Addressing Tobacco Use Disparities through an Innovative Mobile Phone Intervention: The textto4gosmokelesstobacco

通过创新的手机干预措施解决烟草使用差异：textto4gosmokelesstobacco

• 批准号: 8957285
• 负责人: Devon Noonan
• 金额: $ 47.7万
• 依托单位: DUKE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-08-01 至 2018-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8957285
• 关键词: Abstinence; Academic Research Enhancement Awards; Address; Adopted; Algorithms; American; Cancer Control; Car Phone; Cellular Phone; Computers; Control Groups; Counseling; Cues; Data Collection; Discipline of Nursing; Eating; Fatigue; Friends; Future; Goals; Head and Neck Cancer; Health; Incidence; Intervention; Knowledge; Length; Life; Malignant Neoplasms; Measures; Methods; Morbidity - disease rate; Online Systems; Participant; Patient Self-Report; Patients; Population; Quality of life; Randomized; Randomized Controlled Trials; Reading; Recruitment Activity; Research; Research Infrastructure; Research Personnel; Risk; Rural; Rural Health; Rural Population; Sampling; Schedule; School Nursing; Schools; Services; Site; Smokeless Tobacco; Students; Survival Rate; Techniques; Testing; Text; Time; Tobacco; Tobacco use; United States National Institutes of Health; Urine; Vulnerable Populations; Xerostomia; base; cancer health disparity; cancer prevention; effective intervention; group intervention; health disparity; high risk; improved; innovation; malignant mouth neoplasm; mortality; primary outcome; programs; public health relevance; rural area; smokeless tobacco cessation; smoking cessation; socioeconomics; successful intervention; tobacco control

 DESCRIPTION (provided by applicant): Rural Americans are a vulnerable group at high risk for tobacco-related illness. Smokeless tobacco use is high among rural Americans at 11% and has not decreased significantly in the past decade. Rural Americans who want to quit have access to few innovative interventions. This is a significant missed opportunity for tobacco control in this population. Scheduled Gradual Reduction (SGR) may be an effective intervention to help smokeless tobacco users quit and has been minimally studied. Delivering SGR interventions via Short Message Service (SMS) text messaging is an innovative way to increase reach of smokeless tobacco cessation interventions in rural populations. We propose a 3-year pilot randomized controlled trial to evaluate the feasibility, acceptability and preliminary efficay of a SGR intervention via SMS text messaging plus SMS Support Messages in decreasing smokeless tobacco use in a rural population. The SGR group (n=60) will receive a four week SGR program delivered via SMS text messages plus SMS support messages. The control group (n=30) will receive SMS support messages to aid in quitting. We will use a variety of recruitment methods to obtain our sample and will use 2:1 treatment allocation strategy to be sure we have an adequate sample in the intervention group to generate reliable effect sizes for future studies. Primary outcomes for each participant will be: 1) proportion of messages read (feasibility); 2) ratings of the usefulness of the intervention received (acceptability) and 3) smokeless tobacco cessation at 3 and 6 months (preliminary efficacy). This will be the first SMS texting intervention using SGR with smokeless tobacco users targeting rural smokeless tobacco users who lack access to innovative and effective interventions. If successful, this study can be easily disseminated to rural smokeless tobacco users to aid in cessation, thus helping to decrease tobacco related health disparities.

 描述（由适用提供）：美国农村是一个脆弱的群体，患有与烟草有关的疾病的风险很高。在美国农村地区，无烟烟草的使用量很高，占11％，在过去十年中没有显着改善。想要退出的农村美国人可以接受一些创新的干预措施。这是该人群中烟草控制的重要机会。预定的逐渐减少（SGR）可能是有效的干预措施，以帮助无烟烟草使用者退出，并且已经进行了最少的研究。通过简短消息服务（SMS）提供SGR干预措施是一种创新的方式，可以增加农村人群中无烟烟草戒烟干预措施的覆盖范围。我们提出了一项为期3年的飞行员随机对照试验，以评估SGR干预通过SMS文本消息和SMS支持信息的可行性，可接受性和初步效率，从而减少了大量的人群中无烟烟草的使用。 SGR组（n = 60）将获得四个星期的SGR程序，该计划通过SMS文本消息加上SMS支持消息。对照组（n = 30）将收到SMS支持消息，以帮助安静。我们将使用各种招聘方法来获取样本，并将使用2：1的治疗分配策略来确保我们在干预组中有足够的样本，以生成可靠的效应尺寸以供将来的研究。每个参与的主要结果将是：1）读取的消息比例（可行性）； 2）接受的干预措施的有用性（可接受性）和3）在3和6个月（初步有效性）时无烟烟草停止。这将是使用SGR和无烟烟草用户的第一批短信干预措施，该干预用户的无烟烟草用户无法获得创新和有效的干预措施。如果成功的话，这项研究很容易被散布到粗糙的无烟烟草使用者以帮助停止的情况下，从而有助于减少与烟草相关的健康差异。