FEASIBILITY OF A FAMILY TOBACCO CONTROL INTERVENTION

烟草使用是过早死亡和残疾的主要原因 在美国，这是一个严重的家庭问题。父母吸烟 对儿童的健康产生负面影响，并增加他们成为 吸烟者;对儿童的关注经常被认为是吸烟的强烈动机。 父母戒烟。此外，吸烟的父母不希望他们的 孩子们吸烟，但不确定他们能预防吸烟。孩子们，知道吗 吸烟的危害，表现出消极的行为，如唠叨， 警察，对成年人的吸烟行为的亲人。建议试点 开展研究活动，制定以家庭为基础的创新干预措施， 鼓励儿童之间更有效的沟通和互动， 爱抽烟的成年人干预的总体目标是 提高成年人劝阻儿童吸烟的有效性， 为了提高儿童在鼓励成年人 采取措施戒烟。具体目标是：1）制定一个 由参与的活动组成的自我导向干预的原型 由三到五年级的学生和选择的成年亲人一起参加， 吸烟; 2）评估最有效的招募方法，调查和 保持参与者的二人组; 3）评价遵守和短期 干预措施的有效性指标。与儿童和 将对成年吸烟者进行干预，以指导制定 材料.发言材料草稿将由下列组织的代表审查： 使用结构化访谈的目标群体。50个成人和儿童的二人组将 从各种社区来源招募， 与每个招聘来源相关的成功。35个二对将是 随机接受干预，15人接受无干预。 基线和4个月随访调查将由所有50对夫妇完成， 调查中心设在熟悉的社区设施。调查将评估 儿童吸烟的易感性、吸烟类型和程度 成年人的戒烟动机和戒烟尝试;以及 关于吸烟的宣传，包括成人和儿童。遵守 将在随机分配至 干预条件

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.