RURAL ED AS ACCESS POINT FOR TEEN SMOKING INTERVENTION

农村教育机构作为青少年吸烟干预的接入点

• 批准号: 6391152
• 负责人: Kimberly A Horn
• 金额: $ 35.71万
• 依托单位: WEST VIRGINIA UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-09-30 至 2004-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6391152
• 关键词: adolescence (12-20); behavioral /social science research tag; clinical research; education evaluation /planning; educational resource design /development; emergency health services; health care model; health care service evaluation; health service demonstration project; health services research tag; human subject; human therapy evaluation; interview; motivation; rural area; self help; tobacco abuse education

Rural youth are at greater risk for using tobacco and less likely to have access to tobacco intervention than are their non-rural counterparts. This presents an important public health challenge. One innovative response is to use the emergency department (ED) as a point of access for delivering brief tobacco interventions to rural teens. The ED is an appropriate point of access because it provides a safety net for those who may otherwise go unserved. In addition, it is a frequent source of "front-line" health care services among rural, low SES (populations where smoking prevalence is high. The primary goal of this project is to examine the feasibility and efficacy of a theory-based motivational tobacco intervention (MTI) for 14- to 18-year-old smokers who present in the West Virginia University (WVU) Hospital ED for treatment. To examine feasibility, a comprehensive model (i.e., CIPP) found useful for evaluating other clinical programs and services will be used to assess reach, implementation fidelity, and acceptability. To examine efficacy, a randomized 2-group design will be used to compare the 6-month post-baseline quit and reduction rates among youth who receive MTI to those who receive brief advice/care as usual (BA). MTI patients will receive (1) screening/assessment and a brief, tailored, motivational interview, (2) a tailored self-help workbook (with audio), and (3) 3 follow-up telephone contacts. BA patients will receive less than or equal to 2 minutes of generic advice to quit smoking and a "1-800" referral number to WVU Hospital's general health information help line. Smoking abstinence will be determined by self-report with biochemical validation (expired air carbon monoxide of less than 9ppm). Reduction will be determined by decreases in daily cigarette use between baseline and follow up. This project is intended to generate research findings that inform practice in a modest time frame. Therefore, following demonstration of feasibility and efficacy, a secondary goal of the project is to develop a transportable MTI package, including materials and practice recommendations for EDs, to guide future study and dissemination of MTI.

与非农村同类产品相比，农村青年使用烟草的风险更大，并且不太可能获得烟草干预。 这提出了一个重要的公共卫生挑战。 一种创新的回应是将急诊室（ED）作为向农村青少年提供简短烟草干预措施的访问点。 急诊室是一个适当的访问点，因为它为那些可能无法获得的人提供了安全网。 此外，它是农村，低SE的“前线”医疗服务的经常来源（吸烟率高的人群很高。该项目的主要目标是检查基于理论的动机烟草干预（MTI）对14至18岁吸烟者在西弗吉尼亚大学（WVU）进行良好范围的14至18岁吸烟者的可行性和功效。评估其他临床计划和服务将用于评估覆盖范围，实施忠诚度和接受疗效，将使用随机的2组设计来比较接受MTI的6个月后戒烟和减少MTI与接受简短建议/护理的人的审查（BA）的裁定（BA）。工作簿（带有音频）和（3）3个后续电话联系人。 戒烟将通过生化验证（过期的一氧化碳小于9ppm）来确定。减少将通过减少基线和随访之间的每日香烟使用来确定。该项目旨在产生研究结果，以适度的时间范围为实践提供信息。 因此，在证明了可行性和功效之后，该项目的次要目标是开发可运输的MTI软件包，包括EDS的材料和实践建议，以指导MTI的未来研究和传播。