Integrating Smoking Cessation in Tattoo Aftercare

将戒烟融入纹身后护理中

基本信息

批准号：
10452217
负责人：
Daniel Siconolfi
金额：
$ 23.49万
依托单位：
RAND CORPORATION
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-07-25 至 2024-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10452217
关键词：
Abstinence Address Adult African American Aftercare Age American Attitude Barbering Biological Black race Buffers Bundling Communities Complex Diffuse Disease Esthetics Evidence based intervention Future General Population HIV risk Health Healthcare Hypertension Individual Infection Infection prevention Intervention Lead Methods Modeling Motivation Nicotine Withdrawal Operative Surgical Procedures Organ Donations Outcome Perception Persons Phase Physiological Plastic Surgical Procedures Population Primary Health Care Protocols documentation Psychological reinforcement Publishing Recording of previous events Research Risk Risk Reduction Screening for cancer Self Efficacy Service setting Sexual Health Site Smoke Smoker Smoking Smoking Cessation Intervention Surveys Symbolism Tattooing Time Underserved Population Vaccination Vision Visit Water Withdrawal Work Wound Infection acceptability and feasibility artist brief motivational intervention coronavirus disease efficacious intervention evidence base healing high reward high risk improved infection risk innovation mHealth male nicotine replacement novel strategies pressure psychologic resilience screening smoking cessation smoking prevalence social social structure sun protection wound healing

项目摘要

Project Summary. New tattoos are a missed opportunity to promote smoking cessation. The tattoo aftercare period is a nexus of biological, psychological, social, and structural points of leverage. Between one-fifth and one-third of Americans ages 18 to 65 have at least one tattoo, and among adults ages 25-39, nearly one in two persons have at least one tattoo. Smoking prevalence among persons with tattoos is greater than smoking prevalence in the general population. Tattoo parlors are a potential catchment and referral context for evidence-based smoking cessation interventions. There is a history of feasible, acceptable, and efficacious interventions in other aesthetic service settings, such as barbershops. Yet, no published studies have examined the feasibility, acceptability, or efficacy of smoking cessation interventions delivered in tattoo parlors or adjacent to tattoo sessions (e.g., as tattoo aftercare). There are at least 20,000 tattoo parlors in the U.S., and these sites present an opportunity to reach smokers who are not well-engaged with usual intervention settings. At the individual level, a new tattoo may represent a unique window of opportunity when smokers have a greater propensity to attempt and succeed at smoking cessation. First, quitting smoking may facilitate healing of the tattoo and reduce the risk of short-term complications such as infection, which can lead to poorer aesthetic outcomes and the need for additional corrective tattooing. The negative effects of smoking on wound healing are well- documented. Second, tattoos are highly symbolic, and the symbols often have psychological relevance to motivation, self-efficacy, and resilience. Brief motivational interventions could draw upon the tattoo's salience as a means to overcome ambivalence about quitting smoking. Third, bundling cessation support into tattoo aftercare may be more acceptable to smokers who are ambivalent about quitting. Bundling cessation supports with existing tattoo aftercare practices, which are a change to routine, may help to reinforce the quit attempt during the highly vulnerable period of withdrawal. Bundling may also buffer against implicit or explicit social pressure to abandon the quit attempt. There is significant potential for promoting smoking cessation in this setting. However, no published studies have addressed whether, why, and how stakeholders (shop owners, tattoo artists, and recently-tattooed smokers) would engage in this novel approach. We will: 1) Assess the perceptions and attitudes of tattoo parlor owners and artists as they relate to tattoo-related smoking cessation interventions and aftercare bundling; 2) Assess smokers' attitudes toward smoking cessation interventions and supports in the context of tattooing and aftercare; and, 3) Develop a preliminary evidence-based intervention and/or referral protocol that will promote smoking cessation in the context of tattooing and aftercare. This research has the potential to introduce a never-before explored channel and context for delivery of smoking cessation interventions. In doing so, the work stands to reach an underserved population with an efficient and scalable intervention.

项目摘要。新纹身错失了促进戒烟的机会。纹身后护理期是一个关系到生物、心理、社会和结构的杠杆点。五分之一到三分之一之间 18 至 65 岁的美国人至少有一个纹身，而在 25 至 39 岁的成年人中，近二分之一的人有纹身至少一个纹身。有纹身的人吸烟率高于普通人的吸烟率一般人群。纹身店是循证吸烟的潜在聚集地和转介场所戒烟干预措施。在其他方面有可行、可接受和有效的干预措施的历史美容服务场所，例如理发店。然而，还没有发表的研究检验其可行性，在纹身店或纹身附近提供戒烟干预措施的可接受性或有效性疗程（例如纹身后护理）。美国至少有 20,000 家纹身店，这些网站呈现一个接触那些没有很好地参与通常干预环境的吸烟者的机会。在个人水平上，当吸烟者有更大的倾向时，新的纹身可能代表一个独特的机会之窗尝试并成功戒烟。首先，戒烟可能有助于纹身的愈合降低感染等短期并发症的风险，这些并发症可能导致美观效果较差，需要额外的矫正纹身。吸烟对伤口愈合的负面影响是显而易见的记录在案。其次，纹身具有很强的象征意义，这些符号往往与心理相关。动机、自我效能和复原力。简短的动机干预可以利用纹身的显着性作为克服戒烟矛盾心理的一种手段。第三，将戒烟支持捆绑到纹身中对于戒烟犹豫不决的吸烟者来说，善后护理可能更容易接受。捆绑停止支持现有的纹身后护理实践（这是对常规的改变）可能有助于强化戒烟尝试在戒断的高度脆弱时期。捆绑还可以缓冲隐式或显式的社交放弃戒烟尝试的压力。在促进戒烟方面具有巨大潜力环境。然而，尚无已发表的研究探讨利益相关者（店主、店主、纹身艺术家和最近纹身的吸烟者）会采用这种新颖的方法。我们将： 1) 评估纹身店老板和艺术家对与纹身相关的戒烟的看法和态度干预措施和善后捆绑； 2) 评估吸烟者对戒烟干预措施的态度纹身和术后护理方面的支持； 3) 制定初步的循证干预措施和/或在纹身和术后护理方面促进戒烟的转介协议。这研究有可能引入一种前所未有的吸烟传播渠道和环境戒烟干预措施。在此过程中，这项工作将以高效和有效的方式惠及服务不足的人群。可扩展的干预。