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USING RANDOM RISK TO MOTIVATE SMOKING REDUCTION

利用随机风险来促进减少吸烟

基本信息

批准号：
6512763
负责人：
Edward Lichtenstein
金额：
$ 38.9万
依托单位：
OREGON RESEARCH INSTITUTE
依托单位国家：
美国
项目类别：
财政年份：
1995
资助国家：
美国
起止时间：
1995-07-15 至 2004-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/6512763
关键词：
behavior modification behavioral /social science research tag cancer risk clinical trials computer assisted instruction counseling health education health science research analysis /evaluation human subject information dissemination longitudinal human study lung neoplasms motivation outcomes research psychological reinforcement radon smoking cessation videotape /videodisc

项目摘要

Radon is the leading cause of lung cancer after smoking, killing 7,000-30,000 people annually. The combination of radon exposure and smoking produces a synergy that markedly raises the risk of mortality. For smokers exposure to low to moderate levels of radon, changing smoking behavior is the most efficient risk reduction strategy. The aim of this randomized trial is to test interventions for households where a smoker is present and there are detectable levels of radon. This competing renewal extends ongoing work, which demonstrated that utility, which demonstrated that utility company bill stuffers were an effective recruitment device and found that brief phone counseling produced short-term (3- month follow-up) changes across several outcome measures. This 4-year project will work with a new electric utility in a region with higher levels of radon. Smoking households that return bill stuffer coupons will be randomized to 1 of 4 conditions in a 2 X 2 factorial design: phone counseling versus no counseling by, video/CD-ROM versus no video/CD-ROM. Control households will receive standard EPA written materials on radon and smoking. All households receive feedback on their radon level. Telephone counseling is hypothesized to produce significant changes in smoking comparable to those found in our current study. The visual and potentially interactive displays possible in the video/CD-ROM are expected to produce changes comparable to the phone counseling. The combination condition is expected to be significantly better than either alone. Follow up assessments will be conducted by mail and phone. Sustained quitting of smoking at both 3 and 12 months and changes in household smoking rules are primarily outcome measures. Adjunctively, we will examine participants' mental models of radon smoking risk using revised measures and conducting subanalyses on high radon households. The interventions are potentially disseminable at low cost and, collaboratively with utility companies, could motivate large numbers of households to test for radon and take appropriate risk reduction strategies.

氡是仅次于吸烟的导致肺癌的主要原因，每年造成7，000 - 30，000人死亡。氡暴露和吸烟的结合产生了协同作用，显著增加了死亡风险。对于暴露于低到中等水平氡的吸烟者来说，改变吸烟行为是降低风险的最有效策略。这项随机试验的目的是测试对有吸烟者和氡水平可检测的家庭的干预措施。这种竞争性的更新扩展了正在进行的工作，这表明公用事业公司的账单填充器是一种有效的招聘手段，并发现简短的电话咨询在几个结果指标上产生了短期（3个月随访）的变化。这个为期4年的项目将与氡水平较高地区的一家新电力公司合作。返回账单填充优惠券的吸烟家庭将被随机分配到2 × 2析因设计的4种条件中的1种：电话咨询与不咨询，视频/CD-ROM与不视频/CD-ROM。对照家庭将收到标准的EPA书面材料，关于氡和吸烟。所有家庭都收到关于其氡水平的反馈。电话咨询被假设为吸烟产生显着的变化，在我们目前的研究中发现。视频/CD-ROM中可能的视觉和潜在的交互式显示预计将产生与电话咨询相当的变化。预期组合条件显著优于任一单独条件。后续评估将通过邮件和电话进行。在3个月和12个月时持续戒烟以及家庭吸烟规则的改变是主要的结果指标。此外，我们将检查参与者的心理模型的氡吸烟的风险，使用修订后的措施，并进行子分析高氡家庭。这些干预措施有可能以低成本传播，并与公用事业公司合作，可以激励大量家庭进行氡检测，并采取适当的降低风险战略。

项目成果

期刊论文数量（10）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Lay understanding of synergistic risk: the case of radon and cigarette smoking.

了解协同风险：氡气和吸烟的情况。

DOI：
10.1111/j.1539-6924.1998.tb01300.x
发表时间：
1998
期刊：
Risk analysis : an official publication of the Society for Risk Analysis
影响因子：
0
作者：
Hampson,SE;Andrews,JA;Lee,ME;Foster,LS;Glasgow,RE;Lichtenstein,E
通讯作者：
Lichtenstein,E

Conscientiousness, perceived risk, and risk-reduction behaviors: A preliminary study

DOI：
10.1037//0278-6133.19.5.496
发表时间：
2000-09-01
期刊：
HEALTH PSYCHOLOGY
影响因子：
4.2
作者：
Hampson, SE;Andrews, JA;Lee, ME
通讯作者：
Lee, ME

Radon and cigarette smoking: perceptions of this synergistic health risk.

氡和吸烟：对这种协同健康风险的看法。

DOI：
10.1037//0278-6133.19.3.247
发表时间：
2000
期刊：
Health psychology : official journal of the Division of Health Psychology, American Psychological Association
影响因子：
0
作者：
Hampson,SE;Andrews,JA;Lee,ME;Lichtenstein,E;Barckley,M
通讯作者：
Barckley,M

Using radon risk to motivate smoking reduction: evaluation of written materials and brief telephone counselling.

利用氡气风险促进减少吸烟：书面材料评估和简短电话咨询。

DOI：
10.1136/tc.9.3.320
发表时间：
2000
期刊：
Tobacco control
影响因子：
5.2
作者：
Lichtenstein,E;Andrews,JA;Lee,ME;Glasgow,RE;Hampson,SE
通讯作者：
Hampson,SE

From rapid smoking to the Internet: five decades of cessation research.

DOI：
10.1080/14622200210125769
发表时间：
2002-05-01
期刊：
Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco
影响因子：
0
作者：
Lichtenstein, Edward
通讯作者：
Lichtenstein, Edward