Effectiveness of a smoking cessation algorithm integrated into HIV primary care

纳入艾滋病毒初级保健的戒烟算法的有效性

基本信息

批准号：
10163034
负责人：
Heidi M. Crane
金额：
$ 9.71万
依托单位：
UNIVERSITY OF ALABAMA AT BIRMINGHAM
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-09-30 至 2021-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10163034
关键词：
AIDS/HIV problem Abstinence Address Adolescent and Young Adult Affect African American Age Alabama Algorithmic Software Algorithms Appointment Attitude Belief Biochemical Boston Cannabis Caring Cessation of life Characteristics Chronic Disease Cigarette Climate Clinic Clinic Visits Clinical Clinical Trials Computerized Medical Record Control Groups Diabetes Mellitus Dimensions Disease Management Effectiveness Effectiveness of Interventions Ensure Evaluation Focus Groups Frequencies Funding Future General Population Goals HIV Health Hour Hybrids Hypertension Individual Infrastructure Institutes Insurance Intervention Interview Knowledge Laws Legal Legal Status Life Life Expectancy Lung Marijuana Massachusetts Medical Medical Marijuana Mental Health Mental disorders Methadone Methods Modality Morbidity - disease rate Motivation Neighborhood Health Center Nicotine Dependence Outcome Parents Participant Patients Pattern Perception Pharmaceutical Preparations Pharmacology Pharmacotherapy Physicians Physiological Pilot Projects Population Positioning Attribute Prevalence Primary Health Care Provider Psychosocial Factor Randomized Recommendation Reporting Research Resources Risk Risk Factors Self Efficacy Self Medication Site Smoke Smoker Smoking Smoking Cessation Intervention Smoking Status Statutes and Laws System Technology Testing Time Tobacco Tobacco Use Cessation Tobacco Use Disorder Tobacco use Training Universities Visit Washington Woman Work aged arm base care providers cigarette smoke climate change clinical care clinical practice clinical research site comorbidity comparative efficacy cost cost effectiveness cost estimate demographics design effectiveness evaluation effectiveness trial experience follow-up individual patient interest intervention cost marijuana legalization marijuana use marijuana vaping men who have sex with men modifiable risk mortality novel parent project pleasure post intervention primary outcome programs reduce tobacco use secondary analysis smoking cessation standard of care success successful intervention tobacco cessation intervention tobacco products tool treatment arm treatment as usual treatment comparison treatment group uptake vaping young adult

项目摘要

Project Summary/Abstract People living with HIV (PLWH) aged 18-24 disproportionately use tobacco with half of those individuals also using some form of cannabis. While the exact amount of PLWH aged 18-24 who co-use tobacco and cannabis is unknown, the amount of co-users is only expected to increase due to changing cannabis legislation and increasing availability and popularity of vaping both tobacco and cannabis products. Unfortunately, these changes have the potential to have a profound impact on the morbidity of PLWH aged 18-24. Tobacco alone is known to be detrimental to lung health and while cannabis has been shown to have similar physiologic effects on lung health as tobacco, the combined effects of tobacco and cannabis and specifically for those who are vaping are less well studied among PLWH. Furthermore, among individuals who are attempting tobacco cessation, cannabis use has been shown to lead to difficulties with tobacco cessation and even tobacco re-initiation. Use of a decisional algorithm tool that aids providers in prescribing pharmacotherapy for tobacco cessation during routine clinical care is one promising strategy for tobacco cessation. While the parent study of this supplement seeks to evaluate the effectiveness of this decisional tool in tobacco cessation among PLWH engaged in care at three clinical sites (University of Washington, University of Alabama at Birmingham, Fenway Community Health Center), the purpose of this supplemental proposal is to understand how tobacco-cannabis co-use affects tobacco cessation in PLWH aged 18-24 who were randomized to receive the decisional algorithm tool. Focus groups and in-depth interviews will be used to examine patient and provider attitudes about tobacco cessation modalities and cannabis’ effects on cessation. Additionally, a secondary analysis from specific aim 1 of the parent study will be performed on PLWH aged 18-24. Primary outcomes will include an evaluation of the feasibility and acceptability of the algorithm tool and a comparison of the point prevalence abstinence and cannabis frequency at 6 months between tobacco and cannabis co-users and tobacco-only users. Findings from this study will help inform the next iteration of the algorithm by providing specific information on PLWH aged 18-24 who co-use tobacco and cannabis.

项目概要/摘要 18-24 岁的艾滋病毒感染者 (PLWH) 吸烟比例过高，其中一半人 18-24 岁的感染者的确切数量也使用某种形式的大麻。谁同时使用烟草和大麻尚不清楚，预计共同使用者的数量仅由于大麻立法的变化以及大麻的供应和普及而增加不幸的是，这些变化有可能会影响烟草和大麻产品。据了解，仅烟草就对 18-24 岁艾滋病感染者的发病率产生深远影响。疲劳对肺部健康的影响，而大麻已被证明具有类似的生理作用烟草对肺部综合健康的影响、烟草和大麻的影响以及专门针对那些吸电子烟的人群，在 PLWH 中的研究还较少。尝试戒烟的个人，吸食大麻已被证明会导致戒烟甚至重新开始吸烟的困难使用决策算法。帮助提供者在日常戒烟药物治疗中使用的工具临床护理是一种有前途的戒烟策略，而这项研究的母公司。补充剂旨在评估这一决策工具在戒烟方面的有效性在三个临床中心（华盛顿大学、华盛顿大学）从事护理工作的感染者中阿拉巴马州伯明翰芬威社区健康中心），本补充的目的提案旨在了解烟草与大麻的共同使用如何影响 PLWH 的戒烟 18-24 岁的人被随机分配接受决策算法工具和焦点小组。将通过深入访谈来调查患者和提供者对烟草的态度戒烟方式和大麻对戒烟的影响。根据具体目标 1，家长研究将针对 18-24 岁的感染者进行。结果将包括对算法工具的可行性和可接受性的评估以及 6 个月时戒断率和大麻频率的比较这项研究的结果将有助于烟草和大麻的共同使用者以及仅吸烟者。通过提供 18-24 岁 PLWH 的具体信息，为算法的下一次迭代提供信息谁同时使用烟草和大麻。