Use of Theory-Driven Report Back to Promote Lung Cancer Risk Reduction.

Use of Theory-Driven Report Back to Promote Lung Cancer Risk Reduction.
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DOI:
10.3390/ijerph182010648
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发表时间:
2021-10-11
影响因子:
--
通讯作者:
Hahn EJ
Hahn EJ
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Huntington-Moskos L;Rayens MK;Wiggins AT;Butler KM;Hahn EJ

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报告是指与参与者积极分享研究结果,以促进行为改变。减少环境风险的理论驱动报告研究还很有限。该研究的目的是评估针对家庭氡气和/或空气尼古丁水平较高的参与者的阶段性报告流程的影响。采用观察性一组前后设计,在干预后 3、9 和 15 个月收集数据。来自母研究的参与者 (N = 515) 被随机分配到治疗组或对照组,该样本包括所有 87 名治疗参与者,他们: (1) 基线时氡气和/或空气尼古丁升高; (2) 收到针对其价值观的阶段性报告。短期测试套件测量氡气;被动空气尼古丁采样器评估二手烟(SHS)暴露。行动阶段分为:(1)“不知道”、(2)“未参与”、(3)“决定”、(4)“行动”和(5)“维持”。免费提供干预措施,例如面对面的氡气和二手烟测试套件以及简短的电话解决问题咨询。氡气减排和无烟政策的行动阶段从基线延长至 3 个月,并在 3 至 9 个月之间保持稳定。 15 个月时氡的作用阶段高于基线。在氡气基线较高的地区,观测到的氡气减少了 15 个月 (p < 0.001)。定制的污染物值报告减少了氡气暴露,并改变了修复氡气和二手烟暴露所需的健康行为。
Report back is active sharing of research findings with participants to prompt behavior change. Research on theory-driven report back for environmental risk reduction is limited. The study aim is to evaluate the impact of a stage-tailored report back process with participants who had high home radon and/or air nicotine levels. An observational one-group pre-post design was used, with data collection at 3, 9, and 15 months post intervention. Participants from the parent study (N = 515) were randomized to the treatment or control group and this sample included all 87 treatment participants who: (1) had elevated radon and/or air nicotine at baseline; and (2) received stage-tailored report back of their values. Short-term test kits measured radon; passive airborne nicotine samplers assessed secondhand smoke (SHS) exposure. Stage of action was categorized as: (1) ‘Unaware’, (2) ‘Unengaged’, (3) ‘Deciding’, (4) ‘Action’, and (5) ‘Maintenance’. Interventions were provided for free, such as in-person radon and SHS test kits and a brief telephonic problem-solving consultation. Stage of action for radon mitigation and smoke-free policy increased from baseline to 3 months and remained stable between 3 and 9 months. Stage of action for radon was higher at 15 months than baseline. Among those with high baseline radon, observed radon decreased by 15 months (p < 0.001). Tailored report back of contaminant values reduced radon exposure and changed the health behavior necessary to remediate radon and SHS exposure.
DOI: 10.1186/s12940-018-0395-9
发表时间: 2018-05-21
影响因子: 6
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影响因子: 5.5
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影响因子: 10.4
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