Communication Messages to Reduce Youth Multiple Tobacco Product Use

减少青少年多种烟草产品使用的沟通信息

• 批准号: 10505773
• 负责人: Sarah Kowitt
• 金额: $ 15.97万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-13 至 2027-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10505773
• 关键词: Adult; Affective; Age; Applications Grants; Award; Cigar; Cigarette; Cognitive; Communication; Communication Research; Cues; Development; Educational workshop; Effectiveness; Electronic cigarette; Elements; Emotions; Experimental Designs; Focus Groups; Goals; Image; Intervention; K-Series Research Career Programs; Lead; Mental Health; Mentorship; Methods; Myocardial Infarction; Nicotine; Nicotine Dependence; Pattern; Performance; Prevalence; Randomized; Randomized Controlled Trials; Reaction; Research; Research Activity; Respiratory Disease; Risk; Risk Factors; Self Efficacy; Smoker; Socioeconomic Status; Stroke; Symptoms; Testing; Text Messaging; Time; Tobacco; Tobacco Dependence; Tobacco use; Training; United States; Work; Youth; apprenticeship; arm; base; behavioral outcome; cardiovascular risk factor; career; communication theory; design; eHealth; effectiveness testing; experimental study; hands on research; health communication; high risk; innovation; interest; low socioeconomic status; prevent; preventable death; substance use; theories; tobacco control; tobacco products; tobacco user

PROJECT SUMMARY/ABSTRACT Tobacco use remains the leading cause of preventable death in the United States. Almost 50% of youth tobacco users now concurrently use two or more tobacco products—defined as multiple tobacco product (MTP) use. Youth MTP use is concerning because it associated with a two-fold increase in nicotine dependence symptoms, decreased likelihood of successful quitting, and increased risk of other substance use and mental health problems. Many communication messages exist to warn youth of the harms of specific tobacco products, like e-cigarettes or cigarettes. However, almost all tobacco communication messages focus on one tobacco product at a time, which could lead MTP users to consume the tobacco product that is not the target of the messages. Moreover, these communication messages may not work well with MTP users who are more likely than single tobacco users to underestimate the harms of tobacco, be more dependent on nicotine, and be of lower socioeconomic status (SES). The overarching goal of the proposed K01 project is to develop and evaluate messages about the harms of MTP use. The primary hypothesis is that MTP messages will increase intentions to quit using all tobacco products more than existing messages that focus only on single tobacco products and control messages. A secondary goal is to determine the impact of messages among youth at higher risk of MTP use, specifically youth of lower SES. In Aim 1, I will identify effective themes for youth-oriented messages that communicate the harms of MTP use. In Aim 2, I will develop a set of high impact messages that discourages MTP use among youth and determine whether other message elements (e.g., testimonials, quitting approach, self-efficacy cue) increase tobacco quit intentions using a discrete choice experiment (DCE) with youth MTP users. Finally, in Aim 3, I will conduct a three-arm pilot randomized controlled trial (RCT) with youth MTP users (50% lower SES) to see if the MTP messages delivered as text messages over a two-week period increase tobacco quit intentions more than existing messages that focus only on single tobacco products and control messages. This research would make significant and timely contributions to the development of tobacco control communication strategies in the United States and is responsive to FDA’s interest in communications research. My long-term career goal is to conduct independent research that focuses on preventing and reducing youth tobacco use through health communication interventions. This career development award will help me reach this goal by providing new training in a) health communication theory and message development, b) experimental design for health communication research, including design of discrete choice experiments, and c) eHealth interventions for youth. My training plan includes apprenticeships with my mentorship team, formal coursework, hands-on research activities, and workshops. This award will culminate in a R01 application for a full-scale RCT testing the effectiveness of MTP messages on quit attempts and other behavioral outcomes among youth MTP users.

项目摘要/摘要 在美国，烟草使用仍然是可预防死亡的主要原因。几乎50％的年轻人 现在，烟草用户同时使用两种或更多烟草产品 - 定义为多种烟草产品 （MTP）使用。青年MTP的使用涉及，因为它与尼古丁增加了两倍 依赖症状，成功安静的可能性降低以及其他药物使用的风险增加 和心理健康问题。存在许多沟通信息，以警告年轻人的特定危害 烟草产品，例如电子烟或香烟。但是，几乎所有烟草通信消息 一次专注于一种烟草产品，这可能会导致MTP用户食用烟草产品 不是消息的目标。此外，这些通信消息可能与MTP无法正常工作 比单个烟草用户更有可能低估烟草危害的用户，更多 取决于尼古丁，具有较低的社会经济地位（SES）。拟议的总体目标 K01项目将开发和评估有关MTP使用危害的消息。主要假设是 MTP消息将增加使用所有烟草产品的意图，而不是现有消息 仅专注于单个烟草产品和控制消息。次要目标是确定 MTP使用风险较高的年轻人，特别是SES的青年。在AIM 1中，我将确定 有效的主题，用于传达MTP使用危害的青年信息。在AIM 2中，我会 开发一系列高影响信息，这些信息不鼓励青年人在青年中使用MTP并确定是否其他 消息元素（例如，证明，退出方法，自效提示）增加烟草退出意图 使用离散选择实验（DCE）与青年MTP用户。最后，在AIM 3中，我将进行三臂 与青年MTP用户（SES降低50％）的飞行员随机对照试验（RCT）查看MTP消息是否是 在为期两周的时间内作为短信交付的增加了烟草戒烟的意图，而不是现有 仅关注单个烟草产品和控制消息的消息。这项研究将使 在制定烟草控制交流策略的重要贡献 美国，对FDA对通信研究的兴趣有反应。我的长期职业目标是 进行独立研究，重点是防止和减少通过健康的青年烟草使用 交流干预措施。这个职业发展奖将通过提供新的帮助我实现这一目标 a）健康传播理论和信息发展中的培训，b）健康实验设计 沟通研究，包括设计离散选择实验的设计，c）eHealth干预措施 青年。我的培训计划包括与我的Mentalship团队，正式课程，动手实践的学徒制 研究活动和讲习班。该奖项将最终在R01应用程序中进行全尺度RCT测试 MTP消息对青年MTP用户的戒烟尝试和其他行为成果的有效性。