Socioeconomic status, stress, and smoking cessation

社会经济地位、压力和戒烟

• 批准号: 9754578
• 负责人: Cho Yan Lam
• 金额: $ 58.13万
• 依托单位: UNIVERSITY OF UTAH
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-07-01 至 2021-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9754578
• 关键词: Abstinence; Acute; Address; Adult; Algorithms; Area; Assessment tool; Behavior; Behavioral; Benefits and Risks; Big Data to Knowledge; Breathing; Cellular Phone; Characteristics; Chest; Cigarette; Data; Detection; Development; Ecological momentary assessment; Electronic Nicotine Delivery Systems; Enrollment; Environment; Environmental Risk Factor; Geography; Gestures; Goals; Grain; Hand; Harm Reduction; Health; High School Student; Hour; Human; Individual; Infrastructure; Inhalation; Knowledge; Laboratories; Laboratory Study; Life; Longitudinal cohort study; Machine Learning; Measures; Modeling; Movement; Oral cavity; Participant; Patient Recruitments; Pattern; Physiological; Physiology; Positioning Attribute; Predisposition; Prevalence; Process; Protocols documentation; Public Health; Questionnaires; Recording of previous events; Research; Research Personnel; Risk; Sensitivity and Specificity; Sensory; Series; Smoke; Smoker; Smoking; Social Environment; Socioeconomic Status; Stress; System; Technology; Time; Training; United States National Institutes of Health; Wireless Technology; Wrist; Youth; addiction; arm movement; base; biobehavior; built environment; cigarette smoke; cigarette smoking; cigarette user; data to knowledge; experience; field study; innovation; novel; parent grant; population health; primary outcome; programs; psychosocial; real time monitoring; recruit; respiratory; sensor; sensor technology; smoking cessation; social; systems research; tobacco control; tobacco products; tool; uptake; wearable device; young adult

PROJECT SUMMARY/ABSTRACT The prevalence of electronic nicotine delivery systems (ENDS) is rising dramatically among both adults and youth and ENDS use is fast becoming a major public health issue. However, because of their recent emergence, researchers know little about ENDS, their use, their effects on human physiology and health, their risks and benefits, or their impact on tobacco control efforts. A common barrier to studying ENDS is the lack of data on objective, real world use of ENDS. Thus, the proposed project aims to adapt existing innovative mobile assessment tools that can be used to target critical ENDS research gaps by providing mobile sensing technology that can objectively collect precise data regarding ENDS use in real time in real world. Specifically, the proposed revision project will expand the scope of Project On Track (1R01CA190329-01A1, PI: Wetter) by extending the application of puffMarker, an existing tool that automatically detects smoking, for the assessment of ENDS use. The current project has three aims: 1) adapt and validate puffMarker to identify discrete episodes of ENDS use, 2) adapt and validate puffMarker to distinguish between cigarette smoking and ENDS use among dual users of ENDS and cigarettes, and 3) utilize the Project On Track protocol to collect real time, real world data investigating potential determinants of ENDS use among both exclusive ENDS users as well as dual users of cigarettes and ENDS. Altogether, 120 participants (30 for Aim 1, 30 for Aim 2, and 60 for Aim 3) will be enrolled. Participants recruited for Aims 1 and 2 will attend laboratory (three 2-hour sessions) and field (3 days) studies. In the laboratory sessions, participants will wear the AutoSense wireless sensors and be asked to use ENDS (Aim 1) or use ENDS and smoke a cigarette (Aim 2). Participants' ENDS and cigarette puffs will be recorded by an independent observer. In the field studies, participants will wear the AutoSense wireless sensors and be asked to use ENDS (Aim 1) or use ENDS and smoke cigarettes (Aim 2). Participants will be asked to record each instance of ENDS use or cigarette smoking on a SP. The goals of the laboratory studies are to collect data to train puffMarker to identify ENDS use and to distinguish between cigarette smoking and ENDS use. The goal of the field studies is to validate puffMarker in real-life, natural environments. Aim 3 will utilize the Project On Track protocol to collect the first real time, real world data on ENDS and dual use. Participants will be assessed for 6 days using AutoSense, EMA, and GPS to examine potential determinants of ENDS use. A validated puffMarker that detects ENDS use and distinguishes between ENDS use and smoking can enhance many areas of research inquiry on ENDS. Knowledge learned from Aim 3 will be essential for the development of comprehensive conceptual models with respect to ENDS use and smoking cessation.

项目概要/摘要 电子尼古丁传送系统 (ENDS) 的流行率在成人和青少年中急剧上升 青少年和电子尼古丁传送系统的使用正迅速成为一个重大的公共卫生问题。然而，由于他们最近 尽管电子尼古丁传送系统（ENDS）的出现，研究人员对电子尼古丁传送系统（ENDS）、它们的用途、它们对人类生理和健康的影响、它们的作用、 风险和收益，或其对烟草控制工作的影响。研究 ENDS 的一个常见障碍是缺乏 有关 ENDS 客观、真实使用的数据。因此，拟议项目旨在适应现有的创新移动 评估工具，可通过提供移动传感来弥补关键的 ENDS 研究空白 可以客观地收集现实世界中有关电子尼古丁传送系统实时使用的精确数据的技术。具体来说， 拟议的修订项目将扩大项目步入正轨（1R01CA190329-01A1，PI：Wetter）的范围 扩展 puffMarker（一种自动检测吸烟的现有工具）的应用以进行评估 电子尼古丁传送系统的使用。当前项目有三个目标：1）调整和验证 puffMarker 来识别离散的 ENDS 使用事件，2) 调整和验证 puffMarker 以区分吸烟和 ENDS ENDS 和香烟双重用户之间的使用，以及 3) 利用 Project On Track 协议实时收集、 真实世界数据调查 ENDS 独家用户和 ENDS 使用的潜在决定因素 香烟和电子尼古丁传送系统的双重使用者。总共 120 名参与者（目标 1 30 名，目标 2 30 名，目标 3 60 名） 将被录取。目标 1 和 2 招募的参与者将参加实验室（三场 2 小时课程）和现场课程 （3天）学习。在实验室课程中，参与者将佩戴 AutoSense 无线传感器并 要求使用 ENDS（目标 1）或使用 ENDS 并吸烟（目标 2）。参与者的电子烟和香烟 抽吸将由独立观察员记录。在实地研究中，参与者将佩戴 AutoSense 无线传感器并被要求使用 ENDS（目标 1）或使用 ENDS 并吸烟（目标 2）。参加者 将被要求在 SP 上记录每次使用 ENDS 或吸烟的情况。实验室的目标 研究的目的是收集数据来训练 puffMarker 识别 ENDS 的使用并区分香烟 吸烟和使用电子烟。实地研究的目标是在现实生活中的自然环境中验证 puffMarker。 Aim 3 将利用 Project On Track 协议收集有关 ENDS 和双重数据的第一个实时、真实世界数据 使用。将使用 AutoSense、EMA 和 GPS 对参与者进行为期 6 天的评估，以检查其潜力 ENDS 使用的决定因素。经过验证的 puffMarker，可检测 ENDS 的使用并区分 ENDS 使用和吸烟可以增强电子尼古丁传送系统许多领域的研究探索。从目标 3 中学到的知识将 对于开发有关 ENDS 使用和吸烟的综合概念模型至关重要 停止。