Text2QuitPLUS: A Text-based Smoking Cessation Intervention for Sexual and Gender Minority Groups

Text2QuitPLUS：针对性少数群体的基于文本的戒烟干预措施

基本信息

批准号：
10251013
负责人：
Irene Tami-Maury
金额：
$ 15.77万
依托单位：
UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-09-01 至 2023-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10251013
关键词：
Abstinence Adult Advisory Committees Back Behavior Therapy California Car Phone Career Mobility Censuses Cessation of life Computers Conscious Control Groups Cotinine Data Data Analyses Development Plans Discrimination Doctor of Medicine Enrollment Environment Event Festival Focus Groups Funding Future Gays Gender Identity General Population Goals Health behavior Heterosexuals High Prevalence Homophobia Individual Intervention Knowledge Latina Lesbian Lesbian Gay Bisexual Transgender Mainstreaming Malignant Neoplasms Measures Methods Minority Groups New York Participant Patient Self-Report Population Populations at Risk Pregnant Women Randomized Randomized Controlled Trials Records Reporting Research Research Assistant Research Design Research Ethics Research Methodology Research Personnel Risk Saliva Sampling Scientist Secure Sex Orientation Sexual and Gender Minorities Smoker Smoking Smoking Cessation Intervention Source Stigmatization Stress Surveys System Telephone Test Result Testing Texas Text Text Messaging Tobacco Tobacco Use Cessation Tobacco use Training Transition Career Development Award (K22)Underserved Population United States Universities Vulnerable Populations Work anticancer research arm base brief advice cancer prevention cancer risk career cigarette smoke cigarette smoking coping design digital experience feasibility trial follow-up group intervention health disparity longitudinal analysis mHealth men minority communities nicotine replacement professor programs psychosocial stressors randomized trial recruit research and development response retention rate same-sex partnership skills smoking abstinence smoking cessation social stigma statistics text messaging intervention tobacco advertising two-arm trial

项目摘要

ABSTRACT Smoking among sexual and gender minority (SGM) groups, which include lesbian, gay, bisexual, and transgender (LGBT) individuals, has been reported from different sources as highly prevalent (46% for gay men and 48% for lesbians). Considering that the smoking rate within SGM groups is more than double that of the general population (19%) and that smoking accounts for at least 30% of all cancer deaths, it is clear that there is an increased risk for SGM individuals to suffer from this fatal condition. Text messaging programs have been found to be effective for smoking cessation and other health behaviors. They are appealing to traditionally hard- to-reach, at-risk populations who experience barriers to smoking cessation interventions, and who have high rates of mobile phone and text messaging use, which is the case for SGM users. Text2Quit is a smoking cessation intervention that sends tailored, supportive texts to users based on self-selected smoking quit date. Although this program has been successfully evaluated with the general population in a randomized trial and has been also tailored to pregnant women, no study has evaluated its feasibility specifically among SGM smokers. I propose 3 specific aims: (1) To develop and evaluate the design of Text2QuitPLUS, an SGM-tailored version of Text2Quit, through a qualitative approach among 16 SGM adult smokers; (2) To examine recruitment, retention, and smoking abstinence rates at 1, 3, and 6 months of follow-up among 80 SGM smokers randomized to either the original Text2Quit or Text2QuitPLUS program arms. Engagement with the programs will be also measured by calculating the number of text message responses for each SGM participant from the system records; (3) To conduct mixed-method research among 32 SGM smokers completing their participation in the feasibility trial to better understand study participants' acceptability of the cessation interventions. Results will contribute to reducing tobacco-related health disparities among SGM groups. Irene Tami-Maury, D.M.D., M.Sc., Dr.P.H., a Latina scientist appointed as a Research Assistant Professor (non-tenure track) at The University of Texas MD Anderson, is seeking 3 years of support through an NCI K22 Transition Career Development Award to Promote Diversity for the proposed transition career development plan and research. In order to fill critical gaps in her experience, she will obtain specialized training, expert advice, and first-hand experience in implementing behavioral interventions targeting underserved populations, mHealth, and advanced statistics for analyzing longitudinal data. She will also expand her knowledge and skills related to tobacco cessation, SGM health disparities, and research ethics. Dr. Tami-Maury's comprehensive training and research plans, supported by an advisory committee of established researchers in the field, will secure her long-term goal of establishing anindependently funded research program in cancer prevention and tobacco cessation, with a focus on reducing tobacco-related health disparities for SGM individuals.

抽象的性别和性别少数民族（SGM）群体中的吸烟，包括女同性恋，同性恋，双性恋和跨性别者（LGBT）个体已从不同的来源报告为高度普遍（男同性恋者为46％和48％的女同性恋）。考虑到SGM组中的吸烟率是一般人口（19％），吸烟占所有癌症死亡的30％，很明显 SGM个人患这种致命状况的风险增加。文本消息程序已经发现对戒烟和其他健康行为有效。他们吸引了传统上的艰苦遇到障碍戒烟干预措施且具有较高障碍的高风险人群手机和文本消息的使用率是SGM用户的情况。 Text2Quit是吸烟戒烟干预措施将基于自我选择的吸烟日期发送给用户量身定制的支持文本。尽管该计划已在一项随机试验中成功地与普通人群进行了评估，并且还针对孕妇量身定制，没有任何研究专门评估其可行性吸烟者。我提出了3个具体目标：（1）开发和评估Text2QuitPlus的设计，SGM泰 text2quit的版本，通过16个SGM成年吸烟者的定性方法；（2）检查招聘，在80个SGM吸烟者中，保留和戒酒率在1、3和6个月的随访中要进行原始text2Quit或text2quitplus程序臂。参与程序也将是通过计算系统中每个SGM参与者的短信响应数量来衡量记录；（3）在32名SGM吸烟者中进行混合方法研究，以完成他们参与可行性试验，以更好地了解研究参与者对戒烟干预的可接受性。结果将有助于减少SGM组之间与烟草相关的健康差异。 Irene Tami-Maury，D.M.D。，M.Sc。， Latina科学家P.H. 德克萨斯州安德森（Texas Anderson），通过NCI K22过渡职业发展奖寻求3年的支持为拟议的过渡职业发展计划和研究促进多样性。为了填补关键在她的经验上，她将获得专业培训，专家建议和第一手经验针对服务不足的人群，MHealth和高级统计的行为干预措施分析纵向数据。她还将扩大与烟草戒烟有关的知识和技能，SGM 健康差异和研究道德。塔米·莫里（Tami-Maury）博士的全面培训和研究计划支持由该领域成熟研究人员的咨询委员会委员会确保建立她的长期目标癌症预防和烟草戒烟方面的无依赖性资助的研究计划，重点是减少 SGM个人与烟草有关的健康差异。