Motivating Smokers with Mobility Impairments to Quit Smoking

激励行动不便的吸烟者戒烟

基本信息

批准号：
8676692
负责人：
Shira Ilana Dunsiger
金额：
$ 32.67万
依托单位：
MIRIAM HOSPITAL
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-07-01 至 2016-02-29
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8676692
关键词：
Abstinence Address Affect Age American Attention Behavioral Braces-Orthopedic appliances Canes Caring Cigarette Collaborations Comorbidity Data Depressed mood Development Disabled Persons Disadvantaged Economics Event Focus Groups Gender General Population Goals Health Health Promotion Health Services Accessibility Impairment Independent Living Insurance Internet Intervention Low Income Population Mails Maintenance Massachusetts Measures Mediator of activation protein Medical Minority Modality Motivation Nicotine Nicotine Dependence Outcome Participant Phase Physicians&apos Offices Population Prevalence Preventive Printing Public Health Quality of life Randomized Randomized Controlled Trials Readiness Research Resources Risk Role Scientist Self Efficacy Series Severities Smoke Smoker Smoking Smoking Cessation Intervention Social support Staging Stress Target Populations Telephone Testing Thinking Time Treatment Efficacy Treatment outcome Underserved Population Walkers Walking Wheelchairs abstracting base clinically significant cost design disability efficacy testing experience group intervention health disparity improved innovation intervention effect literacy meetings nicotine patch novel programs quitline randomized trial self help smoking cessation smoking prevalence social standard care theories

项目摘要

Abstract People with physical disabilities experience similar health disparities as other disadvantaged groups (e.g., no insurance, decreased access to medical and preventive care, more co-morbidities) but significantly less attention is paid to their health promotion. While smoking cessation interventions have been developed for other disadvantaged groups, none exist for people with physical disabilities. People with physical disabilities (mobility impairments) who use assistance to ambulate have higher smoking rates (32.5%) than people who have a disability and do not need assistance (23%) and people who are not disabled (19.8%; Brawarsky et al. 2002). The aims of the current study are to: 1) develop a series of theory-based intervention DVDs focused on motivating smoking cessation among people with mobility impairments (i.e., chronically use some type of assistance to walk such as walker, cane, wheelchair, braces, etc) and 2) test the efficacy of the Intervention DVDs vs. Print-based Standard Care among 560 smokers with mobility impairments in a randomized trial. The materials in both groups will be mailed on a monthly basis for four months, and are organized in separate sections according to readiness to quit. Participants in both groups will receive a) nicotine patches at no cost if they are ready to quit and b) brief phone calls (~5 minutes) between mailings to assess and encourage viewing the materials. We hypothesize that smokers who are randomized to receive the Intervention DVDs will be significantly more likely to achieve 7-day and 30-day point-prevalence abstinence at 1, 6, and 12- month follow-ups vs. those who receive Print-based Standard Care. The Intervention DVDs will be based on Behavioral Activation Theory, and address specific barriers to quitting in this population (increased stress, decreased positive affect, increased depressed mood, activity restriction, and self-efficacy). We hypothesize that the intervention will impact these mediators directly, as well as indirectly through Behavioral Activation (goal setting and pleasant events). Our series of preliminary studies support the use of these mediators for people with mobility impairments and the use of DVDs as an acceptable mode of intervention, given the economic and mobility limitations of this population. If effective, our DVD intervention could have a high level of public health and clinical significance, as it could be easily disseminated at low cost through national disability-related organizations, networks of independent living centers, or physician offices, and substantially improve the health and quality of life for people with physical disabilities. This study is innovative because no studies have targeted this population, it applies Behavioral Activation Theory to smoking cessation, and it examines relatively novel mediators in the field of smoking (e.g., positive affect, behavioral activation).

抽象的身体残障人士经历与其他弱势群体相似的健康差异（例如没有保险，获得医疗和预防保健的机会减少，更多的合并症），但明显更少注意他们的健康促进。在开发了戒烟干预措施的同时其他处境不利的群体，身体残障人士都不存在。身体残障人士（流动性障碍）使用援助进行援助的人的吸烟率更高（32.5％）有残疾，不需要帮助（23％）和没有残疾的人（19.8％； Brawarsky等。 2002）。当前研究的目的是：1）开发一系列基于理论的干预DVD，重点是激励有行动不便的人的戒烟（即，长期使用某种类型的沃克，拐杖，轮椅，牙套等等步行的帮助，2）测试干预的功效在一项随机试验中，有560名具有移动性障碍的吸烟者中的DVD与基于印刷的标准护理。这两组的材料将每月邮寄四个月，并在单独组织根据准备退出的部分。两组的参与者如果他们准备退出和b）两次邮件之间的简短电话（〜5分钟）以评估和鼓励查看材料。我们假设随机接受干预DVD的吸烟者将是在1、6和12个月中获得7天和30天的戒酒的可能性要高得多。随访与那些接受基于印刷标准护理的人。干预DVD将基于行为激活理论，并解决该人群中退出的特定障碍（压力增加，降低积极影响，情绪抑郁，活动限制和自我效能感增加）。我们假设干预将直接以及通过行为激活直接影响这些介体的影响（目标设定和愉快的事件）。我们的一系列初步研究支持这些调解人的使用鉴于有行动不便障碍和使用DVD作为可接受的干预方式的人，鉴于该人群的经济和流动性限制。如果有效，我们的DVD干预可能具有高水平具有公共卫生和临床意义，因为它可以通过国家轻松以低成本的价格传播与残疾相关的组织，独立生活中心或医师办公室的网络以及实质上改善身体残障人士的健康和生活质量。这项研究具有创新性，因为没有研究针对该人群，它将行为激活理论应用于戒烟，它检查吸烟领域中相对新的介体（例如，积极影响，行为激活）。

项目成果

期刊论文数量（5）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Greater engagement in valued activities is associated with less barriers to quitting smoking among smokers with mobility impairments.

对于行动不便的吸烟者来说，更多地参与有价值的活动可以减少戒烟障碍。

DOI：
10.1016/j.dhjo.2023.101480
发表时间：
2023
期刊：
Disability and health journal
影响因子：
4.5
作者：
Borrelli,Belinda;Endrighi,Romano;Dunsiger,Shira;Busch,AndrewM;Bock,BethC;Risica,PatriciaMarkham;Hughes,RosemaryB;Lasater,Thomas
通讯作者：
Lasater,Thomas

Perceived Pain and Smoking Interrelations and Expectancies Are Associated With Pain and Smoking Cessation in Individuals With Mobility Impairments.

感知的疼痛和吸烟的相互关系和期望与行动障碍个体的疼痛和戒烟有关。

DOI：
10.1093/ntr/ntz111
发表时间：
2021
期刊：
Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco
影响因子：
0
作者：
Endrighi,Romano;Rueras,Nicolle;Dunsiger,ShiraI;Borrelli,Belinda
通讯作者：
Borrelli,Belinda

Valued life activities and readiness to quit smoking among mobility-impaired smokers.

重视行动不便的吸烟者的生活活动和戒烟意愿。