Web-based Smoking Cessation Program for Tribal College Students

部落大学生网络戒烟计划

• 批准号: 8826080
• 负责人: Won S Choi
• 金额: $ 56.6万
• 依托单位: UNIVERSITY OF KANSAS MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-04-01 至 2016-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8826080
• 关键词: Abstinence; Accounting; Address; Adherence; Adolescent; Adoption; Adult; Affect; Alien; American Indians; Cancer Etiology; Cause of Death; Cessation of life; Child; Cigarette; Collaborations; Communities; Conceptions; Consumption; Cotinine; Data; Development; Dietary Intervention; Effectiveness; Enrollment; Ethnic group; Feedback; Habits; Health; Health behavior; Heart; High Prevalence; Individual; Internet; Intervention; Life; Malignant Neoplasms; Malignant neoplasm of lung; Marketing; Measures; Mediator of activation protein; Methods; Modification; Morbidity - disease rate; Online Systems; Participant; Persons; Population; Prevalence; Process; Public Health; Race; Randomized; Randomized Clinical Trials; Randomized Controlled Trials; Reporting; Research; Research Methodology; Risk; Role; Salivary; Smoke; Smoker; Smoking; Smoking Behavior; Smoking Cessation Intervention; Socioeconomic Factors; Staging; Students; Surveys; Testing; Tobacco; Tobacco Industry; Tribes; Underserved Population; Universities; Withholding Treatment; Woman; Work; age group; arm; base; cigarette smoking; college; community based participatory research; cost; effective intervention; enhancing factor; experience; follow-up; fruits and vegetables; good diet; health disparity; high risk; high school; innovation; intervention effect; intervention program; meetings; member; men; mortality; prevent; programs; psychosocial; racial and ethnic; randomized trial; smoking cessation; smoking prevalence; success; tribal college; twelfth grade; university student; young adult

DESCRIPTION (provided by applicant): American Indian tribal college students have the highest smoking rates of any racial/ethnic group in the young adult population and also are disproportionately burdened by smoking-related morbidity and mortality. There are very few effective culturally-tailored smoking cessation programs for AI smokers. Our research group has worked with the American Indian community for the past 8 years to develop a culturally-tailored smoking cessation program (All Nations Breath of Life - ANBL), for AI adult smokers. All Nations Breath of Life was developed using the community-based participatory research approach and is an in-person group based program that incorporates cultural issues throughout the program. We have produced 30% cessation rates at 6-month follow-up with adult American Indian smokers from tribes and nations in the Midwest. Due to limited studies with the tribal college population, we have already conducted a cross-sectional internet-based survey to collect information on their smoking behaviors as well as other health behaviors. This research experience and strong collaboration with the AI community leaves us well poised to adapt the ANBL program for the tribal college smoking population. However, this current program needs substantial modifications to meet the unique needs of the tribal college student population. It recognizes the sacred role of tobacco among many American Indians and how culture affects smoking cessation among AIs, while still addressing recreational smoking. However, preliminary data from our recent studies indicate that the internet may be more favorable and appropriate delivery method for reaching this younger and more mobile tribal college population due to the web interactivity, immediacy of feedback, and wide reach and accessibility. This current proposal reflects a natural progression to addressing the significant problem of smoking among tribal college students using our successful methods. In this study, we will adapt and test a culturally tailored internet-based smoking cessation (I-ANBL) program based on ANBL, which was developed through CBPR methods. For the current proposal, we will conduct an individual randomized controlled trial (N=242) to test the effectiveness of an internet-based culturally-tailored smoking cessation program (I-ANBL) in a tribal college student population. Data will be collected at baseline, 3 months and 6 months using salivary cotinine, as well as comprehensive set of environmental and psychosocial measures. We hypothesize that AI tribal college students randomized to the culturally-tailored smoking cessation internet arm (I-ANBL) will have significantly higher continuous abstinence rates at 6 months than those receiving the heart healthy diet intervention (I-FV), focusing on increasing fruit and vegetable consumption. We will also examine the costs of delivering the tailored intervention program and potential mediators and moderators of the intervention-cessation relationship. Such a high-reach, low-cost strategy for promoting smoking cessation in this at-risk and underserved population could have great potential for adoption on a larger scale and thus help reduce existing health disparities.

描述（由申请人提供）：美国印第安部落大学生在年轻成年人口中的所有种族/族裔群体中吸烟率最高，而且与吸烟相关的发病率和死亡率也过高。针对人工智能吸烟者的有效的、针对文化的戒烟计划非常少。我们的研究小组在过去 8 年里与美洲印第安人社区合作，为 AI 成年吸烟者制定了一项适合文化的戒烟计划（All Nations Breath of Life - ANBL）。所有国家的生命之息是采用基于社区的参与性研究方法开发的，是一项基于个人小组的计划，在整个计划中纳入了文化问题。我们对来自中西部部落和国家的美国印第安成年吸烟者进行了 6 个月的跟踪调查，戒烟率达到了 30%。由于对部落大学人口的研究有限，我们已经进行了一项基于互联网的横断面调查，以收集有关他们的吸烟行为以及其他健康行为的信息。这些研究经验以及与 AI 社区的密切合作使我们做好了针对部落大学吸烟人群调整 ANBL 计划的准备。然而，当前的计划需要进行大量修改，以满足部落大学生群体的独特需求。它认识到烟草在许多美洲印第安人中的神圣作用，以及文化如何影响人工智能的戒烟问题，同时仍然解决休闲吸烟问题。然而，我们最近研究的初步数据表明，由于网络交互性、反馈的即时性以及广泛的覆盖范围和可访问性，互联网可能是更有利和更合适的传播方式，以接触到这些年轻且流动性更强的部落大学人群。目前的提案反映了使用我们成功的方法解决部落大学生吸烟这一重大问题的自然进展。在这项研究中，我们将基于 ANBL（通过 CBPR 方法开发），调整和测试基于文化定制的基于互联网的戒烟 (I-ANBL) 计划。对于当前的提案，我们将进行一项个体随机对照试验（N = 242），以测试基于互联网的文化定制戒烟计划（I-ANBL）在部落大学生人群中的有效性。将使用唾液可替宁以及一套全面的环境和心理社会措施在基线、3 个月和 6 个月时收集数据。我们假设，随机接受文化定制戒烟网络组 (I-ANBL) 的 AI 部落大学生在 6 个月时的持续戒烟率将显着高于接受心脏健康饮食干预 (I-FV) 的学生，重点是增加水果和蔬菜消费。我们还将研究提供量身定制的干预计划的成本以及干预-停止关系的潜在调解者和调节者。这种在高危人群和服务不足的人群中推广戒烟的高影响力、低成本策略可能具有大规模采用的巨大潜力，从而有助于缩小现有的健康差距。