Take a Break: mHealth-assisted skills building challenge for unmotivated smokers

休息一下：移动健康辅助的针对无动力吸烟者的技能培养挑战

• 批准号: 8979296
• 负责人: Thomas K Houston
• 金额: $ 57.71万
• 依托单位: UNIV OF MASSACHUSETTS MED SCH WORCESTER
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-08-01 至 2020-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8979296
• 关键词: Abstinence; American; Behavioral Medicine; Boston; Cellular Phone; Cessation Research; Characteristics; Clinic; Clinical; Consult; Coping Skills; Data; Effectiveness; Feedback; Future; General Practices; Goals; Grant; Health Technology; Healthcare; Individual; Internal Medicine; Intervention; Massachusetts; Measures; Mechanics; Medical Informatics; Medical center; Mental Depression; Minority; Motivation; Outcome; Participant; Patients; Phase; Physicians; Play; Population; Published Comment; Randomized; Randomized Clinical Trials; Recruitment Activity; Research; Rewards; Sampling; Self Efficacy; Smoker; Smoking; Smoking Behavior; Societies; Subgroup; System; Technology; Telephone; Testing; Thinking; Time; TimeLine; United States; Universities; Withdrawal Symptom; Work; addiction; base; college; craving; design; evidence base; experience; innovation; insight; mHealth; mortality; motivational intervention; nicotine replacement; programs; public health relevance; randomized trial; response; skills; smoking cessation; tool

 DESCRIPTION (provided by applicant): Smoking continues to be the major preventable cause of mortality in the United States, and the majority of smokers are not ready to quit at any given time. In this R01 application, we propose the innovative "Take a Break" project, a smoking cessation induction trial utilizing NRT-sampling and accessible and engaging mobile health technology, wrapped in concepts of a game. In smoking cessation research, the majority of evidence applies to the minority of smokers, those actively quitting. This known gap is significant because the majority of smokers - those who are not ready to quit smoking, also described as smokers in the "Motivation Phase" of the Phased Framework of Smoking Cessation, historically have not been the focus of cessation interventions. Components of Take a Break include a brief 3-week experience during which smokers are provided nicotine replacement therapy; given the game; encouraged to try a brief period of abstinence; rewarded with recognition points for participation; and allowed continued access to the technology. The game includes Challenge Questions to assess smoking behavior and cravings and provide immediate feedback, and a suite of tools available at the point of need to help develop coping skills. We hypothesize that, compared with the NRT-only group, the Take a Break group will have a greater number of days abstinent during the `break' period, a greater increase in self-efficacy at the end of the `break' period, a lower time to first quit attempt, and a higher rate of quit at 6 months. If Take a Break proves to be effective, it has great potential for widespread, non- traditional dissemination. Our Specific Aims are AIM 1: Refine the Take a Break mHealth tool and implementation program. AIM 2: Conduct a randomized trial of the effectiveness of Take a Break. AIM 3: Follow participants in the AIM 2 randomized clinical trial for 6 months to evaluate time to quit attempts, number of quit attempts, and 6-month biochemically verified point prevalent cessation. The Take a Break intervention is designed to increase self-efficacy and support new skills for Motivation Phase smokers. It also will provide valuable insight into this population of smokers and increase our understanding of which tools may be effective in helping them quit smoking.

 描述（由申请人提供）：吸烟仍然是美国可预防的主要死亡原因，并且大多数吸烟者在任何特定时间都没有准备好戒烟。在此 R01 申请中，我们提出了创新的“休息一下”。 “项目是一项戒烟诱导试验，利用 NRT 采样和易于使用且有吸引力的移动健康技术，以游戏的概念包装。在戒烟研究中，大多数证据适用于少数吸烟者，即那些积极戒烟的人。这种已知的差距是显着的，因为大多数吸烟者——那些还没有准备好戒烟的人，也被称为处于分阶段戒烟框架的“动机阶段”的吸烟者，在历史上并不是戒烟干预措施的重点。休息一下，包括为吸烟者提供为期 3 周的尼古丁替代疗法；鼓励他们尝试一段时间的戒烟；并允许他们继续使用该技术。游戏包括评估吸烟行为和渴望并提供即时反馈的挑战问题，以及在需要时帮助培养应对技能的一套工具，我们发现，与仅使用 NRT 的组相比，休息一下组会。在“休息”期间有更多的戒烟天数，在“休息”期结束时自我效能感有更大的提高，第一次尝试戒烟的时间更短，并且戒烟率更高 如果“休息一下”被证明是有效的，那么它具有广泛、非传统传播的巨大潜力。我们的具体目标是：目标 1：完善“休息一下”移动健康工具和实施计划。 AIM 3 有效性试验：对 AIM 2 随机临床试验的参与者进行为期 6 个月的跟踪，以评估戒烟尝试的时间、尝试戒烟的次数以及 6 个月生化验证的流行点。 “休息一下”干预措施旨在提高动机阶段吸烟者的自我效能并支持新技能，它还将为吸烟者群体提供宝贵的见解，并加深我们对哪些工具可能有效帮助他们戒烟的了解。