Development of a tobacco cessation intervention for Alaska Native youth.

Development of a tobacco cessation intervention for Alaska Native youth.
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DOI:
10.3109/16066359.2012.714428
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发表时间:
2013
影响因子:
2.9
通讯作者:
Offord KP
Offord KP
中科院分区:
医学3区
文献类型:
--
作者:
Patten CA;Fadahunsi O;Hanza M;Smith CM;Hughes CA;Brockman TA;Boyer R;Decker PA;Luger E;Sinicrope PS;Offord KP

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尚未对阿拉斯加原住民 (AN) 青少年的戒烟治疗进行评估。这项试点研究评估了为 AN 青少年制定的有针对性的戒烟干预措施的可行性和可接受性。干预措施由先前评估 AN 青少年治疗偏好的焦点小组、社会认知理论框架以及从青少年咨询小组获得的反馈提供。干预措施包括一个周末计划,青少年乘坐小型飞机从村庄出发,与其他一起戒烟的青少年一起过夜。该计划包括娱乐活动、谈话圈、长辈和青少年顾问的个人故事以及认知行为咨询。 2010 年 10 月至 2011 年 1 月期间进行了两次干预试点,采用非随机、非对照研究设计,进行基线评估和六周随访。每个试点项目都选择了阿拉斯加西部的一个村庄,每个村庄的目标招生人数为 10 名青少年。每个试点的参与者都在五天内招募完毕,但描述了招募挑战和“经验教训”。第一个试点项目招募了 9 名 13-16 岁的青少年(均为女性);所有九人都参加了干预计划,并且 78% (7/9) 完成了后续行动。第二个试点项目招募了 12 名 12 岁至 17 岁的青少年(8 名女性,4 名男性),其中 7 人参加了干预计划。这七名参与者中的六名(86%)完成了随访。在这两项试点中,参与者都认为干预措施高度可接受。有针对性的戒烟干预对于 AN 青少年来说是可行且可接受的。该干预措施将在随后的随机对照试验中测试其有效性。
Tobacco cessation treatments have not been evaluated among Alaska Native (AN) adolescents. This pilot study evaluated the feasibility and acceptability of a targeted cessation intervention developed for AN youth. Intervention components were informed by prior focus groups assessing treatment preferences among AN youth, a social cognitive theoretical framework and feedback obtained from a teen advisory group. The intervention consisted of a weekend program where youth traveled by small airplane from their villages to stay overnight with other adolescents who quit tobacco use together. The program included recreational activities, talking circles, personal stories from elders and teen advisors, and cognitive behavioral counseling. Two intervention pilots were conducted from October 2010 to January 2011 using a non-randomized, uncontrolled study design with assessments at baseline and six-week follow-up. One village in Western Alaska was selected for each pilot with a targeted enrollment of 10 adolescents each. Participants were recruited for each pilot within five days, but recruitment challenges and ‘‘lessons learned’’ are described. The first pilot enrolled nine adolescents (all female) aged 13–16 years; all nine attended the intervention program and 78% (7/9) completed follow-up. The second pilot enrolled 12 adolescents (eight females, four males) aged 12–17 years, of which seven attended the intervention program. Six of these seven participants (86%) completed follow-up. In both pilots, participants rated the intervention as highly acceptable. A targeted cessation intervention was feasible and acceptable to AN youth. The intervention will be tested for efficacy in a subsequent randomized controlled trial.
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发表时间: 2011-05-01
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发表时间: 2004-05-01
期刊: CHEST
影响因子: 9.6
作者:
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