mHealth Messaging to Motivate Quitline Use and Quitting (M2Q2): RCT in rural Vietnam

促进戒烟热线使用和戒烟的移动医疗信息传递 (M2Q2)：越南农村地区的随机对照试验

• 批准号: 9899336
• 负责人: Rajani Sadasivam
• 金额: $ 35.04万
• 依托单位: UNIV OF MASSACHUSETTS MED SCH WORCESTER
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-08-22 至 2022-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9899336
• 关键词: Adherence; Biochemical; Cessation of life; Clinic; Cluster randomized trial; Collaborations; Communities; Counseling; Country; Development; Doctor of Philosophy; Economics; Electronic Mail; Epidemiology; Funding; Future; Goals; Government; Health; Healthcare; Hospitals; Hypertension; Institutes; International; Intervention; Joints; Label; Leadership; Letters; Medical; Morbidity - disease rate; Motivation; North Vietnam; Patients; Policies; Province; Public Health; Publishing; Request for Applications; Research; Research Infrastructure; Research Personnel; Research Project Grants; Rivers; Rural; Self Efficacy; Services; Smoke; Smoker; Smoking; Smoking Cessation Intervention; Societies; System; Taxes; Technology; Telephone; Text Messaging; Time; Tobacco; Tobacco Use Cessation; Training; Translating; United States National Institutes of Health; Vietnam; Woman; Work; World Health Organization; base; blood pressure regulation; cigarette smoking; clinical encounter; combustible cigarette; comparison group; cost; improved; international center; low and middle-income countries; mHealth; medication compliance; men; mortality; motivational intervention; nicotine replacement; nicotine use; population health; programs; quitline; randomized trial; recruit; respiratory; response; rural area; smoking cessation; symposium; tailored messaging; therapy design; tobacco control; tobacco products; tobacco user

PROJECT SUMMARY/ABSTRACT We propose mHealth Messaging to Motivate Quitline Use and Quitting (M2Q2), a collaborative research project for a mobile health intervention designed to motivate smoking cessation and encourage access to counseling, and targeted to men and women smokers in Vietnam's Red River Delta region, a largely rural area. Cigarette smoking is the number one preventable cause of morbidity and mortality, and tobacco-related deaths are predicted to increase worldwide, particularly in low and middle-income countries. In Vietnam, currently over 50% of men (and 2% of women) smoke combustible cigarette products. Per the World Health Organization (WHO) Framework Convention for Tobacco Control, Vietnam has implemented several initiatives to support tobacco cessation, including the initiation of quitlines. However, these quitlines are underused; over the past 6 months, a quitline in North Vietnam was called only about 25 times per day, a fraction of the smokers in the region. Our goal in this proposal is to increase use of the quitline, increasing access to counseling services, nicotine replacement therapy, with the goal of promoting cessation among current tobacco users. In prior work, we have leveraged automated messaging technology to engage patients in public health smoking cessation interventions, using email and text messages to encourage patients to seek counseling services, and to send motivational messages to smokers encouraging them to quit. Based on this work, we have demonstrated that clinics are willing to refer patients to a messaging system, as it requires minimal time within the busy clinical encounter. Further, we have found that motivational messages written by smokers for other smokers out-perform messages purely written by experts in tobacco control. Combining the strength of automated mobile health with cultural adaptations written by Vietnamese smokers for other Vietnamese smokers, and the counseling services of quitlines, we propose the following Specific Aims: Aim 1: In collaboration with the Institute of Population, Health, and Development (PHAD) in Hanoi Vietnam, we will adapt our current, effective texting system to Vietnam. The texting system will: 1) Motivate smokers to quit smoking, using tailored messages adapted to be culturally relevant, and 2) Encourage smokers to accept counseling services from the quitline, and take advantage of no-cost NRT that will be provided by the quitline to those willing to quit. Aim 2: Engage with the Bach Mai quitline, providing additional training in tobacco cessation counseling for those ready to quit, and motivational interventions for those not yet ready to quit. Aim 3: In a randomized trial (N = 600 men and women smokers in the Red River Delta), evaluate the impact of the texting system on access to the quitline, use of nicotine replacement therapy, increase in self-efficacy, and six-month biochemically verified smoking cessation. Our primary hypothesis is that smokers in the M2Q2 intervention will have higher rates of smoking cessation, compared with the comparison group. This application builds on our previous collaborations with the Vietnamese Ministry of Health and with PHAD in Hanoi, Vietnam. Over the past five years together, we have conducted both epidemiologic and intervention work, including successful conduct of a cluster-randomized trial in district medical clinics in Hung Yen with NIH funding.

项目摘要/摘要 我们建议MHealth消息传递以激励戒烟线使用和退出（M2Q2），这是一个协作 移动健康干预措施的研究项目，旨在激励戒烟和 鼓励获得咨询，并针对越南红色的男女吸烟者 河三角洲地区，主要是农村地区。吸烟是可以预防的第一名 预计发病率和死亡率以及与烟草有关的死亡将在全球范围内增加， 特别是在低收入和中等收入国家。在越南，目前超过50％的男性（和 2％的女性）烟雾可燃的香烟产品。根据世界卫生组织 （WHO）烟草控制框架大会，越南实施了几项 支持烟草戒烟的倡议，包括启动戒烟线。但是，这些 戒烟线没有用；在过去的6个月中，北越的戒烟线仅被称为 每天约25次，该地区的吸烟者中有一小部分。我们在此提案中的目标是 增加戒烟线的使用，增加获得咨询服务的访问权限，尼古丁替代品 治疗，目的是促进当前的烟草使用者停止。在先前的工作中，我们 是否利用自动消息传递技术使患者参与公共卫生吸烟 停止干预措施，使用电子邮件和短信鼓励患者寻求 咨询服务，并向吸烟者发送激励性信息，鼓励他们退出。 基于这项工作，我们证明了诊所愿意将患者推荐给 消息传递系统，因为在繁忙的临床遭遇中需要最少的时间。此外，我们 发现吸烟者为其他吸烟者撰写的激励性信息表现不佳 消息纯粹由烟草控制专家撰写。结合自动化的强度 移动健康，越南吸烟者为其他越南语撰写的文化改编 吸烟者和Quitlines的咨询服务，我们提出以下特定目的：目标 1：与河内人口，健康与发展研究所（PHAD）合作 越南，我们将把目前有效的发短信系统调整到越南。发短信系统将： 1）激励吸烟者使用适应文化相关的量身定制的信息戒烟， 2）鼓励吸烟者接受Quitline的咨询服务，并利用 戒烟线将向愿意戒烟的人提供的无成本NRT。目标2：与 Bach Mai Quitline，为烟草戒烟咨询提供其他培训 准备戒烟，并为尚未准备好退出的人进行励志干预措施。目标3： 随机试验（n =红河三角洲的600名男性吸烟者），评估 发短信系统对进入Quitline的影响，使用尼古丁替代疗法， 自我效能感和六个月生化验证的戒烟。我们的主要 假设是M2Q2干预中的吸烟者将戒烟的速度更高， 与比较组相比。该应用程序建立在我们以前的合作基础上 越南卫生部和越南河内的Phad。在过去的五个 多年来，我们已经进行了流行病学和干预工作，包括 成功地在Hung Yen的地区医疗诊所成功进行了群集随机试验 资金。