CHURCH-BASED SMOKING CESSATION STRATEGIES IN URBAN BLACK

城市黑人基于教会的戒烟策略

• 批准号: 3362281
• 负责人: DAVID MORRIS LEVINE
• 金额: $ 45.83万
• 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/3362281
• 关键词: African American; behavior; disease /disorder proneness /risk; health behavior; human morbidity; psychological models; religion; religious group; 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策略，其主要目标是降低 东巴尔的摩城市黑人吸烟率。这 具体目标是确定： 1.) 非专业志愿者的功效 专业指导强化干预策略的比较 采用仅使用自助材料的策略，2.) 态度和 社会人口学。所有吸烟者戒烟的预测因素，3.) 是否 人们对相关心血管危险因素的认识有所提高，并且 4.) 教会独立进行戒烟的成本 程序。教会的平信徒志愿者将协助干预 设计并接受培训以执行戒烟计划。 56号 东巴尔的摩教会人数超过 200 人的教堂将 随机分为自助或强化干预。材料和 设计将由社区中的 8 个焦点小组进行完善，确定 格式、材料和程序对于目标的适当性 人口。干预措施基于变革准备模型， 行为/社会强化，以及社会学习理论。 预计有 25 个教堂参与，总人口数 2937 人，其中 1030 名吸烟者。健康博览会在人流量大之后举行 教堂礼拜和教堂活动将用于获取吸烟数据 状态（经生化验证）、合并症、态度、风险因素 在基线和评估时收集的意识、社会规范和健康信念 为期一年的随访以确定吸烟率。所有吸烟者都会 前瞻性跟踪 1 年以确定戒烟状态 停止的预测因素。这项研究意义重大，因为它 提供：l.) 为内城广大地区提供干预措施 医疗系统无法覆盖的美国黑人； 2.) 潜在的全国普遍性，因为教会在大多数国家都有影响力 黑人社区； 3.) 社区“主人翁意识”增强 该计划的制度化（如果发现有效）。