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.

与非农村青年相比，农村青年吸烟的风险更大，获得烟草干预措施的可能性更小。 这是一个重要的公共卫生挑战。 一个创新的应对措施是利用急诊室（艾德）作为向农村青少年提供简短烟草干预的切入点。 艾德是一个适当的接入点，因为它为那些否则可能得不到服务的人提供了一个安全网。 此外，它是农村低社会经济地位（吸烟率高的人群）的“一线”卫生保健服务的经常来源。 该项目的主要目标是研究基于理论的动机性烟草干预（MTI）的可行性和有效性，为14至18岁的吸烟者谁目前在西弗吉尼亚大学（WVU）医院艾德治疗。 为了研究可行性，一个全面的模型（即，CIPP）被发现对评估其他临床项目和服务有用，将用于评估覆盖范围、实施保真度和可接受性。 为了检查疗效，将采用随机2组设计，比较接受MTI的青少年与接受常规简短建议/护理（BA）的青少年的基线后6个月戒烟率和减量率。MTI患者将接受（1）筛选/评估和简短的、量身定制的动机性访谈，（2）量身定制的自助工作手册（带音频），以及（3）3次随访电话联系。BA患者将收到少于或等于2分钟的一般戒烟建议以及西弗吉尼亚大学医院一般健康信息帮助热线的“1-800”转介号码。 戒烟将通过自我报告和生化验证（呼气一氧化碳小于9 ppm）来确定。减少将通过基线和随访之间每日吸烟量的减少来确定。该项目旨在产生研究结果，在适当的时间范围内为实践提供信息。 因此，在论证了可行性和有效性之后，该项目的第二个目标是开发一个可移动的MTI包，包括针对ED的材料和实践建议，以指导MTI的未来研究和传播。