算机技术。该申请是基于我们的调查小组在进行的一些非常有希望的烟草项目中获得的大量经验。这项研究将大大提高我们对移动的电话技术辅助年轻烟草使用者烟草控制的认识。它将为今后的工作提供信息，以调查如何将移动技术用于健康传播和癌症预防。

 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 tobacco prevention and cessation, and very few examples of evidence-based tobacco control programs currently exist for this nearly ubiquitous technology platform. This 3-year Phase II STTR is proposed to enhance and evaluate a smartphone-based program, AppSPIRE, which provides tailored tobacco cessation and prevention training for adolescents and young adults. The intervention is based on an existing evidence-based computer-based program entitled ASPIRE, and is guided by the Transtheoretical Model of Change, Social Cognitive Theory, and Addiction Framework. The aims of this study are to enhance a prototype application that was found to be feasible, usable and acceptable in a Phase I study, and to evaluate the program for efficacy among 400 ethnically diverse students at a large urban community college system. The proposed research will build upon our extensive federally funded line of tobacco and youth projects utilizing behavioral theory and innovative computer technology. The application 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 mobile phone technology-assisted tobacco control among young tobacco users. It will inform future work to investigate ways in which m-technology may be used for health communication and cancer prevention.