FEASIBILITY OF A FAMILY TOBACCO CONTROL INTERVENTION

家庭烟草控制干预措施的可行性

• 批准号: 6226281
• 负责人: COLLEEN M MC BRIDE
• 金额: $ 15.4万
• 依托单位: DUKE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-03-15 至 2003-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6226281
• 关键词: adult human (21+); behavior modification; behavioral /social science research tag; cancer prevention; clinical research; family therapy; human subject; human therapy evaluation; middle childhood (6-11); parent offspring interaction; smoking cessation; substance abuse related behavior; tobacco abuse prevention

DESCRIPTION: Tobacco use, the leading cause of premature death and disability in the United States, is a significant family issue. Parental smoking negatively impacts children's health and increases their risk of becoming smokers; concerns about children are often cited as strong motivators for parental smoking cessation. Additionally, smoking parents do not want their children to smoke, yet are not confident they can prevent it. Children, aware of the harms of smoking, display negative behaviors, such as nagging and policing, towards the smoking behavior of adult loved ones. Proposed are pilot research activities to develop an innovative family-based intervention to encourage more effective communication and interactions between children and adult loved ones who smoke. The overarching objectives of the intervention are to increase adults' effectiveness in discouraging children from smoking and reciprocally, to increase children's effectiveness in encouraging adults to take steps towards smoking cessation. The specific aims are to: 1) develop a prototype of a self-directed intervention composed of activities to be engaged in together by third through fifth graders and chosen adult loved ones who smoke; 2) evaluate the most effective methods of recruitment, surveying and retention of participant dyads; 3) evaluate compliance with and short-term indicators of efficacy of the intervention. Focus groups with children and adult smokers will be conducted to guide development of the intervention materials. Draft intervention materials will be reviewed by representatives of the target groups using structured interviews. Fifty adult-child dyads will be recruited from a variety of community sources, with documentation of the success associated with each recruitment source. Thirty-five dyads will be randomized to receive the intervention and 15 to a no-intervention condition. Baseline and 4 month follow up surveys will be completed by all 50 dyads at survey centers located at familiar community facilities. Surveys will assess susceptibility to uptake of smoking among the children, type and level of motivation for cessation and cessation attempts among the adults; and communication about smoking for both the adults and children. Compliance with and response to the intervention will be assessed among those randomized to the intervention condition.

描述：烟草使用是过早死亡和残疾的主要原因 在美国，这是一个重要的家庭问题。父母吸烟 对儿童的健康产生负面影响并增加他们的风险 吸烟者；对儿童的担忧常常被视为强烈的动机 父母戒烟。此外，吸烟的父母也不希望他们的孩子 孩子们吸烟，但不相信自己可以预防吸烟。孩子们，有意识的 吸烟的危害，表现出负面行为，例如唠叨和 警务，针对成年亲人的吸烟行为。建议进行试点 研究活动旨在开发一种创新的基于家庭的干预措施 鼓励儿童与儿童之间进行更有效的沟通和互动 吸烟的成年亲人。干预的总体目标是 提高成人劝阻儿童吸烟的有效性 反过来，提高儿童鼓励成人的效率 采取措施戒烟。具体目标是： 1) 开发 由要参与的活动组成的自我引导干预的原型 由三年级到五年级的学生和选定的成年亲人一起参与 抽烟; 2) 评估最有效的招聘、调查和评估方法 保留参与者二人组； 3）评估短期的遵守情况 干预效果指标。与儿童和 将对成年吸烟者进行指导干预措施的制定 材料。干预材料草案将由以下方面的代表审查： 使用结构化访谈来确定目标群体。五十个成人儿童二人组将 从各种社区来源招募，并附有相关文件 成功与每个招聘来源相关。三十五对将是 随机分为接受干预的组和 15 名不接受干预的组。 所有 50 人将在以下时间完成基线调查和 4 个月的后续调查： 调查中心位于熟悉的社区设施内。调查将评估 儿童吸烟的易感性、吸烟类型和水平 成年人戒烟的动机和戒烟尝试；和 与成人和儿童进行有关吸烟的交流。遵守 并对干预措施的反应进行评估 干预条件。