Proud to Quit (P2Q): A Person-centered mobile technology intervention for smoking cessation among transgender adults

自豪地戒烟（P2Q）：以人为本的移动技术干预跨性别成年人戒烟

基本信息

批准号：
10647479
负责人：
Christina Jiayi Sun
金额：
$ 25.95万
依托单位：
UNIVERSITY OF COLORADO DENVER
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-09-30 至 2026-08-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10647479
关键词：
Academy Address Adult Affect Alcohol consumption Behavior Biological Markers Carbon Monoxide Caring Cessation Research Climacteric Collaborations Cotinine Data Data Collection Development Disparity Drug usage Effectiveness Effectiveness of Interventions Ensure Event Evidence based intervention Feedback Future Health Health Personnel Health Resources Health Services Health Services Research Health system Intervention Interview Knowledge Location Measures Medical Medicine Mental Health Modeling Monitor Myocardial Infarction National Institute of Drug Abuse Operative Surgical Procedures Outcome Participant Patient Self-Report Patients Persons Play Population Process Protocols documentation Provider Randomized Randomized, Controlled Trials Reporting Research Risk Role Sampling Science Sexual and Gender Minorities Smoke Smoking Smoking Cessation Intervention Social support Stroke Surgeon Technology Testing Time Tobacco Tobacco Use Cessation Tobacco Use Disorder Tobacco use United States National Institutes of Health acceptability and feasibility burden of illness cardiovascular risk factor cigarette smoke cigarette smoking cost effective design effectiveness testing effectiveness trial evidence base experience gender affirmation gender affirming care gender affirming medical care gender minority gender minority health health disparity health disparity populations health economics hormone therapy improved mHealth mobile computing multidisciplinary peer person centered physical conditioning pilot test pilot trial primary outcome retention rate scale up secondary outcome smoking cessation success surgery outcome tailored messaging therapy design therapy outcome tobacco cessation intervention tobacco control tool transgender transgender women transphobia treatment as usual usability venous thromboembolism wound healing

项目摘要

Project Summary/Abstract Transgender adults in the U.S. are disproportionately affected by tobacco use. Transgender adults are more than twice as likely to smoke cigarettes than the general U.S. adult population. In addition to the great burden of disease tobacco use places onto this population, tobacco use is also a contraindication for gender-affirming care, a medical necessity for many transgender persons to achieve full mental and physical health. Despite the health-related needs of transgender adults, existing smoking cessation interventions fail to address the specific needs of this population. As such, the National Academy of Medicine and U.S. Surgeon General identifies transgender-specific health needs and developing and testing the effectiveness of interventions for transgender adults a national priority. Despite the role health care providers can play in cessation, transgender adults report barriers to accessing evidence-based, clinician-delivered interventions. A transgender-specific mHealth intervention could serve as a cost-effective and scalable solutions to improving health outcomes for this often hard-to-reach population. Furthermore, such an intervention can be a health services resource for health care providers who might not have the time or expertise to provide gender affirming smoking cessation support to their transgender patients. Building on our team's research expertise in transgender health, mHealth, tobacco cessation, and health systems tobacco-related care, we propose to develop and pilot test an mHealth smoking cessation intervention for transgender adults: Proud to Quit (P2Q). P2Q will provide tailored messages, peer social support, and self-monitoring features. We will develop P2Q by collaborating with an Intervention Advisory Workgroup comprising of transgender adults and providers of gender affirming health care, and implement iterative intervention design processes and usability testing. Through a remote pilot randomized controlled trial, we will assess acceptability and feasibility of an mHealth smoking-cessation intervention for transgender adults as well as its preliminary efficacy using self-report and objective biomarker data. The findings from this proposal will inform the feasibility of and protocols for a full-scale services research effectiveness trial. The project would redress the dearth of smoking-cessation interventions tailored to transgender adults by offering a new tool and the ability to reach transgender adults in diverse locations; it would offer a cost-effective approach that ensures the intervention can be broadly disseminated with fidelity; and, ultimately, it would reduce tobacco-related health disparities among transgender adults, who are disproportionately affected by tobacco use.

项目概要/摘要美国的跨性别成年人受到烟草使用的影响尤为严重。变性成年人更多吸烟的可能性是美国成年人口的两倍多。除了巨大的负担烟草使用给这一人群带来的疾病，烟草使用也是性别肯定的禁忌症护理是许多跨性别者实现身心健康的医疗必需品。尽管跨性别成年人的健康相关需求，现有的戒烟干预措施未能解决具体问题这个人群的需求。因此，美国国家医学院和美国外科医生确定跨性别者的具体健康需求以及制定和测试干预措施的有效性跨性别成年人是国家优先事项。尽管医疗保健提供者可以在戒烟方面发挥作用，但跨性别者成年人报告了获得基于证据的、临床医生提供的干预措施的障碍。跨性别者特定移动医疗干预可以作为一种具有成本效益且可扩展的解决方案来改善健康结果这往往是难以接触到的人群。此外，这种干预措施可以成为以下人群的卫生服务资源：可能没有时间或专业知识来提供性别肯定戒烟服务的医疗保健提供者支持他们的跨性别患者。基于我们团队在跨性别健康方面的研究专业知识，移动医疗、戒烟和卫生系统与烟草相关的护理，我们建议开发和试点测试针对跨性别成人的 mHealth 戒烟干预：自豪地戒烟 (P2Q)。 P2Q将提供量身定制的消息、同伴社交支持和自我监控功能。我们将通过与由跨性别成年人和性别肯定健康提供者组成的干预咨询工作组护理，并实施迭代干预设计流程和可用性测试。通过远程飞行员随机对照试验，我们将评估移动健康戒烟的可接受性和可行性使用自我报告和客观生物标志物对跨性别成人进行干预及其初步效果数据。该提案的研究结果将为全面服务研究的可行性和协议提供信息有效性试验。该项目将解决缺乏专门针对吸烟者的戒烟干预措施的问题跨性别成年人，提供新的工具和能力来接触不同地点的跨性别成年人；它将提供一种具有成本效益的方法，确保干预措施能够忠实地广泛传播；最终，它将减少跨性别成年人之间与烟草相关的健康差异，他们受烟草使用的影响尤为严重。