Publications by authors named "Emily Hebert"

Background: Prenatal exposure to cannabis (or more specifically, delta 9-tetrahydrocannabinol [Δ9-THC]) has been consistently linked to low birthweight. Animal models further show that Δ9-THC is associated with rapid postnatal growth. Whether this association is modified by breastfeeding is unknown.

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Objective: To determine the associations between muscle-strengthening activity (MSA) and cognitive function among middle-aged and older adults.

Methods: This cross-sectional study included 2973 participants aged ≥55 in the Cooper Center Longitudinal Study. Participants self-reported leisure-time physical activity.

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  • - Black individuals who smoke experience higher rates of tobacco-related health issues, which are influenced by stress related to their minority status and anxiety sensitivity (AS).
  • - A study tested a smartphone app, the Mobile Anxiety Sensitivity Program for Smoking (MASP), designed to help Black smokers with high AS quit smoking and reduce their AS.
  • - The trial with 24 participants showed high app usage, excellent retention, good participant feedback, and a significant reduction in anxiety sensitivity, with 25% of participants achieving short-term smoking abstinence.
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Functional concurrent, or varying-coefficient, regression models are a form of functional data analysis methods in which functional covariates and outcomes are collected concurrently. Two active areas of research for this class of models are identifying influential functional covariates and clustering their relations across observations. In various applications, researchers have applied and developed methods to address these objectives separately.

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Introduction: Social media use and vaping nicotine are highly prevalent in the daily lives of young adults, especially among Mexican-American college students. The excessive and compulsive use of social media platforms, coupled with the urge to stay continuously connected, can lead to problematic social media use. To date, no studies have explored the impact of problematic social media use on the daily patterns of vaping among this vulnerable population.

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Adverse childhood experiences, such as household dysfunction (HD), play a central role in how adolescents establish, experience, and navigate the challenges of relationship formation, maintenance, and dissolution. HD exposures have been independently associated with dating violence (DV) perpetration in both adolescents and adults. However, research examining the association between the concurrent effect of HD on DV perpetration, especially among adolescents remains scarce.

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  • - The study investigates how different factors in smartphone-based ecological momentary assessment (EMA) design affect completion rates, aiming to identify the best combinations for participant engagement and compliance.
  • - Researchers used a factorial design to evaluate five design factors, such as the number of questions and payment type, across 32 different conditions with participants completing EMAs for 28 days.
  • - The participant pool consisted of 411 individuals, primarily female and White, with the study examining how demographic factors influenced EMA completion rates alongside design factors.
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Importance: Socioeconomically disadvantaged individuals (ie, those with low socioeconomic status [SES]) have difficulty quitting smoking and may benefit from incentive-based cessation interventions.

Objectives: To evaluate the impact of incentivizing smoking abstinence on smoking cessation among adults with low SES.

Design, Setting, And Participants: This study used a 2-group randomized clinical trial design.

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  • Creating intervention messages for smoking cessation traditionally requires significant effort, but large language models (LLMs) like ChatGPT may provide an automated solution.
  • The study explored how to improve LLMs to replicate expert writing and whether their outputs meet clinical standards through three distinct research studies.
  • Findings indicate that larger LLMs can produce effective, credible, and persuasive cessation messages, suggesting they can support smoking cessation efforts in clinical settings.
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  • A pilot study was conducted to test a smartphone app aimed at helping smokers who are not ready to quit, assessing its feasibility and effectiveness in inducing cessation attempts.
  • Participants were divided into two groups receiving the Phoenix app (with or without nicotine replacement therapy) and a control group that got unrelated messages, with all groups completing weekly surveys over 26 weeks.
  • Results showed that the Phoenix app recipients were more engaged, set more quit dates earlier, and had higher rates of abstinence and medication use compared to the control group, suggesting the app may effectively support smoking cessation.
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The prevalence of alcohol use disorders is higher amongst adults experiencing homelessness (AEH) compared with domiciled adults. Greater exposure to heavy drinkers increases personal risk for heavy alcohol use. AEH spend substantial periods of time at shelters and report greater pressure to use alcohol when near shelter locations, as well as greater negative affect when near a shelter.

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  • - A study found that many e-cigarette users want to quit but face challenges, with only 27.5% successfully stopping; most users rely on "cold turkey" methods to quit.
  • - The research involved 586 participants who had previously tried quitting, revealing that 90.6% used nicotine-containing e-cigarettes and over half used closed-system devices.
  • - Key findings indicated that past use of cigarettes and other tobacco decreased odds of quitting e-cigarettes, while nicotine replacement therapy showed promise in increasing cessation success, highlighting the need for more effective interventions.
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  • The study investigated how financial disclosures and warning labels in pro-e-cigarette Instagram posts affect attitudes toward the ad and product among youth and young adults.
  • Conducted with 1,687 participants, the experiment revealed that posts with only a financial disclosure garnered more positive attitudes compared to those with both disclosures.
  • The findings suggest that while e-cigarette marketing is impactful, warning labels might be more effective in countering positive perceptions than financial disclosures alone.
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Substance use disorders (SUDs) have an enormous negative impact on individuals, families, and society as a whole. Most individuals with SUDs do not receive treatment because of the limited availability of treatment providers, costs, inflexible work schedules, required treatment-related time commitments, and other hurdles. A paradigm shift in the provision of SUD treatments is currently underway.

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Objective: Affective experiences are associated with smoking urges and behavior. Few studies have examined the temporal nature of these associations within a day, such as whether positive and negative affect in the morning are associated with smoking urges and behavior later in the day.

Method: Participants ( = 63; = 50 years, 48% female; 60% White) were randomized into one of three smoking cessation interventions and answered up to five daily ecological momentary assessments for 28 days during a quit attempt ( = 21.

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Purpose: No studies of young adults have compared symptoms of nicotine dependence among exclusive past 30-day (P30D) ENDS users versus exclusive P30D cigarette smokers.

Methods: Participants at Wave 14 (Fall 2021) of The Texas Adolescent and Tobacco Marketing Surveillance System (TATAMS) (n = 2,341; mean age = 20.95 years old) who reported P30D exclusive ENDS use (n = 212) and P30D exclusive cigarette smoking (n = 46).

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Background: Varenicline and oral nicotine replacement therapy (NRT) have each been shown to increase the likelihood of smoking cessation, but their combination has not been studied. In addition, smoking cessation medication adherence is often poor, thus, challenging the ability to evaluate medication efficacy.

Objective: This study examined the effects of combined varenicline and oral NRT and smartphone medication reminders on pharmacotherapy adherence and smoking abstinence among adults enrolled in smoking cessation treatment.

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In the United States, approximately 580,000 individuals were homeless on a single night in 2020. Homelessness can be categorized into three subgroups: sheltered homeless, unsheltered homeless, and unstably housed. Few studies have examined the relations between homelessness subtypes, shelter service utilization, levels of stress experienced, and health risk factors.

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Aims: To identify, visualize, and describe the prevalence of within-product patterns of tobacco use behaviors for e-cigarettes, cigarettes, and hookah (TP) by 3 age groups (ie, 12-14-year-old, 15-17-year-old, and 18-20-year-old) with U.S. nationally representative data.

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Most e-cigarette users report planning to quit, but there is a paucity of evidence-based interventions for e-cigarette cessation. In the absence of interventions for e-cigarette cessation, we sought to understand how and why e-cigarette users attempt to quit on their own. Participants were recruited from Amazon Mechanical Turk, an online crowdsourcing platform.

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Introduction: Tobacco-related content is prevalent on social media, yet many methods of measuring exposure are inadequate due to the personalized nature of online marketing. The purpose of this paper is to examine the association between exposure to pro-tobacco messages (both industry-sponsored and user-generated) and the use of tobacco products, as reported via ecological momentary assessment (EMA).

Methods: Young adults (n = 175) were instructed to record all sightings of marketing (both in-person and online) related to tobacco for 28 days.

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Introduction: Increasing digital delivery of smoking cessation interventions has resulted in the need to employ novel strategies for remote biochemical verification.

Aims And Methods: This scoping review and meta-analysis aimed to investigate best practices for remote biochemical verification of smoking status. The scientific literature was searched for studies that reported remotely obtained (not in-person) biochemical confirmation of smoking status (ie, combustible tobacco).

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Introduction: Youth perceptions of harmfulness and addictiveness of e-cigarettes may impact the age that they initiate e-cigarette use, but this has not been investigated previously.

Methods: Youth (12-17 years old) never e-cigarette users at their first wave of PATH participation (waves 1-3, 2013-2016) were included. PATH questions on absolute perceptions of e-cigarette harmfulness and addictiveness were used as exposures.

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This study investigated the relationship between concussions and medication adherence among 247 adults experiencing homelessness in Oklahoma City, Oklahoma, who were prescribed medication for a psychiatric disorder. Participants were asked whether they had "ever experienced a blow to the head that caused a concussion," and medication adherence was measured by asking participants whether they had taken their psychiatric medication yesterday. The data were analyzed using univariate and multivariable logistic regressions.

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