ENHANCED SELF HELP INTERVENTIONS FOR SMOKING CES

描述：拟议的研究旨在开发更有效的 戒烟的自助干预。 吸烟是最 可预防的癌症死亡原因，但4700万美国人继续 抽烟 戒烟诊所仅达到约1% 合格的吸烟者 以行动为导向的家庭计划只覆盖 大约1- 5%。 在目前的研究中， 积极招募85%的吸烟者， 一个HMO联系上了。 有人建议，这一显着增加， 参与率需要得到以下方面的大幅增加的补充： 最有希望的自助干预措施的戒烟率， 约会 这项拟议的研究是对15年来研究的延续， 自我改变的戒烟方法已经由NIH资助。 这 研究项目已经产生了模型、措施和干预方法， 对这个领域产生了重大影响。 本项目已完成 所有提出的目标，包括前所未有的参与率， 个性化和互动式干预措施优于自助手册 在1、2、3和6系列联系人中;加强积极主动的辅导员协议 在12个月时产生高的戒断率，并且低成本的单次接触 专家系统产生相对较高的禁欲率。 拟议 扩展是一项基于人群的临床试验，有5500名吸烟者主动参与 从健康维护组织招募，随机分配到九个条件之一， 从低接触强度到高接触强度变化。 这些条件包括：1） 无治疗; 2）每六个月进行一次主动评估; 3）单一专家 系统干预; 4）匹配的模态干预， 吸烟者在三个变化阶段的每一个模式; 5）调查人员 最有效的三种干预专家系统; 6）和7）增强个人 标准系统的选择和专业选择版本; 8） 随着辅导员的消失，主动咨询条件增强;和9）a 逐步护理人口计划从专家系统， 如有需要，提供咨询和尼古丁替代。 数据分析将 确定最有效、最具成本效益和可推广的要素， 这些戒烟干预措施，准备传播到 整个人口。 这项研究旨在继续 研究人员通过开发和评估 阶段匹配、互动和积极主动的自助干预措施， 可能对整个人口产生前所未有的影响， 吸烟者。

DESCRIPTION: The proposed research is designed to develop more effective self-help interventions for smoking cessation. Smoking is the most preventable cause of cancer mortality, but 47 million Americans continue to smoke. Smoking cessation clinics have reached only about 1 percent of eligible smokers. Home based programs that are action-oriented reach only about 1-5 percent. In the current study using stage-matched interventions and proactive recruitment 85 percent of a defined population of smokers in an HMO were reached. It is proposed that this marked increase in participation rates needs to be complimented by dramatic increases in cessation rates of the most promising self-help interventions developed to date. The proposed research is a continuation of 15 years of research on self-change approaches to smoking cessation already funded by NIH. This research program has produced models, measures and intervention methods that are having major impacts on the field. The current project has accomplished all of the aims proposed including unprecedented participation rates, individualized and interactive interventions outperforming self-help manuals at 1, 2 3 and 6 series of contacts; enhanced proactive counselor protocols producing high abstinence rates at 12 months, and a low cost single contact expert system producing relatively high abstinence rates. The proposed extension is a population based clinical trial with 5500 smokers proactively recruited from an HMO and randomly assigned to one of nine conditions varying from low to high contact intensity. These conditions include: 1) no treatment; 2) proactive assessment every six months; 3) single expert system intervention; 4) a matched modality intervention combining the best modality for smokers in each of three stages of change; 5)the investigators most effective three intervention expert system; 6) and 7) enhanced personal choice and professional choice versions of the standard systems; 8) an enhanced proactive counseling condition with counselor fading; and 9) a stepped care population program progressing from expert systems, to counseling and nicotine replacement where indicated. Data analyses will identify the most effective, cost-effective and generalizable elements of these smoking cessation interventions in preparation for dissemination to entire populations. This research is designed to continue the investigators' contributions to cancer control by developing and evaluating stage-matched, interactive and proactive self-help interventions that have the potential to produce unprecedented impacts on entire populations of smokers.