CANCER SURVIVING ADOLESCENTS REDUCING RISK BEHAVIORS

癌症幸存者减少风险行为

• 批准号: 3460328
• 负责人: PATRICIA JEAN HOLLEN
• 金额: $ 10.39万
• 依托单位: UNIVERSITY OF ROCHESTER
• 依托单位国家: 美国
• 财政年份: 1991
• 资助国家: 美国
• 起止时间: 1991-07-18 至 1996-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3460328
• 关键词: adolescence (12-20); alcoholism /alcohol abuse; behavior; cancer risk; clinical trials; decision making; human subject; interview; neoplasm /cancer education; neoplasm /cancer epidemiology; pediatric neoplasm /cancer; tobacco abuse

DESCRIPTION: (Adapted from applicant's abstract) There are 36,000 long-term survivors of childhood cancer in the United States. Organ compromise and oncogenesis may result from late effects of multi-modal treatments for these survivors. It is imperative that these teen survivors question the decision to smoke and to consume alcohol due to potential late effects (fibrotic lung damage and myocardial dysfunction and liver damage). Studies of risk behaviors of cancer-surviving adolescents have been limited, no studies have linked quality decision making to these risks, and intervention in this area has not been studied to date. Based on a pilot study of teen survivors, the prevalence of current alcohol use (4O percent) warrants further study since it was slightly higher than the national figure. In this study, quality decision-making skills significantly correlated with risk behaviors; as decision-making skills increased, risk behaviors decreased. The major objective for this study is to increase quality decision-making skills in long-term cancer-surviving teens in order to decrease risk-taking behaviors of smoking and alcohol consumption. Phase I will be a cross-sectional descriptive study (two years and four months timeframe). Data will be collected by: a) semi-structured interviews for teen survivors; b) a mailed survey approach for parents; and c) home interviews for age-matched peers. Phase II will use the findings from Phase 1 to develop a health promotional program to reduce the risk behaviors of smoking and alcohol use, a program tailored specifically to the needs of these adolescent survivors. The program will integrate: a) information specific to survivorship, adolescence, and parenting; b) decision-making skills with values clarification, c) modeling; and d) social support. Phase II will also include a pre-test post-test randomized clinical trial with the same survivors and their parents; follow-up will involve repeated measures at one, six, and twelve months for survivors and six months for parents. Survivors who refuse the clinical trial will be compared, using characteristics drawn from clinical records, to survivors who participate in the program.

描述：(改编自申请者摘要)有3.6万人 美国儿童癌症的长期幸存者。器官 折衷和肿瘤发生可能是多模式的后期效应所致 对这些幸存者的治疗。当务之急是这些青少年幸存者 对吸烟和饮酒的决定提出质疑，因为可能会迟到 影响(纤维化肺损害、心肌功能障碍和肝脏损害)。 对癌症幸存者青少年危险行为的研究已经完成 有限的，没有研究将质量决策与这些风险联系起来，并且 到目前为止，还没有对这一领域的干预进行研究。基于一名飞行员 对青少年幸存者的研究，目前饮酒的流行率(40%) 值得进一步研究，因为它略高于国家 体形。在本研究中，质量决策技能显著 与风险行为相关；随着决策技能的提高，风险 行为减少。这项研究的主要目标是增加 长期癌症存活期青少年的高质量决策技能 减少吸烟和饮酒的冒险行为。 第一阶段将是一项横向描述性研究(两年和四年 几个月的时间)。数据将通过以下方式收集：a)半结构化 对青少年幸存者的访谈；b)对父母的邮寄调查方法；以及 C)对年龄相仿的同龄人进行家访。第二阶段将利用调查结果 从第一阶段开始制定健康促进计划，以降低风险 吸烟和饮酒行为，这是一个专门为 这些青少年幸存者的需求。该计划将整合：a) 关于生存、青春期和育儿的具体信息；b) 具有价值澄清的决策技能，c)建模；d) 社会支持。第二阶段还将包括随机化的前测后测 对同样的幸存者和他们的父母进行的临床试验；后续将 包括在1个月、6个月和12个月时对幸存者和 对父母来说是六个月。拒绝临床试验的幸存者将被 使用从临床记录中提取的特征，将其与幸存者进行比较 参加这个项目的人。