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: 6528226
• 负责人: Kimberly A Horn
• 金额: $ 30.93万
• 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/6528226
• 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，农村青年使用烟草的风险更大，获得烟草干预的可能性更小。这是一项重大的公共卫生挑战。一种创新的对策是利用急诊科（ED）作为向农村青少年提供简短的烟草干预措施的接入点。急诊科是一个合适的接入点，因为它为那些可能得不到服务的人提供了一个安全网。此外，它还是农村低社会经济地位人群（吸烟率高）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烟草干预（MTI）对在西弗吉尼亚大学（WVU）医院急诊科接受治疗的14至18岁吸烟者的可行性和有效性。为了检验可行性，将使用一个综合模型（即CIPP）来评估其他临床项目和服务的覆盖范围、实施保真度和可接受性。为了检验疗效，将采用随机两组设计来比较接受MTI和接受常规简短建议/护理（BA）的青少年在基线后6个月的戒烟率和减少率。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)量身定制的自助手册（带音频）；(3)3个后续电话联系。BA患者将获得少于或等于2分钟的戒烟建议，并获得WVU医院一般健康信息帮助热线的“1-800”转诊号码。戒烟将通过自我报告和生化验证来确定（过期空气中一氧化碳含量低于9ppm）。减少将取决于基线和随访期间每日卷烟使用量的减少。这个项目的目的是产生研究成果，告知实践在一个适度的时间框架。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运输的MTI包，包括ed的材料和实践建议，以指导未来MTI的研究和传播。