Smartphone Based Smoking Cessation Intervention for Socioeconomically Disadvantaged Adults

针对社会经济弱势成年人的基于智能手机的戒烟干预

• 批准号: 10552631
• 负责人: Michael S. Businelle
• 金额: $ 46.76万
• 依托单位: UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-02-01 至 2025-01-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10552631
• 关键词: Abstinence; Address; Adherence; Adult; Algorithms; Attenuated; Biochemical; Cause of Death; Cellular Phone; Cigarette; Clinic; Counseling; Data; Disease; Ecological momentary assessment; Educational Status; Effectiveness; Exposure to; Failure; Feasibility Studies; Female; Goals; Hour; Household; Income; Individual; Intervention; Measurement; Moods; Morbidity - disease rate; Motivation; Native Americans; Nicotine Dependence; Occupational Status; Oklahoma; Ownership; Participant; Pharmaceutical Preparations; Pilot Projects; Population; Poverty; Psychosocial Factor; Public Health; Randomized; Research; Resources; Risk; Risk Assessment; Risk Estimate; Risk Factors; Schedule; Smoke; Smoker; Smoking; Smoking Cessation Intervention; Social support; Socioeconomic Status; Stress; Technology; Telephone; Time; Tobacco; Transportation; United States; Work; arm; assessment application; comparative efficacy; contextual factors; coping; cost; craving; experience; flexibility; handheld mobile device; health disparity; improved; individualized medicine; insight; low socioeconomic status; male; mortality; negative affect; nicotine craving; nicotine replacement; novel; rural area; smartphone application; smoking abstinence; smoking cessation; smoking prevalence; socioeconomic disadvantage; tailored messaging; treatment group

PROJECT SUMMARY/ABSTRACT Smoking is the leading preventable cause of death and disease in the United States. Although multiple clinic and phone based smoking cessation treatments have been proven effective, most smoking cessation attempts are unaided and unsuccessful. Furthermore, smoking prevalence in socioeconomically disadvantaged adults is higher and cessation rates are lower than among adults with higher socioeconomic status. Previous research has indicated multiple causes of high cessation failure among socioeconomically disadvantaged smokers including greater exposure to other smokers, and higher levels of stress and nicotine cravings. One recent study found that smartphone based ecological momentary assessments (EMAs) can be used to identify moments of high smoking lapse risk in the hours preceding a lapse. Specifically, EMA data were used to create a six-item smoking lapse risk estimator that identified 80% of all smoking lapses within 4 hours of the first lapse. This lapse risk estimator was included as a key component of the smartphone based Smart Treatment (Smart-T) smoking cessation app. The Smart-T app assesses risk for smoking lapse multiple times per day and automatically tailors treatment content based upon an individual's current risk for lapse and currently experienced lapse triggers. Smart-T includes other components (e.g., on demand tips for coping with cravings, stress, mood; benefits of quitting; one click call to the smoking cessation helpline; smoking cessation medication tips). The single arm Smart-T pilot study (N=59) indicated very promising 3 month biochemically verified cessation rates and analyses of EMA data indicated that tailored treatment content attenuated targeted lapse triggers. The proposed study (N=450) will compare the longer-term effects of the Smart-T smoking cessation app with the free and publically available NCI QuitGuide smoking cessation app (Aim 1). It is hypothesized that significantly more participants randomized to the Smart-T condition will be abstinent 26 weeks after a scheduled quit date than those assigned to the QuitGuide app. The second aim of the proposed study will determine if Smart-T messages that are tailored to address key smoking lapse risk variables in real- time (i.e., urge, stress, cigarette availability, cessation motivation) reduce participant ratings of these lapse risk variables compared with similar situations that do not receive this tailored content (QuitGuide group). Automated, tailored, low burden, and easily accessible interventions may be used to help socioeconomically disadvantaged smokers, a population with substantial barriers that have hampered the use of traditional smoking cessation treatments, to quit smoking. Thus, this intervention has the potential to deliver a significant public health impact to exactly those who need it most.

项目概要/摘要 吸烟是美国导致死亡和疾病的主要可预防原因。虽然多家诊所 基于电话的戒烟治疗已被证明是有效的，大多数戒烟尝试 是无助且不成功的。此外，社会经济弱势成年人的吸烟率 与社会经济地位较高的成年人相比，戒烟率较高且戒烟率较低。先前的研究 表明社会经济地位处于不利地位的吸烟者戒烟失败率较高的多种原因 包括更多地接触其他吸烟者，以及更高水平的压力和对尼古丁的渴望。最近的一篇 研究发现，基于智能手机的生态瞬时评估（EMA）可用于识别 戒烟前数小时内戒烟风险较高的时刻。具体来说，EMA 数据用于 创建一个包含六项戒烟风险评估器，可在 4 小时内识别出 80% 的戒烟风险 第一次失误。该失误风险估计器是基于智能手机的 Smart 的关键组件。 治疗（Smart-T）戒烟应用程序。 Smart-T 应用程序多次评估戒烟风险 每天并根据个人当前的复发风险自动定制治疗内容 目前经历过失效触发因素。 Smart-T 包括其他组件（例如，用于应对问题的按需提示） 渴望、压力、情绪；戒烟的好处；一键拨打戒烟热线；戒烟 用药提示）。单臂 Smart-T 试点研究 (N=59) 表明 3 个月的生化效果非常有希望 经验证的戒烟率和 EMA 数据分析表明，量身定制的治疗内容减弱了目标 失效触发器。拟议的研究（N=450）将比较 Smart-T 吸烟的长期影响 戒烟应用程序与免费且公开的 NCI QuitGuide 戒烟应用程序（目标 1）。这是 假设随机分配到 Smart-T 条件的参与者中有更多的人会戒酒 26 比分配给 QuitGuide 应用程序的预定戒烟日期晚几周。拟议的第二个目标 研究将确定专为解决关键戒烟风险变量而定制的 Smart-T 信息是否能够真正解决吸烟问题？ 时间（即冲动、压力、香烟可用性、戒烟动机）会降低参与者对这些戒烟风险的评分 与未收到此定制内容的类似情况（戒烟指南组）相比，存在变量。 自动化、量身定制、低负担且易于获得的干预措施可用于帮助社会经济发展 弱势吸烟者，这些群体在使用传统吸烟方式方面存在巨大障碍 戒烟治疗，戒烟。因此，这种干预措施有可能产生重大影响 公共卫生对最需要的人产生影响。

项目成果

Racial and ethnic differences in distress, discrimination, substance use coping, and nicotine use among parents during COVID-19.

COVID-19 期间，父母在痛苦、歧视、物质使用应对和尼古丁使用方面存在种族和民族差异。

• DOI: 10.1080/15332640.2022.2128960
• 发表时间: 2022
• 期刊: Journal of ethnicity in substance abuse
• 影响因子: 1.3
• 作者: Clawson,AshleyH;Cole,AshleyB;Kurien,ChristineS;Blair,AlexandraL
• 通讯作者: Blair,AlexandraL

COVID-19 Mental Health Impacts Among Parents of Color and Parents of Children with Asthma.

• DOI: 10.1007/s40615-022-01311-9
• 发表时间: 2023-06
• 期刊: JOURNAL OF RACIAL AND ETHNIC HEALTH DISPARITIES
• 影响因子: 3.9
• 作者: Clawson, Ashley H;Cole, Ashley B;Nwankwo, Cara N;Blair, Alexandra L;Pepper-Davis, Morgan;Ruppe, Nicole M
• 通讯作者: Ruppe, Nicole M

An update on ACEs domain frequencies across race/ethnicity and sex in a nationally representative sample.

全国代表性样本中跨种族/民族和性别的 ACE 域频率的更新。

• DOI: 10.1016/j.chiabu.2022.105686
• 发表时间: 2022
• 期刊: Child abuse & neglect
• 影响因子: 4.8
• 作者: Cole,AshleyB;Armstrong,CassidyM;Giano,ZacharyD;Hubach,RandolphD
• 通讯作者: Hubach,RandolphD

Daily use of nicotine replacement medications is related to daily smoking status: An ecological momentary assessment study.

• DOI: 10.1016/j.drugalcdep.2021.109161
• 发表时间: 2021-12-01
• 期刊: Drug and alcohol dependence
• 影响因子: 4.2
• 作者: Hébert ET;Bhushan T;Ra CK;Frank-Pearce S;Alexander AC;Cole AB;Kendzor DE;Businelle MS
• 通讯作者: Businelle MS