Center for Technology and Behavioral Health, Geisel School of Medicine, Dartmouth College, Lebanon, NH, United States.
College of Medicine, University of Cincinnati, Cincinnati, OH, United States.
J Med Internet Res. 2024 Oct 10;26:e50748. doi: 10.2196/50748.
Although tobacco use has significantly declined in the general population, traditional tobacco use treatment uptake and success rates remain disproportionately low among people who identify as African American/Black, Hispanic/Latina/o, and American Indian/Alaska Native. Technology-based interventions (TBIs) for tobacco use are promising alternatives to traditional tobacco use treatments.
This scoping review aims to investigate the extent to which the use of digital TBIs in tobacco use treatment research promotes health equity among people who identify as African American/Black, Hispanic/Latina/o, and American Indian/Alaska Native.
This scoping review identifies US-based studies (between January 2000 and March 2021) that enlist TBIs for tobacco use treatment and include people who identify as African American/Black, Hispanic/Latina/o, and American Indian/Alaska Native at ≥50% of the sample when combined; features studies that are also race and ethnicity conscious; and highlights health equity-promoting insights from included studies.
In 85% (22/26) of the studies, the largest proportion of the sample was African American/Black, most participants had low socioeconomic status, and recruitment was most commonly from medical settings. In total, 58% (15/26) of the studies were race and ethnicity conscious, and 67% (10/15) of these studies sought to partner with potential end users. An array of TBIs were represented; however, SMS text messaging was most prevalent. Most TBIs were combined with other evidence-based intervention components (eg, nicotine replacement therapy). Approximately one-third of the studies (8/26, 31%) required participants to have their own device or internet access. The majority were underpowered to detect substantial differences.
The modest number of studies, particularly for persons who identify as Hispanic/Latina/o and American Indian/Alaska Native, demonstrates the limited application of TBIs for tobacco use and that additional research is needed to determine the extent to which TBIs for tobacco use promote health equity among these populations.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.2196/34508.
尽管普通人群中吸烟行为显著减少，但在自认为是非裔/黑种人、西班牙裔/拉丁裔或美洲印第安人/阿拉斯加原住民的人群中，传统的烟草使用治疗方法的接受率和成功率仍然低得不成比例。基于技术的干预措施（TBIs）是传统烟草使用治疗方法的有前途的替代方法。
本范围综述旨在调查在烟草使用治疗研究中使用数字 TBI 促进自认为是非裔/黑种人、西班牙裔/拉丁裔或美洲印第安人/阿拉斯加原住民的人群健康公平的程度。
本范围综述确定了在美国进行的研究（2000 年 1 月至 2021 年 3 月），这些研究使用 TBI 进行烟草使用治疗，并且当组合时，样本中至少有 50%的人自认为是非裔/黑种人、西班牙裔/拉丁裔或美洲印第安人/阿拉斯加原住民；具有种族和民族意识的研究；并突出了纳入研究中促进健康公平的见解。
在 85%（22/26）的研究中，样本中最大的比例是非裔/黑种人，大多数参与者社会经济地位较低，招募最常见于医疗场所。共有 58%（15/26）的研究具有种族和民族意识，其中 67%（10/15）的研究试图与潜在的最终用户合作。代表了各种 TBI；然而，短信最为普遍。大多数 TBI 与其他循证干预成分相结合（例如，尼古丁替代疗法）。大约三分之一的研究（8/26，31%）要求参与者拥有自己的设备或互联网接入。大多数研究的样本量不足，无法检测到实质性差异。
为数不多的研究，特别是针对自认为是西班牙裔/拉丁裔或美洲印第安人/阿拉斯加原住民的人，表明 TBI 在烟草使用方面的应用有限，需要进一步研究以确定 TBI 在烟草使用方面在多大程度上促进这些人群的健康公平。
国际注册报告标识符（IRRID）：RR2-10.2196/34508。
