PREVENTION OF SMOKELESS TOBACCO USE IN CHILDREN

该项目是一项IV期预防研究， 目标（1）测试融合学校的成效- 基于无烟烟草的预防干预 儿童无烟烟草的使用和（2）表征发病 在儿童中使用无烟烟草的过程。 本项目的具体目标是：（1）整合现实的 在行为和教育上都健全的学校无烟学校 预防烟草成分与现有的学校为基础的吸烟 （2）在六年级和七年级开设预防课程; 综合无烟烟草预防干预， （3）采用随机对照设计， 综合烟草预防干预措施能够 在第7个月结束时减少无烟烟草的使用 等级，并保持在流行率通过和超越 （4）评估成本和成本效益; 干预;（5）描述无烟烟草使用的特征 儿童发病过程。 联合国的综合性质 预防干预，满足教育工作者的需要， 干预措施是全面的，可以适应一个拥挤的 学校课程，旨在提高的可能性， 随后成功传播并促进实现千年发展目标 国家癌症计划的一部分 良好的现有合作关系， 华盛顿州的哈钦森中心和学区， 正在进行的以学校为基础的吸烟随机对照试验 预防，将作为及时和具有成本效益的工具， 以学校为基础的实施和长期评估 无烟烟草预防干预。 该计划将允许 无烟烟草预防成分很容易 结合预防吸烟，及时启动 实施和完成短期评价， 为研究节省了大量的成本。

This project is a Phase IV prevention study which long-term objectives (1) to test the effectiveness of an integrated school- based smokeless tobacco prevention intervention in deterring smokeless tobacco use in children and (2) to characterize the onset process for smokeless tobacco use among children. The specific aims of this project are (1) to integrate realistic and behaviorally and educationally sound school-based smokeless tobacco prevention components with an existing school-based smoking prevention curriculum for grades 6 and 7; (2) to implement the integrated smokeless tobacco prevention intervention in a realistic fashion; (3) to evaluate using a randomized controlled design the extent to which the integrated tobacco prevention intervention can reduce the prevalence of smokeless tobacco use at the end of 7th grade, and maintain the recuction in prevalence through and beyond high school; (4) to evaluate the cost and cost-effectiveness of the intervention; and (5) to characterize the smokeless tobacco use onset process among children. The integrated nature of the SLT prevention intervention, which responds to educators' need for interventions that are comprehensive and can fit annat a crowded school curricula, is designed to enhance the likelihood of subsequent successful dissemination and contribution to the goals of the National Cancer Program. The excellent existing collaborative relationship between the Hutchinson Center and school districts in the state of Washington, and the ongoing randomized controlled trial in school-based smoking prevention, will be used as timely and cost-efficient vehicles for the school-based implementation and long-term evaluation of the smokeless tobacco prevention intervention. This plan will allow the smokeless tobacco prevention components to be readily integrated with smoking prevention, timely start of the implementation and completion of short-term evaluation, and significant cost savings for the research.