SMOKING PREVENTION AND CESSATION INTERVENTIONS

我们的主要目标是减少普通香烟的开始 通过大众媒体和学校支持， 保持非吸烟状态。 我们假设，一个程序，以修改 的看法和态度，并传达拒绝吸烟的技巧，通过一个 一系列电视和电台信息将提供一个重要的 补充以学校为基础的预防方案。 根据我们的 以前的大众媒体研究在预防吸烟和广泛的诊断 和形成性研究，我们将设计一套三个明显不同的 反吸烟媒体宣传运动，每一个针对年轻人在三个之一 发育水平：青春期之前、期间和之后。 这些水平 大致对应5-6、7-8和9- 10年级。 每一个消息设计 宣传活动将由媒体顾问根据 诊断和形成性研究。 通过以下方式保证曝光率 付费广告，每项活动将安排在 当这些目标群体使用 媒体. 已经确定了四个相匹配的标准大都市统计区 作为研究社区：班戈尔，ME;伯灵顿，VT;大福尔斯，MT;和 蒙大拿州比林斯 将要求社区之间匹配的学校系统 参加目前正在佛蒙特州测试的学校项目， 还在收集调查数据方面提供合作。 在所有 在这些社区，五至七年级的5,000名年轻人 将在每学年提供预防吸烟计划 从八年级到十年级 大福尔斯和班戈尔也将收到 大众媒体的介入。 年度形成性和总结性调查将 进行。 我们的数据收集技术将使我们能够描述 行为、感知和态度变化的个人模式。 在 除了自我报告的问卷，年轻人会提供唾液， 样品，其中一个子集将进行硫氰酸盐含量分析。 该项目将利用我们在公共和学校卫生方面的专业知识 教育、传播、心理学、生物统计学和医学。

Our major objective is to reduce the initiation of regular cigarette smoking in young people through mass media and school-based supports for maintaining a non-smoking status. We hypothesize that a program to modify perceptions and attitudes and convey cigarette refusal skills through a series of television and radio messages will provide a significant complement to a school-based prevention program. On the basis of our previous mass media research in smoking prevention and extensive diagnostic and formative research, we will design a set of three distinctly different anti-smoking media campaigns, each aimed at young people in one of three developmental levels: before, during, and after puberty. These levels correspond roughly to grades 5-6, 7-8, and 9-l0. Message designs for each campaign will be developed independently by media consultants on the basis of diagnostic and formative research. With guaranteed exposure through paid advertising, each campaign will be scheduled to reach youngsters at the proper developmental level at times when these target groups are using the media. Four matching Standard Metropolitan Statistical Areas have been identified as study communities: Bangor, ME; Burlington, VT; Great Falls, MT; and Billings, MT. School systems matched between communities will be asked to participate in a school program currently being tested in Vermont, while also providing cooperation in the collection of survey data. In all of these communities, a fifth to seventh grade cohort of 5,000 young people will be provided with the smoking prevention program each school year through grades eight to ten. Great Falls and Bangor will also receive the mass media intervention. Annual formative and summative surveys will be conducted. Our data collection techniques will allow us to describe individual patterns in changes in behavior, perceptions, and attitudes. In addition to self-report questionnaires, young people will provide saliva samples, a subset of which will be analyzed for thiocyanate content. This project will draw on our expertise in public and school health education, communication, psychology, biostatistics, and medicine.