Feasibility and acceptability of remote procedures to study tobacco product use and respiratory health: an observational study

Objective Obtaining ecologically valid biological samples is critical for understanding respiratory effects of tobacco use, but can be burdensome. In two diverse samples, we examined feasibility and acceptability of studying pulmonary function and respiratory health entirely remotely.Design Observat...

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Main Authors: Erin A Vogel, Adam Leventhal, Alayna P Tackett, Meghan E Rebuli, Melissa Wong, John Monterosso
Format: Article
Language:English
Published: BMJ Publishing Group 2022-12-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/12/e065962.full
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author Erin A Vogel
Adam Leventhal
Alayna P Tackett
Meghan E Rebuli
Melissa Wong
John Monterosso
author_facet Erin A Vogel
Adam Leventhal
Alayna P Tackett
Meghan E Rebuli
Melissa Wong
John Monterosso
author_sort Erin A Vogel
collection DOAJ
description Objective Obtaining ecologically valid biological samples is critical for understanding respiratory effects of tobacco use, but can be burdensome. In two diverse samples, we examined feasibility and acceptability of studying pulmonary function and respiratory health entirely remotely.Design Observational feasibility and acceptability study.Setting and participants Adults age 18–25 (Biomedical Respiratory Effects Associated through Habitual Use of E-Cigarettes [BREATHE] Study) and 21–65 (Adult IQOS Respiratory [AIRS] Study) recruited from previous research studies and advertisements in Southern California, USA (BREATHE (AIRS): N=77 (N=31) completed baseline, n=64 (n=20) completed feasibility and acceptability measures). Shared inclusion criteria for the two studies were ownership of a smartphone, willingness to download applications and English fluency. In addition, BREATHE participants reported one of three tobacco use patterns. AIRS participants smoked daily and were willing to use a heated tobacco product. Exclusion criteria were medical contraindications.Interventions A 4-week study consisted of five virtual study visits, twice daily ecological momentary assessment diaries and spirometry assessments, and weekly Nasal Epithelial Lining Fluid and saliva collection. All study visits were conducted via video conference; study materials and biospecimens were exchanged via mail. Participants reported feasibility and acceptability of daily diaries, breath tests, biospecimen collection and shipments.Measures Surveys assessed perceptions of timing and overall experience of daily diaries and breath tests, difficulty of and overall experience with biospecimen collection, and experience sending and receiving shipments.Results Most participants evaluated daily diaries and breath tests as manageable (62.5%–95.0%) and likeable (54.7%–70.0%). Breath tests were frequently described as ‘interesting’ (55.0%–57.8%) and ‘easy’ (25.0%–48.4%). Most participants reported that biospecimen collection was easy (50.0%–85.0%), and that shipments were easy to send (87.5%–95.0%), receive (95.3%–95.0%) and schedule (56.3%–60.0%). No participants received shipments in poor condition.Conclusions Remote research procedures may be feasible and acceptable to facilitate tobacco research studies, potentially resulting in more diverse samples of participants and more generalisable research results.
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spelling doaj.art-f9c3920e71e74fa387fc7ea7622045fc2022-12-22T04:36:15ZengBMJ Publishing GroupBMJ Open2044-60552022-12-01121210.1136/bmjopen-2022-065962Feasibility and acceptability of remote procedures to study tobacco product use and respiratory health: an observational studyErin A Vogel0Adam Leventhal1Alayna P Tackett2Meghan E Rebuli3Melissa Wong4John Monterosso5Stanford Prevention Research Center, Department of Medicine, Stanford University, Stanford, CA, USADepartment of Preventive Medicine, University of Southern California Keck School of Medicine, Los Angeles, California, USA2Oklahoma Tobacco Research Center, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USADepartment of Pediatrics, Center for Environmental Medicine, Asthma and Lung Biology, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USADepartment of Population and Public Health Sciences, University of Southern California Keck School of Medicine, Los Angeles, California, USAInstitute for Addiction Science, University of Southern California, Los Angeles, California, USAObjective Obtaining ecologically valid biological samples is critical for understanding respiratory effects of tobacco use, but can be burdensome. In two diverse samples, we examined feasibility and acceptability of studying pulmonary function and respiratory health entirely remotely.Design Observational feasibility and acceptability study.Setting and participants Adults age 18–25 (Biomedical Respiratory Effects Associated through Habitual Use of E-Cigarettes [BREATHE] Study) and 21–65 (Adult IQOS Respiratory [AIRS] Study) recruited from previous research studies and advertisements in Southern California, USA (BREATHE (AIRS): N=77 (N=31) completed baseline, n=64 (n=20) completed feasibility and acceptability measures). Shared inclusion criteria for the two studies were ownership of a smartphone, willingness to download applications and English fluency. In addition, BREATHE participants reported one of three tobacco use patterns. AIRS participants smoked daily and were willing to use a heated tobacco product. Exclusion criteria were medical contraindications.Interventions A 4-week study consisted of five virtual study visits, twice daily ecological momentary assessment diaries and spirometry assessments, and weekly Nasal Epithelial Lining Fluid and saliva collection. All study visits were conducted via video conference; study materials and biospecimens were exchanged via mail. Participants reported feasibility and acceptability of daily diaries, breath tests, biospecimen collection and shipments.Measures Surveys assessed perceptions of timing and overall experience of daily diaries and breath tests, difficulty of and overall experience with biospecimen collection, and experience sending and receiving shipments.Results Most participants evaluated daily diaries and breath tests as manageable (62.5%–95.0%) and likeable (54.7%–70.0%). Breath tests were frequently described as ‘interesting’ (55.0%–57.8%) and ‘easy’ (25.0%–48.4%). Most participants reported that biospecimen collection was easy (50.0%–85.0%), and that shipments were easy to send (87.5%–95.0%), receive (95.3%–95.0%) and schedule (56.3%–60.0%). No participants received shipments in poor condition.Conclusions Remote research procedures may be feasible and acceptable to facilitate tobacco research studies, potentially resulting in more diverse samples of participants and more generalisable research results.https://bmjopen.bmj.com/content/12/12/e065962.full
spellingShingle Erin A Vogel
Adam Leventhal
Alayna P Tackett
Meghan E Rebuli
Melissa Wong
John Monterosso
Feasibility and acceptability of remote procedures to study tobacco product use and respiratory health: an observational study
BMJ Open
title Feasibility and acceptability of remote procedures to study tobacco product use and respiratory health: an observational study
title_full Feasibility and acceptability of remote procedures to study tobacco product use and respiratory health: an observational study
title_fullStr Feasibility and acceptability of remote procedures to study tobacco product use and respiratory health: an observational study
title_full_unstemmed Feasibility and acceptability of remote procedures to study tobacco product use and respiratory health: an observational study
title_short Feasibility and acceptability of remote procedures to study tobacco product use and respiratory health: an observational study
title_sort feasibility and acceptability of remote procedures to study tobacco product use and respiratory health an observational study
url https://bmjopen.bmj.com/content/12/12/e065962.full
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