Latinos Kick Buts: Mobile Engagement and Cessation Support for Latino Smokers Phase II

拉丁裔 Kick Buts：为拉丁裔吸烟者提供移动参与和戒烟支持第二阶段

• 批准号: 9905214
• 负责人: Ana Paula Cupertino
• 金额: $ 49.99万
• 依托单位: AGILE HEALTH, INC.
• 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 2022-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9905214
• 关键词: Abstinence; Address; Adopted; Age; Behavioral Research; Birth; Businesses; Cellular Phone; Clinic; Clinical Trials; Collaborations; Communication; Communities; Country; Employee; Enrollment; Face; Fright; Gender; Goals; Health; Health system; Healthcare; Healthcare Systems; Intervention; Knowledge; Language; Latino; Lead; Libraries; Meridians; Minority; Minority Groups; Modeling; Outcome; Patient Self-Report; Patients; Phase; Population; Public Health; Randomized; Research; Resources; Rewards; Self Efficacy; Services; Small Business Technology Transfer Research; Smoke; Smoker; Smoking; Socioeconomic Status; Surveys; Testing; Text Messaging; Time; base; commercialization; cost; design; evidence base; improved; innovation; outreach; patient engagement; personalized approach; programs; quitline; satisfaction; smoking cessation; social culture; social norm; text messaging intervention; theories; underserved minority; uptake

PROJECT SUMMARY Despite a growing need for smoking cessation services, Latino smokers face notable disparities in cessation treatment. Consequently, there is a big opportunity, both from a scientific and a business perspective, to develop and test the most optimal culturally tailored approaches to enroll and engage Latino Smokers into cessation programs. The Kick Buts program owned by Agile Health has shown to be a highly effective mobile text message- based smoking cessation program in clinical trials and is now available to more than 1.8 million employees and patients. However, Latino smokers’ engagement rates in the program are very low. In the STTR Phase I, we developed and tested a culturally-relevant version of the Kick Buts program in English and Spanish to better engage, increase quit attempts and improve cessation outcomes among Latino smokers, Latinos Kick Buts (LKB). The next step to assure the commercialization of the LKB will be to improve the reach, enrollment and retention in the LKB. In this Phase II our goal is to compare the impact of 4 theory-based text message types (reward, scarcity, fear/self-efficacy and social norms) on enrollment of Latino smokers into LKB. We will deploy these messages among Latino smokers served by Hackensack Meridian Health, one of the largest healthcare systems in the U.S., to increase the enrollment and retention of Latino smokers in the Latinos Kick Buts program. Latino smokers (N = 2,600) will be randomized to receive up to five messages/week (once a day at different times of the day and different days of the week) from one of the four message types. Smokers responding to these messages will be automatically enrolled in the LKB program and begin to receive “quit decision support” messages designed to guide smokers to develop a personalized quit plan. Two weeks later, smokers who do not respond to the first type of messages will be re-randomized to receive one of the top two performing message types arising from the first cycle of messaging. Non-responders to the second cycle will be re-randomized again to receive another cycle of the top two performing messages. After all three cycles are complete, we expect that at least 629 Latino smokers will enroll in LKB. We will carefully track engagement, retention, and satisfaction with LKB. Aim 1. To compare the impact of 4 theory-based text message types on enrollment of Latino smokers into LKB. Aim 2: To identify days of the week and times of the day most likely to lead to enrollment as well as understand enrollment into different messages by age, gender, socioeconomic status, and country of birth. Aim 3: To assess engagement and satisfaction with LKB in a clinic population and generate estimates of cessation among diverse group of Latinos.

项目摘要 尽管对戒烟服务的需求越来越大，但拉丁裔吸烟者仍面临着明显的戒烟分配 治疗。因此，从科学和商业角度来看，有很大的机会来发展 并测试最佳的文化量身定制的方法，以招募和吸引拉丁裔吸烟者戒烟 程序。 Agile Health拥有的Buts Buts计划已证明是一条非常有效的移动文本消息 - 基于临床试验的基于戒烟计划，现在可容纳180万以上的员工和 患者。但是，该计划中的拉丁裔吸烟者参与率很低。在Sttr第一阶段，我们 开发并测试了与英语和西班牙语的文化相关版本的踢脚计划，以更好 参与，增加戒烟的尝试并改善拉丁裔吸烟者的停止结果，拉丁裔踢 （LKB）。下一步假设LKB商业化将是改善覆盖范围，注册和 保留在LKB中。在此阶段II中，我们的目标是比较4种基于理论的文本消息类型的影响 （奖励，稀缺，恐惧/自我效能和社会规范）就拉丁裔吸烟者入学到LKB。我们将部署 Hackensack Meridian Health服务的拉丁裔吸烟者中的这些信息是最大的医疗保健之一 美国的系统，以增加拉丁美洲裔踢球计划中拉丁裔吸烟者的入学和保留。 拉丁裔吸烟者（n = 2,600）将被随机分配，每周最多收到五条消息（每天一次在不同 从四种消息之一中的一种中的一天和一周中的不同日子和一周的不同日子）。吸烟者回应 这些消息将自动加入LKB计划，并开始接收“退出决策支持” 旨在指导吸烟者制定个性化戒烟计划的消息。两个星期后，吸烟者这样做 不响应第一种消息将被重新融合以接收前两个性能消息之一 源于通讯的第一个周期产生的类型。未响应到第二个周期将再次重新连接 接收前两个表演消息的另一个周期。在所有三个周期完成后，我们希望 至少有629名拉丁裔吸烟者将参加LKB。我们将仔细跟踪参与，保留和满意 与lkb。目的1。比较4种基于理论的文本消息类型对拉丁裔吸烟者入学的影响 进入LKB。目标2：确定一天中一周和一天的时间最有可能导致入学和 了解年龄，性别，社会经济地位和出生国家的注册信息。目的 3：评估诊所人群中对LKB的参与和满意，并产生停止的估计 在不同的拉丁美洲人中。