Integrating Smoking Cessation in Tattoo Aftercare

将戒烟融入纹身后护理中

基本信息

批准号：
10670838
负责人：
Daniel Siconolfi
金额：
$ 21.03万
依托单位：
RAND CORPORATION
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：
2022-07-25 至 2024-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10670838
关键词：
Address Adult African American Aftercare Age American Attitude Barbering Biological Black race Buffers Bundling Communities Complex Diffuse Disease Esthetics Evidence based intervention Future General Population HIV risk Health Healthcare Hypertension Individual Infection Infection prevention Intervention Methods Modeling Motivation Nicotine Withdrawal Operative Surgical Procedures Organ Donations Outcome Perception Persons Phase Physiological Plastic Surgical Procedures Population Primary Care Protocols documentation Psychological reinforcement Publishing Recording of previous events Research Risk Reduction Screening for cancer Self Efficacy Service setting Sexual Health Site Smoke Smoker Smoking Smoking Cessation Intervention Spirituality Surveys Symbolism Tattooing Time Underserved Population Vaccination Vision Visit Water Withdrawal Work Wound Infection acceptability and feasibility artist aspirate brief motivational intervention coronavirus disease efficacious intervention evidence base healing high reward high risk improved infection risk innovation mHealth male nicotine replacement novel strategies pressure prolonged abstinence psychologic resilience screening smoking cessation smoking prevalence social sun protection wound healing

项目摘要

Project Summary. New tattoos are a missed opportunity to promote smoking cessation. The tattoo aftercare period is a nexus of biological, psychological, social, and structural points of leverage. Between one-fifth and one-third of Americans ages 18 to 65 have at least one tattoo, and among adults ages 25-39, nearly one in two persons have at least one tattoo. Smoking prevalence among persons with tattoos is greater than smoking prevalence in the general population. Tattoo parlors are a potential catchment and referral context for evidence-based smoking cessation interventions. There is a history of feasible, acceptable, and efficacious interventions in other aesthetic service settings, such as barbershops. Yet, no published studies have examined the feasibility, acceptability, or efficacy of smoking cessation interventions delivered in tattoo parlors or adjacent to tattoo sessions (e.g., as tattoo aftercare). There are at least 20,000 tattoo parlors in the U.S., and these sites present an opportunity to reach smokers who are not well-engaged with usual intervention settings. At the individual level, a new tattoo may represent a unique window of opportunity when smokers have a greater propensity to attempt and succeed at smoking cessation. First, quitting smoking may facilitate healing of the tattoo and reduce the risk of short-term complications such as infection, which can lead to poorer aesthetic outcomes and the need for additional corrective tattooing. The negative effects of smoking on wound healing are well- documented. Second, tattoos are highly symbolic, and the symbols often have psychological relevance to motivation, self-efficacy, and resilience. Brief motivational interventions could draw upon the tattoo's salience as a means to overcome ambivalence about quitting smoking. Third, bundling cessation support into tattoo aftercare may be more acceptable to smokers who are ambivalent about quitting. Bundling cessation supports with existing tattoo aftercare practices, which are a change to routine, may help to reinforce the quit attempt during the highly vulnerable period of withdrawal. Bundling may also buffer against implicit or explicit social pressure to abandon the quit attempt. There is significant potential for promoting smoking cessation in this setting. However, no published studies have addressed whether, why, and how stakeholders (shop owners, tattoo artists, and recently-tattooed smokers) would engage in this novel approach. We will: 1) Assess the perceptions and attitudes of tattoo parlor owners and artists as they relate to tattoo-related smoking cessation interventions and aftercare bundling; 2) Assess smokers' attitudes toward smoking cessation interventions and supports in the context of tattooing and aftercare; and, 3) Develop a preliminary evidence-based intervention and/or referral protocol that will promote smoking cessation in the context of tattooing and aftercare. This research has the potential to introduce a never-before explored channel and context for delivery of smoking cessation interventions. In doing so, the work stands to reach an underserved population with an efficient and scalable intervention.

项目摘要。新的纹身是促进戒烟的错失机会。纹身后期是生物学，心理，社会和结构性杠杆点。介于五分之一和三分之一之间 18至65岁的美国人至少有一个纹身，在25-39岁的成年人中，几乎有二分之一的人有至少一个纹身。纹身患者的吸烟患病率大于吸烟率的患病率一般人口。纹身店是基于证据的吸烟的潜在流域和推荐背景停止干预措施。在其他方面有可行，可接受和有效的干预措施的历史美学服务设置，例如理发店。然而，尚无公开研究检查可行性，可接受性或在纹身店或纹身附近提供的戒烟干预措施的功效会议（例如，作为纹身后的护理）。美国至少有20,000个纹身店，这些地点在场有机会吸引那些不接受通常干预设置的吸烟者。在个人级别，当吸烟者有更大的倾向时，新的纹身可能代表着独特的机会之窗尝试并成功戒烟。首先，戒烟可能有助于纹身治愈降低短期并发症（例如感染）的风险，这可能导致美学效果较差，并且需要额外的纠正纹身。吸烟对伤口愈合的负面影响是很好记录。其次，纹身是高度象征性的，符号通常与动力，自我效能和韧性。简短的动机干预可以利用纹身的显着性作为克服戒烟的矛盾的一种手段。第三，将戒烟捆绑为纹身对于那些矛盾的戒烟者来说，忙碌可能会更接受。捆绑戒烟支持有了现有的纹身后期习惯，这是例行的变化，可能有助于加强戒烟的尝试在高度脆弱的退出时期。捆绑也可以缓冲隐式或明确的社会放弃戒烟尝试的压力。在此促进戒烟的潜力很大环境。但是，尚无公开的研究涉及是否，原因和利益相关者（商店所有者，纹身艺术家和最近纹身的吸烟者）将采用这种新颖的方法。我们将：1）评估与纹身相关的戒烟有关的纹身店所有者和艺术家的看法和态度干预措施和后期捆绑； 2）评估吸烟者对戒烟干预措施的态度和在纹身和后期护理的背景下支持； 3）开发基于证据的初步干预和/或推荐方案，将在纹身和后期促进戒烟。这研究有可能引入从未探索的渠道和吸烟的环境停止干预措施。这样，这项工作将以有效和可扩展干预。