Novel use of mHealth data to identify states of vulnerability and receptivity to JITAIs Supplement

新颖地使用移动医疗数据来识别 JITAI 补充的脆弱性和接受度状态

基本信息

批准号：
10564658
负责人：
Inbal Billie Nahum-Shani
金额：
$ 10万
依托单位：
UNIVERSITY OF MICHIGAN AT ANN ARBOR
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-03-01 至 2023-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10564658
关键词：
Abstinence Administrative Supplement Area Attention Behavior Behavioral Cancer Prevention Intervention Cause of Death Cessation of life Complex Data Data Analytics Data Collection Data Set Development Discrimination Disease Ecological momentary assessment Effectiveness Emotions Enrollment Environment Ethnic Origin Female Foundations Frequencies Future Gender Geographic Locations Global Positioning System Goals Grain Health Health Technology Health behavior Health behavior change Individual Informal Social Control Intervention Investigation Lead Link Low income Malignant Neoplasms Mediating Metadata Methodology Methods Minority Women Modeling Morbidity - disease rate Outcome Participant Patient Self-Report Persons Physiology Population Process Race Recording of previous events Research Research Personnel Risk Science Sex Orientation Sexual and Gender Minorities Shapes Smoker Smoking Social Identification Social support Socioeconomic Status Subgroup Testing Time Tobacco Tobacco Use Cessation Tobacco use Woman Women&apos s Health Work adaptive intervention analytical method base behavior change behavioral study cancer prevention cancer risk contextual factors data de-identification data harmonization data sharing data streams design disability disorder prevention evidence base experience financial incentive health data health inequalities high risk improved innovation interest intersectionality low socioeconomic status mHealth mHealth methodology member men mindfulness mortality neighborhood disadvantage novel parent grant parent project patient engagement perceived discrimination preventable death racial and ethnic randomized trial sensor sex smoking cessation social social determinants sociodemographics stressor study population success theories time interval tobacco abstinence tobacco cessation intervention tobacco exposure willingness

项目摘要

PROJECT SUMMARY Tobacco is the leading cause of preventable death and disease and is linked to ~20 cancers. Marginalized women (e.g., racial/ethnic, low socioeconomic status, or sexual and gender minorities) may be more vulnerable to environmental, social, and contextual stressors that are significant barriers to tobacco abstinence. To improve the fundamental understanding of how sex and gender relate to health behaviors and disease prevention, it is critical to use approaches that can identify meaningful intersections of social determinants and how these shape experiences and health behaviors in subpopulations of understudied, underrepresented, and underreported of women. Intersectionality posits that social identities interact with one another and with social/contextual factors to create inequities. Thus, intersectionality is useful for shifting focus from broad sectors of the population (e.g., all female smokers) to groups with intersecting statuses that may confer greater health risk (e.g., low income racial/ethnic minority females). Moreover, intersectionality reflects both between- and within-person processes. The latter highlights that the complex factors (e.g., experiences of discrimination, encountering tobacco-facilitative environments) that may influence tobacco use are dynamic and may change depending on time and context. Mobile health methodology (mHealth), such as AutoSense, ecological momentary assessment (EMA), and global positioning system (GPS) provide real-time objective and subjective assessments of how and when emotions and behaviors change depending on time and context. Together, mHealth designs and an intersectionality framework may reveal the dynamic and complex factors that interact to contribute to inequities in tobacco use and cancer risk in understudied, underrepresented, and underreported women. The proposed supplement will extend the parent project (U01CA229437, MPI: Nahum- Shani, Wetter) by harmonizing data across 7 intensive longitudinal mHealth studies of tobacco cessation in 834 diverse women, which will provide adequate power for applying an intersectionality framework to understand mechanisms linking marginalized status among women to tobacco lapse and cessation outcomes. These fine- grained data can yield the most detailed investigation of intersectional process to-date, including the complex interplay between aspects of social identity (SES, race/ethnicity), social (e.g., discrimination) and contextual factors (e.g., neighborhood disadvantage, exposure to tobacco-facilitative environments), and whether these mediate the association of intersectional identities with lapse and long term abstinence. The proposed study is designed to target gaps in the understanding of inequities in tobacco use and health risk among understudied, underrepresented, and underreported subgroups of women and is directly in line with the first strategic goal of the Office of Research on Women's Health, to “advance rigorous research that will improve the fundamental understanding of how sex and gender, among other critical factors, influence health and disease.”

项目概要烟草是可预防的死亡和疾病的主要原因，并与约 20 种边缘化癌症有关。妇女（例如，种族/族裔、社会经济地位低下或性少数群体）可能更容易受到伤害环境、社会和情境压力源是戒烟的重大障碍。提高对性和性别与健康行为和疾病之间关系的基本理解预防方面，至关重要的是采用能够识别社会决定因素和社会决定因素之间有意义的交叉点的方法。这些如何影响未被充分研究、代表性不足和女性的交叉性立场被低估了，社会身份彼此相互作用。因此，交叉性有助于将焦点从广泛的领域转移。人群（例如，所有女性吸烟者）到具有交叉地位的群体，这些群体可能会给予更大的帮助健康风险（例如，低收入种族/少数民族女性）。后者强调了复杂的因素（例如，人的经历）。可能影响烟草使用的歧视、遇到有利于烟草的环境是动态的并且可能会根据时间和环境而变化，例如 AutoSense、移动健康方法 (mHealth)。生态瞬时评估（EMA）和全球定位系统（GPS）提供实时目标和评估情绪和行为如何以及何时根据时间和环境发生变化。移动医疗设计和交叉框架可以共同揭示动态和复杂的因素相互作用，导致烟草使用的不平等和研究不足、代表性不足和癌症风险的不平等拟议的补充文件将扩展父项目（U01CA229437，MPI：Nahum-）第 834 章多元化的女性，这将为应用交叉框架来理解将妇女的弱势地位与吸烟和戒烟结果联系起来的机制。粒度数据可以对迄今为止的交叉过程进行最详细的调查，包括复杂的社会认同（社会经济地位、种族/民族）、社会（例如歧视）和背景之间的相互作用因素（例如，邻里劣势、暴露于有利于烟草的环境），以及这些因素是否调解交叉身份与戒断和长期戒断之间的关联。旨在弥补未充分研究对象对烟草使用不平等和健康风险的理解差距，女性亚群体代表性不足和报告不足，直接符合第一个战略目标妇女健康研究办公室，“推进严格的研究，以改善基本的健康状况” 了解性和性别以及其他关键因素如何影响健康和疾病。”

项目成果

期刊论文数量（24）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

How Notifications Affect Engagement With a Behavior Change App: Results From a Micro-Randomized Trial.

DOI：
10.2196/38342
发表时间：
2023-06-09
期刊：
JMIR MHEALTH AND UHEALTH
影响因子：
5
作者：
Bell, Lauren;Garnett, Claire;Bao, Yihan;Cheng, Zhaoxi;Qian, Tianchen;Perski, Olga;Potts, Henry W. W.;Williamson, Elizabeth
通讯作者：
Williamson, Elizabeth

ReVibe: A Context-assisted Evening Recall Approach to Improve Self-report Adherence.

DOI：
10.1145/3369806
发表时间：
2019-12
期刊：
Proceedings of the ACM on interactive, mobile, wearable and ubiquitous technologies
影响因子：
0
作者：
Rabbi M;Li K;Yan HY;Hall K;Klasnja P;Murphy S
通讯作者：
Murphy S

New Directions for Motivational Incentive Interventions for Smoking Cessation.