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.

项目摘要/摘要 吸烟是美国可预防的死亡和疾病原因。虽然多个诊所 和基于电话的戒烟治疗已被证明有效，大多数戒烟尝试 是独立的，没有成功。此外，在社会经济上处于弱势成年人的吸烟率是 在社会经济地位较高的成年人中，较高和停止率的率低。先前的研究 已经表明，社会经济处境不利的吸烟者中停止失败的多种原因 包括更多接触其他吸烟者，以及更高水平的压力和尼古丁的渴望。最近的一个 研究发现，基于智能手机的生态瞬时评估（EMA）可用于识别 在失误之前的几个小时内，吸烟失误风险高的时刻。具体而言，EMA数据用于 创建一个六个项目的吸烟风险估计器，该估计器在4小时内确定了所有吸烟失误的80％ 首次失效。该失误风险估计器作为基于智能手机的智能的关键组成部分包括在内 治疗（SMART-T）戒烟应用程序。 Smart-T应用程序评估多次吸烟失误的风险 每天，并根据个人当前的失效风险自动量身定制治疗内容 目前经历了失误触发因素。 Smart-T包括其他组件（例如，按需应对技巧 渴望，压力，情绪；退出的好处；一键打电话给戒烟热线供您使用；戒烟 药物提示）。单臂智能-T试验研究（n = 59）表明3个月非常有前途的生化 验证的停止率和EMA数据的分析表明，定制的治疗含量已衰减。 失误触发器。拟议的研究（n = 450）将比较Smart-T吸烟的长期影响 戒烟应用程序具有免费且可公开的NCI戒烟戒烟应用程序（AIM 1）。这是 假设有明显更多随机与Smart-T条件的参与者将避免26 预定退出日期之后的几周比分配给戒烟应用程序的日期。提议的第二个目标 研究将确定针对解决关键吸烟失误风险变量的量身定制的Smart-T消息是否是实现的 时间（即敦促，压力，香烟可用性，停止动机）降低了这些失误风险的参与者评分 与未接收此量身定制内容的类似情况相比，变量（戒烟组）。 可以使用自动化，量身定制，低负担和易于获得的干预措施来帮助社会经济 处境不利的吸烟者，人口具有重大障碍，阻碍了传统的使用 戒烟治疗，戒烟。因此，这种干预有可能提供重要的 公共卫生对最需要它的人的影响。

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

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

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