Veteran Social Support Intervention for Enhancing Smoking Treatment Utilization and Cessation
提高吸烟治疗利用率和戒烟的退伍军人社会支持干预
基本信息
- 批准号:10538304
- 负责人:
- 金额:--
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2023
- 资助国家:美国
- 起止时间:2023-06-01 至 2026-11-30
- 项目状态:未结题
- 来源:
- 关键词:AddressAdoptionAdultBehavioralBiochemicalCollaborationsCommunicationCommunitiesCounselingDatabasesDevelopmentElectronic Health RecordEnrollmentFamilyFamily memberFosteringFoundationsFriendsFutureGenderGeneral PopulationHealth ServicesHealth Services AccessibilityHealth systemHealthcareInterventionLiteratureMethodologyOutcome StudyParticipantPersonsPharmacotherapyPopulationPrevalenceProfessional counselorPublic HealthRandomizedRandomized, Controlled TrialsReadinessRecommendationReportingResearchResourcesRoleSample SizeSamplingSmokerSmokingSmoking StatusSmoking treatmentSocial NetworkSocial supportTobaccoTobacco useVeteransWomanWomen&aposs HealthWorkWritingcigarette smokingcomparison interventioneffectiveness evaluationeffectiveness trialefficacy trialevidence basefollow-upgroup interventionhealth disparityimplementation evaluationimplementation outcomesinnovationinterestintervention effectmalemenmotivational enhancement therapynon-smokingoutreachpatient orientedpeer supportprocess evaluationprogramsquitlinerecruitsmoking abstinencesmoking cessationsocialtelephone coachingtheoriestobacco cessation interventiontobacco usertrial enrollment
项目摘要
Background: Enhancing access and use of evidence-based tobacco cessation treatments and eliminating
tobacco-related health disparities are top national and VA health services priorities. The prevalence of tobacco
use is greater among Veterans compared to non-Veterans. From 2010-2015, 29% of women and 21% of male
Veterans reported current cigarette smoking. Evidence-based cessation treatments (EBCTs) such as, tobacco
quitlines, behavioral counseling, and pharmacotherapy, are greatly underutilized by Veteran smokers. Gaps
remain in reaching women Veterans and use of existing social support networks to enhance use of EBCTs and
cessation among Veterans
Innovation and Impact: This project is innovative for evaluating social support networks as a proactive
outreach approach to enhance cessation treatment utilization among Veteran smokers. The role of social
network influences and social support on successful smoking cessation is established. Based on Cohen’s
theory of social support, our team developed a social support intervention for diverse family members, friends,
and other adults who wanted to help a smoker quit. The intervention consists of written materials and a 1-call,
15-25 minute coaching session. It is expected to be especially beneficial for Veteran smokers who might not
otherwise access cessation treatment. Because our prior VHA trials enrolled about 94% men and the higher
smoking rates among women, we will oversample women to enroll an equal number of men and women
smokers. Our study contributes to VA HSR&D’s priority initiatives for enhancing treatment access and
women’s health and is significant because it will advance research on the role of partnering with Veterans’
families and/or important others to enhance access to VA healthcare and population-specific treatments,
especially women Veterans. The potential reach and public health impact of an effective social support
intervention for the Veteran tobacco user population is considerable.
Specific Aims: (Aim 1) To evaluate the impact of the social support intervention on Veteran smokers’ use of
EBCT, (Aim 2) To examine the effectiveness of the social support intervention on the biochemically confirmed
7-day point prevalence cigarette smoking abstinence, (Aim 3) To explore potential moderators (e.g., smoker
gender, SP tobacco use status) of intervention effects on study outcomes, and (Aim 4) To conduct a process
evaluation assessing implementation outcomes (reach, adoption, fidelity) of the social support intervention and
multilevel factors that may influence implementation.
Methodology: We will conduct a pragmatic randomized controlled trial (RCT) within the national VHA health
system to evaluate the effectiveness of a social support intervention compared with a control condition on
utilization of EBCT among VHA-enrolled smokers. Veteran smokers, regardless of level of readiness to quit,
will be identified nationally using the VHA electronic health record and proactively recruited. Interested
smokers will be asked to identify a support person (SP) who will enroll. Participants will be randomized as
smoker-SP dyads to the intervention (n= 594 dyads) or control condition (n= 594 dyads). All smokers will
receive written resources and information on EBCTs. All SP participants will receive written materials. SP
participants assigned to the intervention group will additionally receive a 1-call coaching session. Assessments
for dyads in both study groups will be conducted at baseline, 3-, and 6-months post-randomization.
Implementation/Next Steps: Next steps depend on the actual results, but we expect findings to be important
to VA leaders, the VA Women’s Health Research Consortium and the Veteran community. We will maintain
communication throughout the project with VA program partners to share findings in a timely manner. We will
collaborate with CCDOR’s Veteran Engagement Panel on development of patient-centered dissemination
approaches and recommendations for future intervention adaptations and/or implementation.
背景:加强循证戒烟治疗的获取和使用并消除
与烟草相关的健康差异是国家和退伍军人事务部卫生服务的首要任务 烟草流行。
与非退伍军人相比,2010 年至 2015 年间,女性和男性的使用率分别为 29% 和 21%。
退伍军人报告了目前的循证戒烟治疗 (EBCT),例如烟草。
老烟民很少充分利用戒烟热线、行为咨询和药物治疗。
继续接触女性退伍军人并利用现有的社会支持网络来加强 EBCT 的使用和
退伍军人中的戒烟
创新和影响:该项目在评估社会支持网络作为主动性方面具有创新性
提高退伍军人戒烟治疗利用率的外展方法 社会的作用。
基于科恩的理论,建立了网络影响和社会支持对成功戒烟的影响。
根据社会支持理论,我们的团队为不同的家庭成员、朋友、
以及其他想要帮助吸烟者戒烟的成年人 书面材料和一通电话的干预,
15-25 分钟的辅导课程预计对可能不吸烟的老烟民特别有益。
否则可以接受戒烟治疗,因为我们之前的 VHA 试验招募了约 94% 的男性及更高比例的男性。
女性吸烟率,我们将对女性进行过度抽样,以招募同等数量的男性和女性
我们的研究有助于 VA HSR&D 的优先举措,以提高治疗的可及性和
妇女的健康,并且意义重大,因为它将推进与退伍军人合作的作用的研究
家庭和/或重要的其他人,以增加获得 VA 医疗保健和针对特定人群的治疗的机会,
尤其是女性退伍军人,有效的社会支持的潜在影响力和公共健康影响。
对资深烟草使用者群体的干预是相当大的。
具体目标:(目标 1)评估社会支持干预对退伍军人吸烟者使用电子烟的影响
EBCT,(目标 2)检验社会支持干预对生化确诊患者的有效性
戒烟 7 天点流行率,(目标 3)探索潜在的调节因素(例如吸烟者
性别、SP 烟草使用状况)的干预对研究结果的影响,以及(目标 4)进行一个过程
评估实施情况评估社会支持干预的结果(范围、采用、忠诚度)以及
可能影响实施的多层次因素。
方法:我们将在国家 VHA 健康范围内进行一项务实的随机对照试验 (RCT)
与控制条件相比,评估社会支持干预有效性的系统
在 VHA 登记的老烟民中使用 EBCT,无论戒烟准备程度如何,
将使用 VHA 电子健康记录在全国范围内进行识别并主动招募。
吸烟者将被要求指定一名支持人员(SP),参与者将被随机分配为。
吸烟者-SP 双人组到干预(n= 594 双人组)或控制条件(n= 594 双人组)所有吸烟者都会。
收到有关 EBCT 的书面资源和信息。 所有 SP 参与者都将收到书面材料。
分配到干预组的参与者还将额外接受一次通话辅导评估。
两个研究组中的二元组将在基线、随机化后 3 个月和 6 个月时进行。
实施/后续步骤:后续步骤取决于实际结果,但我们预计发现很重要
致退伍军人事务部领导人、退伍军人事务部妇女健康研究联盟和退伍军人社区,我们将继续维护。
在整个项目过程中,我们将与 VA 计划合作伙伴进行沟通,及时分享调查结果。
与 CCDOR 的退伍军人参与小组合作开发以患者为中心的传播
未来干预措施调整和/或实施的方法和建议。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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{{ truncateString('STEVEN FU', 18)}}的其他基金
A Pragmatic Trial of Chronic Disease Approaches To Ameliorate Tobacco Related Cardiovascular Disease Health Disparities
改善烟草相关心血管疾病健康差异的慢性病方法的务实试验
- 批准号:
10437212 - 财政年份:2021
- 资助金额:
-- - 项目类别:
A Pragmatic Trial of Chronic Disease Approaches To Ameliorate Tobacco Related Cardiovascular Disease Health Disparities
改善烟草相关心血管疾病健康差异的慢性病方法的务实试验
- 批准号:
10676239 - 财政年份:2021
- 资助金额:
-- - 项目类别:
A Pragmatic Trial of Chronic Disease Approaches To Ameliorate Tobacco Related Cardiovascular Disease Health Disparities
改善烟草相关心血管疾病健康差异的慢性病方法的务实试验
- 批准号:
10494234 - 财政年份:2021
- 资助金额:
-- - 项目类别:
Comparing an opt-out to an opt-in approach for smoking cessation in VA primary care clinics
退伍军人事务部初级保健诊所选择退出与选择加入戒烟方法的比较
- 批准号:
10186542 - 财政年份:2018
- 资助金额:
-- - 项目类别:
Comparing an opt-out to an opt-in approach for smoking cessation in VA primary care clinics
退伍军人事务部初级保健诊所选择退出与选择加入戒烟方法的比较
- 批准号:
10308535 - 财政年份:2018
- 资助金额:
-- - 项目类别:
Comparing an opt-out to an opt-in approach for smoking cessation in VA primary care clinics
退伍军人事务部初级保健诊所选择退出与选择加入戒烟方法的比较
- 批准号:
9761306 - 财政年份:2018
- 资助金额:
-- - 项目类别:
Proactive Outreach for Smokers in VA Mental Health
退伍军人管理局心理健康部门积极主动为吸烟者提供服务
- 批准号:
8484925 - 财政年份:2013
- 资助金额:
-- - 项目类别:
Proactive Outreach for Smokers in VA Mental Health
退伍军人管理局心理健康部门积极主动为吸烟者提供服务
- 批准号:
8796123 - 财政年份:2013
- 资助金额:
-- - 项目类别:
Effectiveness of Proactive Tobacco Treatment in Diverse Low Income Smokers
主动烟草治疗对不同低收入吸烟者的有效性
- 批准号:
8699155 - 财政年份:2009
- 资助金额:
-- - 项目类别:
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