MOBILE HEALTH INTERVENTION FOR FAMILY SMOKING CESSATION IN ROMANIA

罗马尼亚家庭戒烟的移动健康干预

基本信息

批准号：
10021877
负责人：
Cristian Ioan Meghea
金额：
$ 5.89万
依托单位：
MICHIGAN STATE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-12-09 至 2020-11-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10021877
关键词：
Address Adopted Birth Car Phone Cellular Phone Cessation of life Child Clinical Control Groups Counseling Country Couples Data Development Disease Eastern Europe Effectiveness Family Female Goals Health Health Personnel Health behavior change Health system Healthcare Human Income Individual International Intervention Knowledge Life Longevity Methodology Mission Modernization Morbidity - disease rate Outcome Policies Population Postpartum Period Pregnancy Pregnant Women Prevention Preventive Intervention Public Health Randomized Randomized Controlled Trials Relapse Reproductive Health Research Review Literature Romania Self Determination Smoke Smoking Smoking Behavior Smoking Cessation Intervention Smoking Prevention Spouses System Testing Text Text Messaging Time Tobacco Training United States National Institutes of Health Woman Work base cigarette smoking design evidence base improved low and middle-income countries mHealth male maternal cigarette smoking mobile computing mortality motivational enhancement therapy novel offspring pilot trial postnatal pregnant prenatal prenatal cigarette smoking prepregnancy prevent primary outcome programs public health intervention recruit reproductive smoking cessation theories tobacco control

项目摘要

Tobacco cigarette smoking remains the leading global cause of preventable disease and death killing near- ly 6 million people each year, with most of these deaths occurring in low and middle income countries (LMICs). The potential of mHealth, especially mobile phone-based strategies, to transform health care, change health behaviors, and improve health has particular significance for LMICs where access to health providers and care is limited. Preconception and pregnancy smoking are high in the Central and Eastern Europe (CEE) with life- time negative health effects for the women and their children. There are higher odds of female smoking persis- tence during pregnancy, as well as relapse once pregnant women quit, when the male partner also smokes. It is critically important to address the smoking behavior of couples during their reproductive life. Building on our work in Romania and other CEE countries, the objectives of this application are to deter- mine in a randomized controlled trial (RCT) whether a mHealth couples intervention shows promise in increas- ing smoking cessation among pregnant couples who smoke and to build mHealth research capacity in Roma- nia. We will build on Self-Determination Theory (SDT) and Motivational Interviewing (MI), a counselling style that is successful in assisting people to quit smoking. The intervention will be novel in its use of the unique functionality of smartphones, its emphasis on the dyadic efficacy for smoking cessation, and the focus on pregnant couples. Our aims are to (1) Test the implementation feasibility, acceptability, and initial efficacy of a culturally-adapted mHealth smoking cessation intervention among couples during pregnancy and postpartum in Romania. We will recruit 60 pregnant smokers and their partners; (2) Develop mHealth research capacity by enhancing individual and institutional research capabilities in Romania and expanding the existing international research network. The study will generate a base of preliminary evidence that can be used to launch a large scale R01 pro- ject to test the effectiveness of the proposed smoking prevention intervention. With respect to expected out- comes, the proposed application is anticipated to advance understanding of the effectiveness of a proactive mHealth couple intervention enhanced by addressing couples' dyadic efficacy for smoking cessation in reduc- ing pregnancy smoking and postnatal relapse. Such results are anticipated to have a system wide sustainable positive impact on the prevention of prenatal and postnatal family smoking as the intervention has a high po- tential to be adopted in the universal health system in Romania, with applications to the US and other popula- tions. This research is also expected to have a significant impact on the methodology and design of mHealth interventions during the reproductive years. The development of the international research network and the individual and institutional mHealth research capacity building is expected to positively impact mHealth re- search in CEE and the neighboring region applied to tobacco control and other locally-relevant topics.

烟草吸烟仍然是全球可预防疾病的主要原因，死亡杀死接近 - 每年有600万人，其中大多数死亡发生在低收入和中等收入国家（LMIC）。 MHealth的潜力，尤其是基于手机的策略，可以改变医疗保健，改变健康行为和改善健康对LMIC具有特殊意义，在那里获得卫生提供者和护理有限。在中欧和东欧（CEE）中，先入为主和妊娠吸烟很高，时间对妇女及其子女的负面影响。雌性吸烟的几率更高 - 怀孕期间的tene，以及一旦孕妇也戒烟，就会复发。它对于夫妻在生殖生活中的吸烟行为至关重要。在我们在罗马尼亚和其他中东欧国家的工作的基础上，本申请的目标是确定在随机对照试验（RCT）中，我的MHealth夫妇干预是否显示出越来越多的希望在孕妇戒烟的戒烟中吸烟，并在罗姆人中建立MHealth研究能力尼亚。我们将以自决理论（SDT）和动机访谈（MI）为基础，这是一种咨询风格这成功协助人们戒烟。干预措施将是新颖的，它使用了独特智能手机的功能，强调戒烟的二元疗效以及重点怀孕的夫妻。我们的目的是（1）测试一个可行性，可接受性和初始功效怀孕期间和产后夫妇的文化适应MHealth戒烟干预在罗马尼亚。我们将招募60名怀孕的吸烟者及其伴侣；（2）通过增强罗马尼亚的个人和机构研究能力并扩大现有国际研究网络。该研究将产生一个初步证据的基础，可用于发射大规模的R01 Pro- JECT测试拟议的预防吸烟干预的有效性。关于预期的来了，预计拟议的申请将提高对积极主动的有效性的理解 MHealth夫妇通过解决夫妻的二元疗效来减少吸烟的功效，从而增强了干预措施。妊娠吸烟和产后复发。预计此类结果将具有广泛的可持续性对预防产前和产后家庭吸烟的积极影响，因为干预措施很高在罗马尼亚的通用卫生系统中采用的时刻，适用于美国和其他Popula- tions。预计这项研究对MHealth的方法和设计有重大影响生殖年份的干预措施。国际研究网络和预计个人和机构MHealth研究能力建设将对MHealth产生积极影响在CEE中搜索和应用于烟草控制和其他与当地的主题的相邻区域。