TOBACCO POLICY INTERVENTIONS IN NORTHWEST INDIAN TRIBES

西北印第安部落的烟草政策干预

• 批准号: 3549540
• 负责人: Edward Lichtenstein
• 金额: $ 25.53万
• 依托单位: OREGON RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 1990
• 资助国家: 美国
• 起止时间: 1990-05-23 至 1995-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3549540
• 关键词: Native Americans; culture; governmental health /scientific organization; health behavior; health related legal; smoking cessation; tobacco abuse; tobacco abuse education

This study will develop and evaluate a consultative process and materials that will assist tribal councils in creating and implementing more explicit, comprehensive and stringent tobacco use policies. The primary outcome measures will be the extent and comprehensiveness of (a) tribal tobacco use policies and (b) the implementation process including amount of tribal publicity and activity regarding smoking related issues (e.g., cessation resources, articles in tribal newsletters). The impact of the policy intervention on smoking knowledge, norms, attitudes, and to a limited extent, smoking behavior, also will be assessed. The policy consultation intervention--which includes cessation materials and resources--will be delivered by the Northwest Portland Area Indian Health Board (NPAIHB) which already provides health education and consultation services to the 39 federally recognized tribes in the northwest. The 39 tribes will be matched on relevant variables (e.g., population, existence of current policy) and randomized to either immediate or delayed (20 months later) intervention; all tribes will eventually receive services. Using tribes as the unit of analysis, stringency of policy (coded from archival materials), the implementation process (assessed via observational, archival, and questionnaire data), and the impact of policy on tobacco related attitudes, norms, and intentions as well as smoking cessation maintenance/relapse (assessed primarily by questionnaire data from tribal influentials) will be evaluated. The design permits both between condition (immediate vs. delayed) and within-group longitudinal analysis. Based on the project experience and results, a manual and set of guidelines for tobacco policy development and implementation by Indian organizations will be developed for dissemination.

这项研究将制定和评价一个协商进程和材料 这将有助于部落委员会创造和实施更多 明确、全面和严格的烟草使用政策。 主 结果措施将是（a）部落的程度和全面性 烟草使用政策和（B）实施过程，包括烟草使用量 关于吸烟相关问题的部落宣传和活动（例如， 戒烟资源，部落通讯中的文章）。 的影响 吸烟知识、行为规范、态度的政策干预 有限的程度，吸烟行为，也将进行评估。 政策咨询干预-包括戒烟材料 和资源--将由西北波特兰地区的印第安人提供 卫生局（NPAIHB）已经提供了健康教育， 向39个联邦承认的部落提供咨询服务 西北 39个部落将在相关变量上进行匹配（例如， 人群，当前策略的存在），并随机分配至 或延迟（20个月后）干预;所有部落最终将 接受服务。 使用部落作为分析单位， 政策（从档案材料中编码），执行过程 （通过观察、档案和问卷调查数据进行评估）， 政策对烟草相关态度、规范和意图的影响， 以及戒烟维持/复吸（主要通过 来自部落影响者的问卷数据）将被评估。 设计 允许条件之间（立即与延迟）和组内 纵向分析 根据项目经验和成果， 烟草政策制定手册和一套指导方针， 印度各组织的执行情况将予以编写和散发。