CURTAILING THE USE OF SMOKELESS TOBACCO THROUGH 4-H

通过 4-H 减少无烟烟草的使用

• 批准号: 3182473
• 负责人: CAROL N D'ONOFRIO
• 金额: $ 27.57万
• 依托单位: UNIVERSITY OF CALIFORNIA BERKELEY
• 依托单位国家: 美国
• 财政年份: 1985
• 资助国家: 美国
• 起止时间: 1985-09-30 至 1990-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3182473
• 关键词: adolescence (12-20); clinical chemistry; curriculum; education evaluation /planning; health behavior; longitudinal human study; saliva; tobacco; tobacco abuse education; tobacco abuse prevention

A five-year project is proposed involving collaboration between the University of California, Berkeley and the California 4-H Youth Program, administered by UC and open to all youth 9-19 years of age. The primary objective is to develop and evaluate two educational interventions for preventing and reducing the use of smokeless tobacco among youth. Other objectives are to identify patterns and determinants of young people's smokeless tobacco (ST) use; to develop an empirically-based model of ST use; to develop assessment procedures to determine long-term program effectiveness; and to test the effectiveness of using the California 4-H program as an intervention vehicle. The study population will be members of 4-H clubs throughout California. The project involves 3 interlocking phases: (1) exploratory research leading to a formal survey of approximately 2800 youth, and then to the development of an empirically-based model of ST uptake and use; (2) the development of 3 educational curricula (ST, integrated tobacco including ST and cigarettes, and control. Two "booster" sessions per curricula, intended for later delivery, will also be developed. Instruction will take advantage of natural multi-age groupings. County-based 4-H academic personnel will participate in program development and data collection. After training, volunteer adults who normally lead 4-H clubs will teach the educational sessions. Effectiveness of curricula will be tested in a 3 (curricula) x 2 (presence of boosters) factorial design. Outcome measures will include self-reports of ST and cigarette use supplemented by saliva cotinine analysis, and by demographic, social, and psychological mediating variables. Analysis will use variable means of 180 4-H clubs (30 per cell), providing a true experiment at the club mean level. Individual level data analysis (from approximately 6200 subjects), will identify risk factors and determine the influence of entry variables; (3) Phase 3 will involve long-term followup through 27 months and 5 measurement points after immediate posttest. Individuals leaving 4-H will be carefully tracked for followup. Local adoption of ST-related projects by 4-H clubs will be monitored. Program cost-effectiveness will be analyzed and is expected to be excellent due to volunteer adult leadership of sessions. Important audiences for dissemination of project materials include State 4-H programs across the country, other out-of-school educational programs, and schools.

提出了一个五年期项目，涉及以下方面的合作： 加州大学伯克利分校和加州4-H青年项目， 由UC管理，对所有9-19岁的青少年开放。 主 目标是制定和评价两项教育干预措施， 预防和减少青年人使用无烟烟草。 其他 目标是确定青年人的行为模式和决定因素， 无烟烟草（ST）使用;开发一个基于化学的ST模型 使用;制定评估程序，以确定长期计划 有效性;并测试使用加州4-H的有效性 作为一种干预手段。 研究人群将是 全加州的4-H俱乐部 本课题共分三个阶段：（1）探索性研究 这导致了对大约2800名青年的正式调查， （2）制定一个基于统计学的ST吸收和使用模型; 制定3个教育课程（科技、综合烟草，包括科技 香烟和控制 每门课程两次“助推”会议， 还将开发用于以后交付的。 指令将采取 自然多年龄组的优势。 县基础4-H学术 工作人员将参与方案制定和数据收集。 培训结束后，通常领导4-H俱乐部的志愿者成年人将教授 教育会议。 课程的有效性将在一个3 （课程）x2（助推器的存在）析因设计。 观察指标 将包括自我报告的ST和香烟使用补充唾液 可替宁分析，并通过人口统计学，社会和心理中介 变量 分析将使用180个4-H俱乐部（每个俱乐部30个）的可变平均值 细胞），在俱乐部平均水平提供一个真正的实验。 个人 水平数据分析（来自约6200例受试者），将识别风险 因素，并确定进入变量的影响;（3）第3阶段将 包括27个月的长期随访和5个测量点， 后测。 离开4-H的个人将被仔细跟踪， 跟进。 四健会在本地采用与科技有关的计划， 监测。 将对方案的成本效益进行分析，预计 由于志愿者成人会议的领导是优秀的。 重要 项目材料的传播对象包括州4-H计划 全国各地、其他校外教育项目和学校。