Wireless SMS Delivery of Smoking Cessation Interventions

描述(申请人提供)：该项目的目的是开发和测试互联网和无线短信短信应用程序相结合的可行性，以提供基于预定逐步减少吸烟的自助行为戒烟计划。第一阶段的原型将允许用户通过网络界面个性化和定制戒烟计划。该网站还将提供戒烟培训模块，这些模块不容易以有限的短信格式提供。一旦个性化，该程序将通过任何具有短信功能的通信设备(例如，大多数手机、字母数字寻呼机、无线电子邮件设备)进行传送。该计划将使用带有迭代平均值计算的抽样程序来评估基线吸烟，直到获得稳定的基线。然后，该程序将使用预定的逐渐减少算法提示用户吸烟。还将根据个性化数据和减少期间的进展向用户发送社会支持和应对策略消息。一旦实现戒毒，该计划将提供预防复发的信息。在开发和测试第一阶段原型后，将在50名吸烟者身上进行为期10周的公开试验，使用他们个人手机或其他短信设备上提供的程序进行可行性测试。可行性标准将包括程序利用率、各种功能的主观评级、尼古丁依赖的减少，以及治疗后通过一氧化碳和唾液可替宁验证的七天点戒断情况。使用短信技术，可以在吸烟冲动发生的情况下实时提供行为戒烟干预。鉴于美国手机用户的渗透率不断增长，几乎所有手机用户都具有短信功能，该计划有可能影响大量当前的吸烟者，并提供低成本、易于传播的行为戒烟干预。

DESCRIPTION (provided by applicant): The purpose of this project is to develop and test the feasibility of a combined internet and wireless SMS text messaging application to deliver a self-help behavioral smoking cessation program based on scheduled gradual reduction of smoking. The Phase I prototype will allow the user to personalize and tailor the cessation program via web interface. The web site also will provide cessation training modules not easily delivered in limited text messaging formats. Once personalized, the program will be delivered via any communication device with SMS capabilities (e.g. most cell phones, alphanumeric pagers, wireless email devices). The program will assess baseline smoking using a sampling procedure with iterative mean calculations until a stable baseline is obtained. The program will then prompt the user to smoke using a scheduled gradual reduction algorithm. Social support and coping strategy messages also will be sent to the user based on personalization data and progress during the reduction. Once cessation is achieved, the program will provide relapse prevention messages. After development and testing of the Phase I prototype, feasibility testing will be performed on 50 smokers in a 10-week open trial using the program delivered on their personal cell phones or other SMS devices. Feasibility criteria will include program utilization, subjective ratings of various features, and reductions in nicotine dependence, as well as seven day point prevalence abstinence at post-treatment, validated via CO and saliva cotinine. Using SMS technology, a behavioral smoking cessation intervention can be delivered in real time and in the context in which the urges to smoke occur. Given the growing penetration rate of cell phone users in the U.S., nearly all with text messaging capabilities, this program has the potential to impact a large number of current smokers and provide a low cost, easily disseminated behavioral smoking cessation intervention.