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。鼓励和帮助在生命早期戒烟是至关重要的，因为在30岁之前戒烟可以显著降低癌症死亡的风险。与其他年轻人相比，社区大学生的吸烟率很高，而且缺乏针对这一群体的有效戒烟计划，因此社区大学生是优先考虑的人群。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。本提案使用一种新颖的方法来解决这些问题。该职业发展奖的长期目标是培养Carla J. Berg博士作为一名独立的转化型癌症控制研究员，结合创新的癌症预防方法，包括烟草行业市场细分研究，为戒烟信息提供信息，电子健康干预策略，以及针对癌症预防的量身定制的信息，特别是在服务不足，高风险的年轻人中控制烟草。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方面的培训。烟草业利用市场细分研究（识别具有相似兴趣、目标和价值观的群体）来促进吸烟。我们建议采用同样的策略来促进戒烟和戒烟服务的使用。我们的目标是开发和测试使用市场细分来加强定制的可行性，作为电子健康戒烟干预的一部分。该计划涉及3项研究。研究1（调查）和研究2（焦点小组）的目的是：(1)确定社区大学吸烟者的细分市场，定量和定性地评估吸烟态度和行为的差异；(2)调查干预传递的首选沟通渠道（互联网、手机等）和适当的干预信息。在研究3中，我们将进行一项两组随机试验（n=95/组），比较增强剪裁（基于细分市场+吸烟相关因素）与标准剪裁（仅吸烟相关因素）作为电子健康戒烟干预的一部分。这项可行性研究的主要结果将是6周干预期内的网站使用情况。次要结果包括戒断（自我报告和可替宁验证）和信息处理。该建议具有创新性，解决了文献中的重要空白，包括社区大学生（即高风险、服务不足的年轻人群体）对在线干预措施的依从性和健康风险行为。这些经验将为Berg博士提供作为电子健康癌症预防研究人员的独立职业生涯的技能。明尼苏达大学为这一提议提供了绝佳的环境，因为：(1)通过其nci指定的综合癌症中心，明尼苏达大学在烟草和癌症研究方面处于全国领先地位；(2)公共卫生学院及其完善的电子健康研究项目；(3)卡尔森管理学院（Carlson School of Management）的实力，该学院设有营销研究所（Institute for Research in Marketing）；(4)明尼苏达大学网络来支持这项工作。导师团队，博士。Jasjit Ahluwalia、Lawrence An和Barbara Loken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方面的领导者。因此，候选人、环境和指导团队（连同一个强大的科学顾问委员会）很好地匹配了这个研究和职业发展计划。公共卫生相关性：鉴于烟草使用在癌症发展中的公认作用以及社区大学生吸烟率高，我们的目标是通过使用烟草业营销研究策略，为针对社区大学生量身定制的在线戒烟干预措施的开发提供信息，以提高干预措施的使用，从而降低吸烟和吸烟相关疾病，特别是癌症的患病率。

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. PUBLIC HEALTH RELEVANCE: Given the recognized role of tobacco use in the development of cancer and the high rates of smoking among community college students, we aim to decrease the prevalence of smoking and smoking-related disease, particularly cancer, by using tobacco industry marketing research strategies to inform the development of a tailored online cessation intervention targeting community college students to enhance intervention use.