PREVENTION OF SMOKELESS TOBACCO USE IN CHILDREN

该项目是一项第四阶段预防研究，长期 目标(1)测试一所综合学校的成效- 以无烟烟草预防为基础的威慑干预 儿童中无烟烟草的使用和(2)确定发病的特征 儿童无烟烟草使用程序。 本项目的具体目标是：(1)结合现实 和行为和教育健康的校本无烟 与现有的学校吸烟相结合的烟草预防部分 六年级和七年级的预防课程；。(二)实施 现实中的综合无烟烟草预防干预 (3)采用随机对照设计评价 综合烟草预防干预措施可以达到的程度 在7月底降低无烟烟草使用率 分级，并在整个和以后的流行中保持节制 高中阶段；(4)评估项目的成本和成本效益 干预；以及(5)确定无烟烟草使用的特征 儿童的发病过程。SLT的整体性 预防干预，回应了教育工作者的需求 全面的干预措施，适合拥挤的人群 学校课程，旨在提高 随后成功地传播和促进实现千年发展目标 国家癌症计划的成员。 两国之间良好的现有合作关系 哈钦森中心和华盛顿州的学区， 和正在进行的学校吸烟的随机对照试验 预防，将作为及时和具有成本效益的工具用于 该计划的校本实施和长期评估 无烟烟草预防干预。这项计划将允许 无烟烟草预防成分要随时准备好 与预防吸烟相结合，适时启动 实施和完成短期评价，以及 为研究节省了大量的成本。

This project is a Phase IV prevention study which long-term objectives (1) to test the effectiveness of an integrated school- based smokeless tobacco prevention intervention in deterring smokeless tobacco use in children and (2) to characterize the onset process for smokeless tobacco use among children. The specific aims of this project are (1) to integrate realistic and behaviorally and educationally sound school-based smokeless tobacco prevention components with an existing school-based smoking prevention curriculum for grades 6 and 7; (2) to implement the integrated smokeless tobacco prevention intervention in a realistic fashion; (3) to evaluate using a randomized controlled design the extent to which the integrated tobacco prevention intervention can reduce the prevalence of smokeless tobacco use at the end of 7th grade, and maintain the recuction in prevalence through and beyond high school; (4) to evaluate the cost and cost-effectiveness of the intervention; and (5) to characterize the smokeless tobacco use onset process among children. The integrated nature of the SLT prevention intervention, which responds to educators' need for interventions that are comprehensive and can fit annat a crowded school curricula, is designed to enhance the likelihood of subsequent successful dissemination and contribution to the goals of the National Cancer Program. The excellent existing collaborative relationship between the Hutchinson Center and school districts in the state of Washington, and the ongoing randomized controlled trial in school-based smoking prevention, will be used as timely and cost-efficient vehicles for the school-based implementation and long-term evaluation of the smokeless tobacco prevention intervention. This plan will allow the smokeless tobacco prevention components to be readily integrated with smoking prevention, timely start of the implementation and completion of short-term evaluation, and significant cost savings for the research.