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（由申请人提供）：美国印第安人 (AI) 的吸烟率是美国所有种族/族裔群体中最高的（测试中白人和黑人的吸烟率分别为 41% 和 23%），他们因烟草造成的死亡率最高。任何种族/族裔群体的相关疾病；每五个人工智能中就有两个死于与烟草相关的疾病，尽管人工智能中吸烟和与烟草相关的疾病的比率非常高，但很少有研究人员解决这个重要问题，部分原因是烟草是一种烟草相关疾病。神圣堪萨斯大学医学中心、美洲印第安人社区健康中心的研究人员一直在使用基于社区的参与性研究（CBPR）来解决这一问题。自 2003 年以来，AI 社区一直在关注娱乐性烟草的使用，并制定了一项成功的根据文化量身定制的戒烟计划——All Nations Breath of Life (ANBL)，该计划将烟草视为一种神圣的植物，并提倡尊重它而不是滥用它。目前，我们的面对面计划在基线后 6 个月的戒烟率为 31%（与之前报告的针对多部落人群的最佳计划相比，P<0.001）。 -person 计划，我们无法通过该计划覆盖整个人工智能社区，因此，我们建议开发和试点测试一个基于电话的计划，并附带一个交互式网站，以覆盖更大的人工智能群体。目标： (1) 发展基于个人电话的 ANBL 版本及随附的互动网站； (2) 对程序进行形成性测试 (N=10)，以确定试点所需的修改；以及 (3) 在 80 名人工智能吸烟者中进行试点测试 tANBL我们的主要终点是通过基线后 6 个月唾液可替宁水平进行生化验证的休闲吸烟 30 天戒烟率。比目前文献中报道的未定制计划中的人工智能（30% 与 10%）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；审查实施基于电话的个人 ANBL 的可接受性和可行性； (3) 检查 12 周戒烟和 6 个月复吸的吸烟者的复吸原因； (4) 检查持续戒烟率； (5) 检查不戒烟者每天吸烟量的减少情况。