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，过早死亡和残疾的主要原因 在美国，是一个重大的家庭问题。父母吸烟 负面影响儿童的健康，并增加他们成为的风险 吸烟者；人们对孩子的担忧通常被认为是强大的动力 父母戒烟。此外，吸烟父母不希望他们的 孩子们吸烟，但不相信他们可以阻止它。孩子们知道 吸烟的危害，表现出负面行为，例如na和 警务，朝着成年亲人的吸烟行为。提议的是飞行员 研究活动以开发创新的基于家庭的干预措施 鼓励儿童之间的更有效的沟通和互动 吸烟的成年亲人。干预的总体目标是 提高成年人在阻止儿童吸烟和 相互地，提高儿童在鼓励成年人方面的有效性 采取措施戒烟。具体目的是：1）开发 由要参与的活动组成的自定向干预的原型 在三年级至五年级的三年级和选择的成年亲人一起 抽烟; 2）评估最有效的招聘，测量和 保留参与者二元组； 3）评估符合和短期的遵守情况 干预功效的指标。与孩子的焦点小组 将进行成人吸烟者以指导干预的发展 材料。干预材料草案将由代表的代表进行审查 目标群体使用结构化访谈。五十个成人二元组将 从各种社区来源招募，并记录 与每个招聘来源相关的成功。 35个二元组将 随机接受干预措施，为15个无干预条件。 基线和4个月的随访调查将由所有50个二元组完成 调查中心位于熟悉的社区设施。调查将评估 对儿童吸烟的敏感性，类型和水平 成年人停止和停止尝试的动机；和 关于成人和儿童吸烟的交流。遵守 在随机分配给干预措施的反应中 干预条件。