Innovative Smartphone Application for Quitting Smoking among Seriously Mentally I

用于认真戒烟的创新智能手机应用程序 I

• 批准号: 8677529
• 负责人: Roger Vilardaga
• 金额: $ 17.22万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-07-01 至 2016-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8677529
• 关键词: Abstinence; Address; Adult; Affect; Alcohol or Other Drugs use; American; Award; Behavior Therapy; Behavioral; Behavioral Sciences; Bipolar Disorder; Car Phone; Cardiovascular Diseases; Caring; Cause of Death; Chronic; Cigarette; Clinical Trials; Communities; Computing Methodologies; Consult; DA10; Depressive disorder; Development; Dose; Effectiveness; Ensure; Environment; Expenditure; Foundations; Fred Hutchinson Cancer Research Center; Frequencies; Goals; Guidelines; Health; Health Technology; Healthcare; Indirect Expenditures; Individual; Institution; Internet; Intervention; Knowledge; Lead; Length; Life Expectancy; Longevity; Measurement; Mental Health; Mentors; Mentorship; Metabolic Diseases; Modeling; Moods; Nicotine Dependence; Online Systems; Outcome; Participant; Pathway interactions; Patients; Pharmacological Treatment; Pharmacotherapy; Phase; Population; Reporting; Research; Research Training; Respiration Disorders; Risk Factors; Sampling; Schizophrenia; Smoke; Smoker; Smoking; Smoking Cessation Intervention; Solid; Solutions; Symptoms; Technology; Telephone; Test Result; Testing; Time; Tobacco; Training; Training Activity; Treatment outcome; Universities; Washington; Withholding Treatment; Work; addiction; arm; base; career; computer science; cost; craving; disability; experience; forging; improved; innovation; innovative technologies; mHealth; meetings; nicotine replacement; population health; primary outcome; programs; prototype; psychological distress; psychotic symptoms; public health relevance; randomized trial; satisfaction; secondary outcome; severe mental illness; smoking cessation; smoking relapse; statistics; symposium; trial comparing; usability; user centered design; willingness

DESCRIPTION (provided by applicant): The long term goal of this Pathway to Independence Award (PIA) is to develop a program of research focused on increasing the effectiveness and reach of smoking cessation interventions for adults with serious mental illness (SMI) using mobile health technology. This long term goal will be achieved via a 5-year training and research plan that will launch Dr. Roger Vilardaga's independent program of research and academic career. The career objectives of this award are to: (1) become an expert in the science of behavioral smoking cessation interventions; (2) master the development, testing and implementation of mobile health interventions; (3) become an expert in the implementation of clinical trials in people with SMI. These career objectives will be achieved via formal coursework, trainings, seminars, national conferences, mentorship and research experience. The knowledge derived from this training plan will equip the PI to pursue the following aims. The first aim, guided by an expert panel, is to adapt an existing Acceptance and Commitment Therapy smartphone application for smoking cessation (SmartQuit) to people with SMI, and develop a smartphone coaching guide for staff. The second aim is to conduct iterative usability testing of the resulting app (SmartQuit+) and coaching guide in a sample of 10 people with SMI. Finally, the third aim is to conduct a two-arm feasibility randomized trial that compares SmartQuit+ to an app based on best-practice smoking cessation guidelines (NCI QuitPal) in a sample of 90 people with SMI from a community-based setting. Both arms will include a low cost pharmacological intervention (nicotine replacement therapy). The primary feasibility outcomes in this trial (e.g., recruitment and retention rates) will determine a reliable methodological approach to conduct a fully-powered R01 trial. Dr. Jonathan Bricker will serve as primary mentor on this PIA, providing expertise in smoking cessation, ACT applied to smoking cessation, and mobile health interventions. The mentoring and consulting team of experts in SMI, smoking cessation, computer science and methods/statistics (Drs. Ries, Ziedonis, Saxon, Kientz and Atkins), will ensure that the PI receives the necessary support to successfully complete the proposed research. The training activities will take place at the University of Washington and the Fred Hutchinson Cancer Research Center in Seattle, two cutting-edge research institutions that will provide an excellent environment for completion of the PI's objectives. This study meets NIDA's major programmatic priorities of using innovative technologies and integrating behavioral and pharmacological interventions to improve substance use treatment and outcomes (NOT-DA-10-019). The study addresses a serious problem - high smoking rates in people with SMI-, and it proposes the delivery of a promising behavioral intervention for smoking cessation in a "real-world" setting using a wider reaching technology. This PIA will forge the PI's pathway to independence by laying the foundation for a career in mobile health interventions for smoking cessation in people with SMI.

描述（由申请人提供）：独立之路奖 (PIA) 的长期目标是制定一项研究计划，重点关注使用移动健康提高患有严重精神疾病 (SMI) 的成年人戒烟干预措施的有效性和覆盖范围技术。这一长期目标将通过为期 5 年的培训和研究计划来实现，该计划将启动 Roger Vilardaga 博士的独立研究和学术生涯计划。该奖项的职业目标是：（1）成为行为戒烟干预科学方面的专家； （2）掌握移动健康干预措施的开发、测试和实施； (3) 成为实施SMI患者临床试验的专家。这些职业目标将通过正式课程、培训、研讨会、全国会议、指导和研究经验来实现。从该培训计划中获得的知识将使 PI 能够实现以下目标。第一个目标是在专家小组的指导下，将现有的用于戒烟的接受和承诺疗法智能手机应用程序（SmartQuit）调整为适合 SMI 患者，并为员工开发智能手机指导指南。第二个目标是以 10 名 SMI 患者为样本，对生成的应用程序 (SmartQuit+) 和辅导指南进行迭代可用性测试。最后，第三个目标是开展一项双组可行性随机试验，以来自社区环境的 90 名 SMI 患者为样本，将 SmartQuit+ 与基于最佳戒烟实践指南 (NCI QuitPal) 的应用程序进行比较。两组都将包括低成本的药物干预（尼古丁替代疗法）。该试验的主要可行性结果（例如招募率和保留率）将确定进行全面的 R01 试验的可靠方法。 Jonathan Bricker 博士将担任该 PIA 的主要导师，提供戒烟、应用于戒烟的 ACT 以及移动健康干预方面的专业知识。由 SMI、戒烟、计算机科学和方法/统计学专家（Ries、Ziedonis、Saxon、Kientz 和 Atkins 博士）组成的指导和咨询团队将确保 PI 获得成功完成拟议研究所需的支持。培训活动将在华盛顿大学和西雅图 Fred Hutchinson 癌症研究中心举行，这两个尖端研究机构将为完成 PI 的目标提供良好的环境。这项研究符合 NIDA 的主要计划优先事项，即使用创新技术并整合行为和药理学干预措施来改善药物滥用治疗和结果 (NOT-DA-10-019)。该研究解决了一个严重的问题——SMI 患者的高吸烟率——并提出使用更广泛的技术在“现实世界”环境中提供一种有前途的戒烟行为干预措施。该 PIA 将为 SMI 患者戒烟移动健康干预奠定职业基础，从而打造 PI 的独立之路。