Mobile Application for Guided Imagery to Address Smoking, Diet and Physical Activ

用于解决吸烟、饮食和身体活动问题的引导图像移动应用程序

• 批准号: 8637652
• 负责人: JUDITH SARAH GORDON
• 金额: $ 20.02万
• 依托单位: UNIVERSITY OF ARIZONA
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-01-01 至 2015-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8637652
• 关键词: Acute; Address; Adult; Affect; Behavior; Behavioral; Body Image; Body Weight; Cancer Etiology; Car Phone; Cessation of life; Chronic; Chronic Disease; Chronic Obstructive Airway Disease; Cognitive; Data; Development; Diet; Dietary Practices; Dietary intake; Eating; Elements; Enrollment; Ensure; Environment; Ethnic Origin; Ethnic group; Feedback; Female; Focus Groups; Future; Guided imagery; Health; Health behavior; Imagery; Internet; Intervention; Investigation; Life Style; Link; Malignant neoplasm of lung; Measures; Overweight; Participant; Patient Self-Report; Persons; Physical activity; Population; Prevention; Procedures; Public Health; Race; Randomized Controlled Trials; Records; Relapse; Reporting; Research; Research Personnel; Resources; Risk; Risk Factors; Self Efficacy; Smoke; Smoker; Smoking; Technology; Telephone; Testing; Text; Therapeutic; Time; Tobacco Use Cessation; Tobacco use; United States; Weight; Weight Gain; Woman; base; behavior change; cost effectiveness; craving; design; diaries; diet and exercise; effective intervention; efficacy testing; experience; good diet; health application; innovation; interactive multimedia; mHealth; male; men; mobile application; nicotine craving; non-smoker; primary outcome; programs; prototype; public health relevance; racial and ethnic; response; self esteem; smoking cessation; theories; tobacco abstinence; tool; usability

DESCRIPTION (provided by applicant): Tobacco use among women now approaches that of men, with approximately 27 million women smokers in the United States alone. Lung cancer is the leading cause of cancer death among women, and more than 180,000 women die of other illnesses linked to smoking annually. Women report greater difficulties quitting smoking and are more likely to relapse than men. In addition, tobacco use co-varies with poor dietary practices and lack of physical activity, with 92% of smokers reporting at least one other health risk factor. The presence of multiple behavioral risk factors greatly increases the risk of developing many acute and chronic conditions (e.g., MI, COPD, etc.). Concerns surrounding weight gain, negative body image, and low self-efficacy, may be key factors affecting smoking cessation among weight-concerned women smokers. These smokers are less satisfied with their bodies, have lower self-esteem, and are more concerned about becoming overweight than non-smokers. These findings suggest that targeting weight concern, body image and self-efficacy to quit with weight-concerned women who smoke may be an effective intervention strategy. One cognitive approach, guided imagery, has been successfully employed in separate lines of inquiry to address physical activity, diet and smoking cessation. However, guided imagery has not been employed to target weight concerned women who smoke or to simultaneously target smoking, diet, and exercise behavior in a single intervention. The proposed study would be the first of its kind to create a theory-based, guided imagery intervention to assist weight-concerned women smokers to quit. While imagery is an effective therapeutic tool for behavior change, the mode of delivery has generally been in-person, limiting the dissemination of guided imagery-based interventions to large populations. Mobile health applications (mobile apps) delivered via smart phones offer a unique channel through which to distribute imagery-based interventions. The use of a mobile app offers an innovative approach to addressing the multiple behaviors involved in smoking cessation efforts of weight-concerned women, and has the potential to reach large numbers of women smokers. If successful, a mobile application for guided imagery could be used to address other health behaviors as well. The present project aims to develop and test the feasibility of a mobile health application using guided imagery in order to increase smoking cessation among a population of weight-concerned women smokers. We will also collect data on the eating and physical activity behaviors of our participants before and after receiving the imagery intervention. Results of this study will prepare us for a future randomized controlled trial to test the efficacy and cost-effectiveness of a multi-behavioral, guided imagery mobile health application versus a single smoking cessation imagery mobile health application.

描述（由申请人提供）：在女性中使用烟草的使用方法是男性，仅在美国，大约有2700万女性吸烟者。肺癌是妇女癌症死亡的主要原因，超过18万名妇女死于每年与吸烟有关的其他疾病。妇女报告说，戒烟的困难更大，比男性更有可能复发。此外，烟草的饮食习惯和缺乏体育锻炼的共同变种，有92％的吸烟者报告至少有一个其他健康危险因素。 多种行为风险因素的存在大大增加了发展许多急性和慢性病（例如MI，COPD等）的风险。围绕体重增加，负面形象和低自我效能感的担忧可能是影响体重连接女性吸烟者吸烟的关键因素。这些吸烟者对自己的身体不满意，自尊心较低，并且比非吸烟者更关心变得超重。这些发现表明，针对体重，身体形象和自我效能感以戒烟的女性可能是一种有效的干预策略。一种认知方法是指导图像，已成功地用于解决体育锻炼，饮食和戒烟的单独探究线中。但是，在一次干预措施中，尚未将带有指导的图像用于针对吸烟，饮食和运动行为同时靶向吸烟，饮食和运动行为的妇女。拟议的研究将是第一个创建基于理论的指导图像干预措施，以协助体重连接的女性吸烟者戒烟。虽然图像是一种有效的行为改变治疗工具，但分娩方式通常是亲密的，限制了将基于图像的干预措施传播到大量人群中。通过智能手机提供的移动健康应用程序（移动应用程序）提供了一个独特的渠道，可以通过该渠道分发基于图像的干预措施。移动应用程序的使用提供了一种创新的方法来解决重量固定妇女的戒烟工作所涉及的多种行为，并有可能吸引大量女性吸烟者。如果成功，则是一个移动应用程序 指导图像也可以用来解决其他健康行为。本项目旨在使用带导图像的图像来开发和测试移动健康应用程序的可行性，以增加戒烟人群的吸烟女性吸烟者。我们还将在接受图像干预之前和之后收集有关参与者的饮食和体育活动行为的数据。这项研究的结果将使我们为未来的随机对照试验做好准备，以测试多行为，导向的图像移动健康应用程序的功效和成本效益与单个吸烟戒烟成像移动健康应用的功效。