e-Decidete: Mobile Cessation Support for Latino Smokers

e-Decidete：为拉丁裔吸烟者提供移动戒烟支持

基本信息

批准号：
9411722
负责人：
Ana Paula Cupertino
金额：
$ 65.08万
依托单位：
HACKENSACK UNIVERSITY MEDICAL CENTER
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-01-10 至 2021-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9411722
关键词：
Abstinence Accident and Emergency department Address Adoption Area Behavioral Cellular Phone Cessation of life Cigarette Clinic Communities Continuity of Patient Care Cotinine Counseling Data Development Disease Elements Enhancement Technology Evaluation Evidence based treatment Future Goals Health Individual Interdisciplinary Study Intervention Knowledge Latino Mediator of activation protein Methods Minority Modeling Morbidity - disease rate Motivation Not Hispanic or Latino Outcome Participant Pattern Pharmacotherapy Pharmacy facility Population Prevalence Process Protocols documentation Quality of life Resources Risk Self Efficacy Services Smoker Smoking Smoking Cessation Intervention System Tablets Telephone Testing Text Messaging Therapeutic Tobacco Tobacco use United States Work arm base community based service community clinic community setting eHealth experience follow up assessment health care availability health disparity improved innovation mobile computing mortality outreach primary outcome programs public health priorities quitline recruit satisfaction service providers skills smoking abstinence smoking cessation standard care successful intervention therapy design treatment disparity treatment effect treatment response

项目摘要

Project Summary - eDecídete: Mobile Cessation Support for Latino Smokers Latinos are less likely than non-Hispanic whites to have access to health, to have knowledge of existing smoking cessation resources, to receive advice to stop smoking, and to participate in smoking cessation programs. Mobile technologies can dramatically enhance the reach of effective smoking cessation interventions. However, the reach of mobile interventions among Latinos remains minimal despite the fact that Latinos utilize smartphones at a higher rate. The primary aim of this study is to examine the efficacy of eDecídete (Spanish for “you can choose”), an innovative 12 week mobile smoking cessation intervention based on this work that incorporates two elements: 1) a tablet-based e-health educational session that collects personal smoking-related information to develop an individualized quit plan and guide automated and interactive text messaging; and 2) a text messaging program that includes educational information, behavioral strategies, motivational and supportive messaging, and prompts to use pharmacotherapy to support smoking cessation. Aim 1. To evaluate the impact of the culturally accommodated eDecídete program versus standard care on smoking abstinence at Month 6 among Latino smokers. At Month 6, smokers in eDecídete will have significantly higher cotinine-verified 7-day point prevalence abstinence (no cigarettes in the past 7 days) than smokers in the control arm. Aim 2. To assess therapeutic alliance, pharmacotherapy utilization, and self-efficacy as mediators of the presumed treatment effect on cotinine-verified 7-day smoking abstinence at Month 6 among Latino smokers. Our hypothesis is that eDecídete will have greater efficacy for smoking cessation than standard care by increasing therapeutic alliance, utilization of pharmacotherapy, and self-efficacy to quit. Aim 3. To conduct a process evaluation that can inform findings and future improvements. The evaluation will assess 1) satisfaction with the program and its components; 2) text-message system utilization patterns and common content themes in text message interactions among eDecídete participants.

项目摘要 - eDecídete：为拉丁裔吸烟者提供移动戒烟支持与非西班牙裔白人相比，拉丁美洲人不太可能获得健康、了解现有的知识戒烟资源，接受戒烟建议，并参与戒烟移动技术可以极大地提高有效戒烟的范围。然而，尽管事实上，拉丁裔群体中移动干预的覆盖范围仍然很小。拉丁美洲人使用智能手机的比例较高，本研究的主要目的是检验智能手机的功效。 eDecídete（西班牙语，意为“你可以选择”），一项创新的 12 周移动戒烟干预措施基于这项包含两个要素的工作：1）基于平板电脑的电子健康教育课程，收集个人吸烟相关信息，以制定个性化戒烟计划并指导自动化和交互式短信；以及 2) 包含教育信息、行为信息的短信程序策略、激励性和支持性信息，以及提示使用药物疗法来支持吸烟目标 1. 评估文化适应 eDecídete 计划与戒烟计划的影响。拉丁裔吸烟者在第 6 个月戒烟的标准护理在第 6 个月，吸烟者。 eDecídete 将显着提高经过可替宁验证的 7 天点戒烟率（在目标 2. 评估治疗联盟、药物治疗。利用和自我效能作为可替宁验证的 7 天治疗效果的中介变量我们的假设是，eDecídete 会提高拉丁裔吸烟者在第 6 个月的戒烟率。通过增加治疗联盟、利用目标 3. 进行可提供信息的过程评估。评估结果和未来的改进将评估 1) 对计划及其的满意度。 2) 短信系统使用模式和短信中常见的内容主题 eDecídete 之间的相互作用。