Twitter-Based Intervention for Young Adult African American Blunt Smokers

7.项目总结/摘要 这个指导以病人为导向的研究职业发展奖（K23）将开发申请人，博士。 LaTrice蒙哥马利，成为一名独立的调查员，可以评估数字健康技术，以改善 参与和治疗非裔美国年轻人大麻和烟草共同使用。职业 计划提出培训和阶段IA-IB干预发展研究，并延长申请人的优先 研究和培训，以解决三个领域的职业发展目标：1）临床试验方法和 纵向数据分析，特别是戒烟试验（Winhusen），2）互联网的发展- 基于社交媒体的干预措施，以解决非洲裔美国年轻人同时使用大麻和烟草的问题 成人（Prochaska和Budney）和3）混合方法研究（Plano Clark）。这些目标将是 通过正式的课程，研讨会和会议在领导人的指导下完成， 成瘾领域在此申请中，将进行三项相关研究，这些研究建立在申请人的培训基础上 目标，并将有助于提高对如何应用社交媒体来促进钝 减少非裔美国年轻人的使用。钝头（中空的烟草雪茄外壳， 大麻）在非洲裔美国年轻人中广泛使用， 严重的大麻使用问题，如无法减少使用，以及健康问题，如增加 高浓度的一氧化碳暴露会增加患心血管和肺部疾病的风险。尽管有这些 毒品使用和健康的负面影响，很少有干预措施被设计来解决钝性使用，特别是 年轻的非洲裔美国人。Twitter等社交媒体网站提供了独特的机会， * 提供在线保健干预措施，因为这些措施很受欢迎，而且能够覆盖得不到充分服务的人群， 可能不愿意进入或继续从事传统药物滥用的脆弱人群 治疗因此，申请人将把从该奖项获得的培训和技能应用于以下方面 研究目的：（1）采用混合方法表征文化规范、生硬使用模式、退出模式 经验，治疗需求，以及对基于社交媒体的干预措施的态度和偏好， 减少非洲裔美国年轻人的使用，（2）从混合方法中得出综合结论 数据，为基于Twitter的干预措施的开发和试点测试提供信息，3）进行小型 一项随机临床试验，以测试基于Twitter的治疗的可接受性，可行性和初步疗效 对非裔美国年轻成年钝性吸烟者进行干预。培训的经验和结果， 拟议的工作将使申请人能够寻求未来独立的NIH资助，以开发这一系列 研究、调整和测试未来基于互联网的大麻和烟草共同使用社交媒体干预措施 年轻的非洲裔美国人。

7. Project Summary/Abstract This Mentored Patient-Oriented Research Career Development Award (K23) will develop the applicant, Dr. LaTrice Montgomery, into an independent investigator who can evaluate digital health technologies to improve engagement and treatment of cannabis and tobacco co-use among African American young adults. The career plan proposes training and stage IA-IB intervention development research and extends the applicant’s prior research and training to address career development goals in three areas: 1) clinical trials methodology and longitudinal data analysis, especially for smoking cessation trials (Winhusen), 2) the development of internet- based social media interventions to address co-use of cannabis and tobacco among African American young adults (Prochaska and Budney) and 3) mixed methods research (Plano Clark). These goals will be accomplished through formal coursework, seminars, and conferences under the mentorship of leaders in the addiction field. In this application, three related studies will be conducted that build on the applicant’s training goals and will contribute to an increased understanding of how social media can be applied to promote blunt use reduction among African American young adults. Blunts (hollowed-out tobacco cigar shells that are filled with cannabis) are widely used among African American young adults and have been associated with more severe cannabis use problems, such as inability to cut down use, and health problems, such as an increased risk of cardiovascular and pulmonary diseases due to high levels of carbon monoxide exposure. Despite these negative drug use and health effects, few interventions have been designed to address blunt use, especially among African American young adults. Social media sites, such as Twitter, present unique opportunities to deliver online health-based interventions due to their popularity and ability to reach underserved and vulnerable populations who might be reluctant to enter or remain engaged in traditional substance abuse treatment. The applicant will therefore apply the training and skills acquired from this award to the following research aims: (1) use mixed methods to characterize the cultural norms, patterns of blunt use, quit experiences, treatment needs, and attitudes and preferences toward social-media based interventions for blunt use reduction among African American young adults, (2) draw integrated conclusions from mixed methods data to inform the development and pilot testing of a Twitter-based intervention and 3) conduct a small randomized clinical trial to test the acceptability, feasibility and initial efficacy of a Twitter-based treatment intervention for African American young adult blunt smokers. The training experience and results from the proposed work will position the applicant to pursue future independent NIH funding to develop this line of research and adapt and test future internet-based social media interventions for cannabis and tobacco co-use among African American young adults.