Formative development of an intervention to stop family tobacco use: the Parents and Children Talking (PACT) intervention.
Formative development of an intervention to stop family tobacco use: the Parents and Children Talking (PACT) intervention.
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阻止家庭烟草使用的干预措施的形成性发展：父母与儿童交谈（PACT）干预措施。
DOI：
10.1080/10810730500228615
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发表时间：
2005
影响因子：
4.4
通讯作者：
Brouwer,RebeccaN
中科院分区：
文献类型：
--
作者：
Tilson,ElizabethC;McBride,ColleenM;Brouwer,RebeccaN
对家庭进行干预是解决成人和青年吸烟这一持续问题的一项有希望的战略。采用四步形成过程来开发一种创新的自我导向的家庭干预：（1）通过结构化的电话访谈、焦点小组和文献综述进行规划和策略开发;（2）通过使用儿童和成人对原型材料的反馈来开发和预测试概念、信息和材料;（3）通过向50个家庭邮寄6个模块来实施该计划（至少由一名成年吸烟者和一名9-12岁的儿童组成），总体参与度高;（4）通过测量对吸烟相关沟通、技能和态度的干预效果，评估效果并进行改进。与戒烟困难和父母吸烟影响相关的不一致的干预效果表明需要改进。让吸烟者在干预期间尝试戒烟，可能会增加儿童对戒烟困难的认识。可能需要更加强调与压力管理有关的内容。可能需要加强父母行为的影响所传达的个人背景。虽然家庭环境提供了解决烟草使用的亲子互惠性质的机会，但需要对解决这一问题的挑战保持敏感。
Intervening with families is a promising strategy for addressing the continuing problem of adult and youth tobacco use. A four-step formative process was used to develop an innovative self-directed family-based intervention: (1) planning and strategy development through structured telephone interviews, a focus group, and a literature review; (2) development and pretesting of concepts, messages, and materials by using feedback from children and adults on prototypic materials; (3) implementing the program by mailing 6 modules to 50 families (composed of at least one adult smoker and a 9–12-year-old) with overall high levels of engagement; and (4) assessing effectiveness and making refinements by measuring the intervention effect on smoking-related communication, skills, and attitudes. Inconsistent intervention effects related to the difficulty of cessation and the influence of parental smoking suggested needed refinements. Engaging smokers willing to make a quit attempt during the intervention time frame may augment children's appreciation for the difficulty of cessation. Content related to stress management may need greater emphasis. Enhancing the personal context in which the influence of parental behavior is conveyed may be needed. Although the family context offers the opportunity to address the parent–child reciprocal nature of tobacco use, it requires sensitivity to the challenges of addressing this topic.
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DOI：
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