TY - JOUR AU - Nagawa, Catherine S AU - Faro, Jamie M AU - Menon, Anitha J AU - Ito Fukunaga, Mayuko AU - Williams, Jessica H AU - Mourao, Dalton AU - Emidio, Oluwabunmi M AU - Davis, Maryann AU - Pbert, Lori AU - Cutrona, Sarah L AU - Houston, Thomas K AU - Sadasivam, Rajani S PY - 2021 DA - 201/4/30 TI -非裔美国吸烟者给同龄人的书面建议:激励信息的定性研究JO - JMIR Form Res SP - e21481 VL - 5 IS - 4kw -烟草差异KW -对等KW -交流KW -吸烟KW -戒烟KW -专题分析KW -干预KW -非洲裔美国人AB -背景:尽管非洲裔美国人开始吸烟并发展到每天吸烟的比率最低，但他们实现长期戒烟的可能性较小。需要为促进非裔美国吸烟者使用戒烟资源而量身定制的干预措施。在我们过去的工作中，我们证明了技术辅助同行撰写的信息干预对提高非西班牙裔白人吸烟者戒烟的有效性。在这项形成性研究中，我们对这种干预措施进行了调整，以特别适用于非裔美国吸烟者。目的:我们旨在报道非裔美国人当前和前吸烟者写给同龄人的信息的定性分析，以回应吸烟者面临戒烟挑战的假设场景。方法:在2017年4月至2017年11月期间，我们通过ResearchMatch招募了非裔美国成年吸烟者和戒烟者(n=41)。我们要求参与者为他们的同伴写一些激励信息，以回应与吸烟有关的假设场景。我们还收集了社会人口学因素和吸烟特征的数据。进行了专题分析，以确定研究参与者提出的戒烟策略。 Results: Among the study participants, 60% (25/41) were female. Additionally, more than half (23/41, 56%) were thinking about quitting, 29% (12/41) had set a quit date, and 27% (11/41) had used electronic cigarettes in the past 30 days. Themes derived from the qualitative analysis of peer-written messages were (1) behavioral strategies, (2) seeking help, (3) improvements in quality of life, (4) attitudes and expectations, and (5) mindfulness/religious or spiritual practices. Under the behavioral strategies theme, distraction strategies were the most frequently suggested strategies (referenced 84 times in the 318 messages), followed by use of evidence-based treatments/cessation strategies. Within the seeking help theme, subthemes included seeking help or support from family/friends or close social networks (referenced 56 times) and health care professionals (referenced 22 times). The most frequent subthemes that emerged from improvements in the quality of life theme included improving one’s health (referenced 22 times) and quality of life (referenced 21 times). Subthemes that emerged from the attitude and expectations theme included practicing positive self-talk (referenced 27 times), autonomy/independence from the smoking habit (referenced six times), and financial cost of smoking (referenced five times). The two subthemes that emerged from the mindfulness/religious or spiritual practices theme were use of self-awareness techniques (referenced 36 times) and religious or spiritual practices to cope (referenced 13 times). Conclusions: Our approach to adapt a prior peer-message intervention to African American smokers yielded a set of evidence-based messages that may be suitable for smokers at all phases of motivation to quit (ready to quit or not ready to quit). In future research, we plan to assess the impact of texting these messages to African American smokers in a smoking cessation trial. SN - 2561-326X UR - https://formative.www.mybigtv.com/2021/4/e21481 UR - https://doi.org/10.2196/21481 UR - http://www.ncbi.nlm.nih.gov/pubmed/33929332 DO - 10.2196/21481 ID - info:doi/10.2196/21481 ER -