ARRESTING SMOKING UPTAKE USING INTERACTIVE MULTIMEDIA

青少年中的吸烟流行率再次上升。 青少年往往有动力，并试图戒烟，但很少有人存在 青少年戒烟计划显示了长期的有效性。一种新的 戒烟咨询的进展使用计算机系统来定制信息 到性别、种族和戒烟的变化阶段。然而， 这些系统不是为大多数青少年吸烟者配置的 处于间歇性吸食和吸烟的过程中，因为他们认为 经常吸烟和尼古丁依赖。系统也不需要 充分利用计算机和媒体技术的最新进展 可以广泛分布在全球信息网络上，并且 这可以由吸烟者配置为自我量身定制的咨询。在这件事上 四阶段项目，一个计算机化的量身定制戒烟咨询系统 将为12-15岁的吸烟者设计，将信息与阶段相匹配 利用下一代计算机技术，交互 多媒体。第一阶段将致力于形成性研究(青少年 调查，青少年和教师重点小组，计算机使用研究，学校 政策调查)到为实验者和 经常吸烟的人(可能是前吸烟者)。多媒体制作将会 发生在第一阶段，模块和实施程序将是“测试版” 在第二阶段进行了测试(试点测试)。第三阶段将包含一个随机的 对多媒体程序的有效性进行试验，使用预试- 30名6-9年级学生的后测控制组设计 图森和阿尔伯克基的公立学校结对授课。多媒体 戒烟计划将在第四阶段在世界范围内传播 万维网。将进行可行性研究，以监测访问和使用情况 由社区组织和为青少年服务的学校提供， 尤其是那些高危人群(例如，低学历、逃学)。

Smoking prevalence among adolescents is once again on the rise. Adolescents are often motivated and try to quit, but very few existing adolescent cessation programs showed longterm effectiveness. A new advance in cessation counseling uses computer systems to tailor messages to gender, ethnicity, and stage of change toward cessation. However, these systems are not configured for majority of adolescent smokers who are in thr process of uptake and smoke intermittently, because they assume regular smoking and nicotine dependence. The systems also do not take full advantage of the latest advances in computer and media technologies that can be distributed widely over the global information network and that can be configured by the smoker to self-tailor counseling. in this four-phase project, a computerized tailoring cessation counseling system will be designed for smokers aged 12-15 that matches messages to stage of uptake using the next generation of computer technology, interactive multimedia. Phase I will be devoted to formative research (adolescent survey, adolescent and teacher focus groups, computer use study, school policy surveys) to developing tailoring protocols for experimenters and regular smokers (and possibly ex-smokers). Multimedia production will occur in Phase I and modules and implementation procedures will be "beta" tested (pilot-tested) in Phase Ii. Phase III will contain a randomized trial on the effectiveness of the multimedia program, using a pretest- posttest control group design with students enrolled in grades 6-9 in 30 pair-matched public schools in Tucson and Albuquerque. The multimedia cessation program will be disseminated in Phase IV over the World Wide Web. A feasibility study will be conducted that monitors access and use of it by community organizations and schools serving adolescents, especially those at high risk (e.g., low academic attainment, truancy).