Development and pilot testing of a multimodal web-based program to address heavy drinking during smoking cessation

开发和试点测试多模式网络计划,以解决戒烟期间酗酒问题

基本信息

  • 批准号:
    9226007
  • 负责人:
  • 金额:
    $ 35.27万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2016
  • 资助国家:
    美国
  • 起止时间:
    2016-03-01 至 2019-02-28
  • 项目状态:
    已结题

项目摘要

 DESCRIPTION (provided by applicant): Comorbid cigarette smoking and heavy drinking (HD) - for women consuming 8+ drinks a week or 4+ drinks on a single occasion and for men consuming 15+ drinks a week or 5+ on a single occasion - is a major public health concern. Smokers engage in HD at high rates, and HD is robustly associated with low rates of smoking cessation. Furthermore, smoking and HD combine to dramatically increase the risk of head, neck, and pancreatic cancers in addition to having strong detrimental effects on overall health. To address this public health challenge, we have developed and tested a counseling approach that incorporates brief alcohol intervention into smoking cessation counseling. In both face-to-face and telephone formats, this combined counseling approach has demonstrated substantial promise for improving both drinking and smoking outcomes compared to matched control conditions? Adapting this approach for use in a web-based smoking cessation program for HD smokers is a compelling next step for increasing its population reach. Millions of smokers search online for smoking cessation information each year, and hundreds of thousands register on publicly available web-based cessation programs, yet none of these sites address heavy drinking in a comprehensive and integrated manner. A website specifically designed for HD smokers would provide an exceptional opportunity to enhance smoking cessation rates and concurrently intervene on HD. The overall objective of this project is to develop and pilot test a web-based smoking cessation program that specifically addresses HD. The project builds upon a well-established, evidence-based smoking cessation website, BecomeAnEX.org, which enrolls approximately 2,300 new users each month. The project will occur in two stages. In Stage 1a, we will to create EX-HD, an expanded mirror version of BecomeAnEx.org that incorporates key elements of our previously tested approaches for addressing HD in smoking cessation and NIAAA's evidence-based website for HD, Rethinking Drinking. We will pilot this beta version of EX-HD with 30 HD smokers recruited from BecomeAnEX, examining feasibility and acceptability using participant feedback and site use metrics. EX-HD will be revised in response to this feedback in preparation for Stage 1b work. Stage 1b will involve a pilot randomized clinical trial in which 120 HD smokers recruited through BecomeAnEX will be randomly assigned to either the standard BecomeAnEX program or to EX-HD and followed for 6 months in order to obtain initial estimates of the potential of EX-HD to reduce HD and increase smoking cessation. Results will provide the foundation for a fully-powered Stage II randomized trial. Ultimately, this research could result in a well- specified, efficacious intervention that wuld have great population reach with limited cost relative to in-person counseling and could have an especially powerful impact on public health by concurrently increasing smoking cessation and reducing HD.
 描述(由申请人提供):吸烟和酗酒共病 (HD) - 适用于每周饮酒 8 以上或单次饮酒 4 以上的女性,以及每周饮酒 15 以上或单次饮酒 5 以上的男性 -吸烟者患 HD 的比例很高,而 HD 与戒烟率低密切相关。此外,吸烟和 HD 结合起来会显着增加头、颈和胰腺的风险。为了应对这一公共卫生挑战,我们开发并测试了一种咨询方法,将简短的酒精干预纳入戒烟咨询中,以面对面和电话的形式进行。与匹配的控制条件相比,咨询方法已显示出改善饮酒和吸烟结果的巨大希望?将这种方法应用于针对 HD 吸烟者的基于网络的戒烟计划是扩大其数百万吸烟者搜索范围的引人注目的下一步。在线吸烟会议每年都有大量信息,有数十万人在公开的网络戒烟计划上注册,但这些网站都没有以全面、综合的方式解决酗酒问题,专门为戒烟者设计的网站将为提高戒烟率提供绝佳的机会。该项目的总体目标是开发和试点测试专门针对 HD 的基于网络的戒烟计划。哪个招生每月约有 2,300 名新用户。在第 1a 阶段,我们将创建 EX-HD,这是BecomeAnEx.org 的扩展镜像版本,其中包含我们之前测试过的戒烟 HD 方法的关键要素。 NIAAA 的 HD 循证网站“Rethinking Drinking”我们将在BecomeAnEX 招募的 30 名 HD 吸烟者中试用 EX-HD 的测试版,利用参与者的反馈和网站使用情况来检验可行性和可接受性。 EX-HD 将根据这一反馈进行修订,为第 1b 阶段的工作做准备。第 1b 阶段将涉及一项试点随机临床试验,其中通过BecomeAnEX 招募的 120 名 HD 吸烟者将被随机分配到标准BecomeAnEX 计划或 EX。 -HD 并随访 6 个月,以获得 EX-HD 减少 HD 和促进戒烟的潜力的初步估计,结果将为全面的 II 期随机试验奠定基础。一个与面对面咨询相比,明确、有效的干预措施可以以有限的成本覆盖大量人群,并且可以通过同时提高戒烟率和减少 HD 来对公共健康产生特别强大的影响。

项目成果

期刊论文数量(0)
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Christopher W. Kahler其他文献

Gedragsrelatietherapie versus individuele therapie voor vrouwen met alcoholafhankelijkheid: een gerandomiseerde klinische trial
Gedragsrelatiethapie 与个体疗法 voor vrouwen metoolafhankelijkheid:een gerandomiseerde klinische 试验
  • DOI:
    10.1007/s12440-016-0024-2
  • 发表时间:
    2016
  • 期刊:
  • 影响因子:
    64.8
  • 作者:
    Jeremiah A. Schumm;Timothy J. O'Farrell;Christopher W. Kahler;M. Murphy;Patrice Muchowski
  • 通讯作者:
    Patrice Muchowski

Christopher W. Kahler的其他文献

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{{ truncateString('Christopher W. Kahler', 18)}}的其他基金

Development and pilot testing of a multimodal web-based program to address heavy drinking during smoking cessation
开发和试点测试多模式网络计划,以解决戒烟期间酗酒问题
  • 批准号:
    9017537
  • 财政年份:
    2016
  • 资助金额:
    $ 35.27万
  • 项目类别:
Positive Psychotherapy for Smoking Cessation Enhanced with Text Messaging: A Randomized Controlled Trial
通过短信增强戒烟积极心理治疗:随机对照试验
  • 批准号:
    9310231
  • 财政年份:
    2016
  • 资助金额:
    $ 35.27万
  • 项目类别:
Web-facilitated intervention for heavy drinking and HIV risk
针对酗酒和艾滋病毒风险的网络辅助干预
  • 批准号:
    8921751
  • 财政年份:
    2015
  • 资助金额:
    $ 35.27万
  • 项目类别:
Behavioral interventions to reduce heavy drinking in HIV-infected men in primary care.
减少初级保健中艾滋病毒感染男性酗酒的行为干预措施。
  • 批准号:
    8838920
  • 财政年份:
    2015
  • 资助金额:
    $ 35.27万
  • 项目类别:
Web-facilitated intervention for heavy drinking and HIV risk
针对酗酒和艾滋病毒风险的网络辅助干预
  • 批准号:
    9265364
  • 财政年份:
    2015
  • 资助金额:
    $ 35.27万
  • 项目类别:
Mechanisms of Behavior Change Resource Core for Alcohol-HIV Interventions
酒精-艾滋病毒干预措施的行为改变资源核心机制
  • 批准号:
    8452403
  • 财政年份:
    2012
  • 资助金额:
    $ 35.27万
  • 项目类别:
Mechanisms of Behavior Change Resource Core for Alcohol-HIV Interventions
酒精-艾滋病毒干预措施的行为改变资源核心机制
  • 批准号:
    8548212
  • 财政年份:
    2012
  • 资助金额:
    $ 35.27万
  • 项目类别:
Mechanisms of Behavior Change Resource Core for Alcohol-HIV Interventions
酒精-艾滋病毒干预措施的行为改变资源核心机制
  • 批准号:
    8719887
  • 财政年份:
    2012
  • 资助金额:
    $ 35.27万
  • 项目类别:
Development of Positive Psychotherapy for Smoking Cessation
戒烟积极心理疗法的发展
  • 批准号:
    8207864
  • 财政年份:
    2011
  • 资助金额:
    $ 35.27万
  • 项目类别:
Development of Positive Psychotherapy for Smoking Cessation
戒烟积极心理疗法的发展
  • 批准号:
    8039348
  • 财政年份:
    2011
  • 资助金额:
    $ 35.27万
  • 项目类别:

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