Development of a Telephone-Based Individual Smoking Cessation Program for American Indians

为美洲印第安人制定基于电话的个人戒烟计划

基本信息

批准号：
9275930
负责人：
CHRISTINE Makosky DALEY
金额：
$ 16.42万
依托单位：
UNIVERSITY OF KANSAS MEDICAL CENTER
依托单位国家：
美国
项目类别：
财政年份：
2016
资助国家：
美国
起止时间：
2016-05-20 至 2018-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9275930
关键词：
Abstinence Address American Indians Biochemical Cancer Etiology Cardiovascular Diseases Cause of Death Cessation of life Cigarette Communities Community Health Community Participation Cotinine Development Education Ethnic group Evaluation Focus Groups Future Geographic Locations Goals Health Individual Intervention Interview Kansas Life Literature Malignant neoplasm of lung Medical center Methods Missouri Modification Outcome Participant Patient Self-Report Persons Phase Plants Population Premature Mortality Prevalence Process Randomized Clinical Trials Relapse Reporting Research Research Methodology Research Personnel Risk Factors Salivary Smoker Smoking Smoking Status Structure Surveys Telephone Testing Tobacco Tobacco use United States Universities Woman arm base cigarette smoking community based participatory research community organizations experience health disparity intervention program member men mortality programs public health relevance racial and ethnic smoking cessation success tobacco control urban Native American web site

项目摘要

DESCRIPTION (provided by applicant): American Indians (AI) have the highest rates of smoking of any racial/ethnic group in the United States (41% versus 23% for whites and blacks). Consequently, they suffer the highest mortality from tobacco-related illnesses of any racial/ethnic group; two of every five AI die from a tobacco-related illness. Despite the abysmal rates of smoking and tobacco-related illness among AI, few researchers have addressed this important issue, in part because tobacco is a sacred plant to many AI and, as such, cannot be treated completely negatively, as most smoking cessation programs do. Researchers at the University of Kansas Medical Center, Center for American Indian Community Health have been using community-based participatory research (CBPR) to address recreational tobacco use in the AI community since 2003 and have developed a successful culturally-tailored smoking cessation program, All Nations Breath of Life (ANBL), that respects tobacco as a sacred plant and promotes honoring it rather than abusing it recreationally. Our in- person program currently has quit rates of 31% at 6-months post-baseline (P<0.001 compared to the best previously reported program for a multi-tribal population). Though we have experienced success through an intensive, in-person program, we are unable to reach the entire AI community with this program. Therefore, we propose the development and pilot testing of a telephone-based program with an accompanying interactive website to reach a larger AI population. We will address the following specific aims: (1) To develop an individual telephone-based version of ANBL and accompanying interactive website; (2) To conduct a formative test of the program (N=10) to determine modifications needed for the pilot; and (3) To pilot test tANBL in 80 AI smokers and estimate effect size of the intervention. Our primary endpoint will be 30-day point prevalence abstinence from recreational smoking biochemically verified by salivary cotinine level at 6 months post- baseline. We hypothesize that quit rates in tANBL will be significantly better than those currently reported in the literature for AI in untailored programs (30% versus 10%). We will address the following secondary aims: (1) To maximize and assess the cultural relevance of the intervention program and all of its components; (2) To examine the acceptability and feasibility of implementing an individual telephone-based ANBL; (3) To examine reasons for relapse among those smokers who were quit at 12 weeks and relapsed at 6 months; (4) To examine continuous abstinence rates for tANBL; and (5) To examine reduction in cigarettes per day among non-quitters.

描述（由适用提供）：美国印第安人（AI）在美国任何种族/族裔群体的吸烟率最高（白人和黑人为41％，比例为23％）。因此，他们因任何种族/族裔的烟草相关疾病而遭受最高的死亡。每五个AI中有两个死于与烟草有关的疾病。尽管人工智能中吸烟和与烟草有关的疾病的速度糟糕，但很少有研究人员解决了这一重要问题，部分原因是烟草是许多人AI的神圣植物，因此，像大多数戒烟计划一样，无法完全对其进行负面处理。自2003年以来，美国印第安人社区健康中心的堪萨斯大学医学中心的研究人员一直使用基于社区的参与研究（CBPR）来解决AI社区中的娱乐性烟草使用，并制定了成功的文化限制戒烟计划，所有国家的生活（所有国家）生活（ANBL），尊重烟草的烟草和促进造型的人，而不是努力锻炼，这是谋生的。我们的面对面计划目前在基线后6个月时的戒烟率为31％（与多部队人群的最佳先前报告的计划相比，P <0.001）。尽管我们通过一个密集的面对面计划取得了成功，但我们无法通过此计划来达到整个AI社区。因此，我们建议使用参与的交互式网站对基于电话的程序进行开发和试点测试，以达到更大的AI人群。我们将解决以下特定目标：（1）开发基于电话的ANBL和参与互动网站的单个版本；（2）对程序进行形成性测试（n = 10），以确定飞行员所需的修改；（3）在80个AI吸烟者中进行试验测试Tanbl，并估计干预措施的效果大小。我们的主要终点将是基线6个月后6个月在唾液可替宁水平通过唾液cotinine水平验证的休闲吸烟生物化学验证的娱乐性吸烟率的30天。我们假设tanbl的退出率将大大要比AI目前在未遗传计划中报道的（30％ves 10％）中的文献中所报告的要好得多。我们将解决以下次要目标：（1）最大化和评估干预计划及其所有组成部分的文化相关性；（2）检查实施基于电话的ANBL的可接受性和可行性；（3）检查那些在12周时退出并在6个月后转电的吸烟者中解救的原因；（4）检查tanbl的连续禁欲率；（5）检查非阵地每天减少香烟。