PARENT ASSISTED SMOKING CESSATION

尽管多年来针对青少年的预防方案，但青少年继续开始吸烟，使他们面临疾病流行的风险，包括肺癌、喉癌、口腔癌以及慢性阻塞性肺病、冠心病和中风。 许多青少年吸烟者试图戒烟，但很少有青少年戒烟计划，也很少有关于青少年戒烟计划有效性的研究。 这个以社区为基础的项目提供了一个独特的机会，干预青少年吸烟者谁是法院授权的烟草意识和戒烟计划。 得克萨斯州于1998年1月1日制定了一项新法律，禁止未成年人拥有、购买、消费或接受烟草产品，并要求未成年人在被定罪后参加烟草宣传计划，否则将失去驾驶执照。 由于这些青少年是在没有自己意愿的情况下被投入戒烟过程的，因此父母对戒烟阶段更完整和连贯进展的支持可能会增加儿童成功戒烟的可能性。 父母致力于子女的健康和福利，并作为持久关系的一部分及时、不断地与他们接触。 父母协助戒烟（PASC）是一项旨在促进父母支持青少年戒烟的父母教育干预措施。 家长教育干预将基于跨理论的变化模型（TTM），动机访谈（MI）和社会认知理论。 TTM提出，成瘾行为通过特定于变化周期中不同点或阶段的过程动态变化。 沿着决策平衡和自我效能，这些过程都是个体在行为改变的各个阶段所使用的策略。 PASC将通过父母对烟草使用的监测、与吸烟同龄人的联系、关于烟草的沟通以及其他支持行为，告知父母如何支持这些过程。 为了减少父母的强制性和惩罚性行为，并帮助父母根据孩子的戒烟阶段调整与孩子的沟通，父母将被告知MI的移情，非对抗性技术。利用理论、来自吸烟青少年及其父母的数据以及调查小组的经验，将编写12份通讯。 通讯将包括榜样故事，练习，信息和沟通技巧，并根据青少年吸烟者的年龄，性别和家庭结构进行调整。 一项试点研究将检验PASC导致青少年戒烟率增加的假设。 青少年和他们的父母（N=90）将通过法院招募，通讯将被邮寄，并通过电话收集数据。

Despite years of prevention programs targeting adolescents, adolescents continue to begin smoking, putting them at risk for an epidemic of diseases, including cancers of the lung, larynx, oral cavity, as well as COPD, CHD and stroke. Many adolescent smokers have tried to quit but there are few cessation programs available for adolescents and little research conducted on the effectiveness of adolescent cessation programs. This community-based project provides a unique opportunity to intervene with adolescent smokers who are court-mandated into a tobacco awareness and cessation program. The State of Texas instituted a new law January 1, 1998 that prohibits possession, purchase, consumption, or receipt of tobacco products by minors and requires minors to attend a tobacco awareness program upon conviction or lose their driver's license. Because these adolescents are thrown into the cessation process without their own volition, parental support for a more complete and coherent progression through the stages of smoking cessation may increase the probability that the children will be successful in smoking cessation. Parents are committed to the health and welfare of their children and have timely, constant access to them as part of an enduring relationship. Parent Assisted Smoking Cessation (PASC) is a parent education intervention designed to promote parental support for adolescent smoking cessation. The parent education intervention will be based on the Transtheoretical Model of Change (TTM), Motivational Interviewing (MI), and Social Cognitive Theory. TTM proposes that addictive behaviors change dynamically through processes specific to different points or stages in the cycle of change. Along with decisional balance and self-efficacy, these processes are strategies the individual uses to move through the stages of behavior change. PASC will inform parents about supporting these processes through parental monitoring of tobacco use and association with smoking peers, communication about tobacco, and other support behaviors. In an attempt to reduce coercive and punitive parental behaviors, and help parents tailor their communication with their child to their child's stage of smoking cessation, parents will be informed about the empathetic, non-confrontational techniques of MI. Using theory, data from smoking adolescents and their parents, and the experience of the investigative team, 12 newsletters will be developed. Newsletters will incorporate role model stories, exercises, information, and communication tips, and be tailored to the adolescent smoker's age, gender, and family structure. A pilot study will test the hypothesis that PASC results in increased smoking cessation rates among adolescents. Adolescents and their parents (N=90) will be recruited through the courts, newsletters will be mailed, and data collected by telephone.