CHURCH-BASED SMOKING CESSATION STRATEGIES IN URBAN BLACK

城市黑人基于教会的戒烟策略

• 批准号: 3362284
• 负责人: DAVID MORRIS LEVINE
• 金额: $ 28.3万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1989
• 资助国家: 美国
• 起止时间: 1989-09-29 至 1992-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3362284
• 关键词: African American; behavior; disease /disorder proneness /risk; health behavior; human morbidity; psychological models; religion; religious group; smoking cessation; tobacco abuse; tobacco abuse prevention; urban area

This study investigates the comparative effectiveness of two church-based intervention strategies with the primary goal of lowering smoking prevalence in an urban black population, East Baltimore. The specific aims are to determine: 1.) the efficacy of a lay-volunteer mediated professionally-guided intensive intervention strategy compared with a strategy using solely self-help materials, 2.) attitudinal and sociodemographic. predictors of cessation in all smokers, 3.) whether there is increased awareness of related cardiovascular risk factors, and 4.) the costs to churches of independently conducting smoking cessation programs. Lay volunteers from churches will assist in intervention design and be trained to conduct smoking cessation programs. The 56 churches in East Baltimore with congregation sizes > 200 will be randomized to either self help or intensive intervention. Materials and design will be refined by 8 focus groups from the community, determining the appropriateness of format, materials and procedures for the target population. Interventions are based on a readiness for change model, behavioral/social reinforcement, and on social learning theory. Participation is expected from 25 churches yielding a total population of 2937 including 1030 smokers. Health fairs held after high volume church services and church events will be used to obtain data on smoking status (biochemically validated), co-morbidity, attitudes, risk factor awareness, social norms, and health beliefs collected at baseline and at a 1 year follow up to determine smoking prevalence. All smokers will be followed prospectively for 1 year to determine quit status and predictors of cessation. This study is significant because it provides:l.) access to interventions for a broad segment of inner city black Americans who would not be reached through the health system; 2.) potential national generalizability as churches are influential in most black communities; 3.) community "ownership" enhancing institutionalization of the program (if found effective).

本研究调查了两种方法的比较有效性 以教会为基础的干预战略，其主要目标是降低 巴尔的摩东部城市黑人吸烟率。的 具体目标是确定：1.）一个非专业志愿者 中介专业指导的强化干预策略相比， （2）采用完全自助材料的策略;态度和 社会人口统计学所有吸烟者戒烟的预测因素，3。是否 对相关心血管风险因素的认识有所提高， 4.）教会独立进行戒烟的成本 程序.来自教堂的非专业志愿者将协助干预 设计并接受培训以开展戒烟计划。的56 东巴尔的摩的教堂，会众人数超过200人， 随机分为自助组和强化干预组。材料和 设计将由来自社区的8个焦点小组进行改进， 目标的格式、材料和程序的适当性 人口干预措施基于一种随时准备变革的模式， 行为/社会强化和社会学习理论。 预计将有25个教会参加， 2937人，包括1030名吸烟者。在大量交易后举行的健康博览会 教会服务和教会活动将被用来获取吸烟数据 状态（生物化学验证）、共病、态度、风险因素 意识，社会规范和健康信念，收集在基线和 1年随访，以确定吸烟率。所有吸烟者将 前瞻性随访1年，以确定戒烟状态， 预测停止。这项研究意义重大，因为它 规定：为内城的广大地区提供干预措施 美国黑人谁不会通过卫生系统达到; 2。 潜在的国家普遍性，因为教会在大多数国家都有影响力。 黑人社区; 3.）加强社区“所有权” （三）制度化（如果发现有效）。