FEASIBILITY OF A FAMILY TOBACCO CONTROL INTERVENTION

描述：吸烟是导致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 对儿童的健康造成负面影响，并增加他们患上 吸烟者；对儿童的担忧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 孩子们很想抽烟，但对自己能不能戒烟没有信心.孩子们，意识到 在吸烟的危害方面，表现出负面行为，如唠叨和 警察，针对成年亲人的吸烟行为。建议为试点项目 开展研究活动，以开发创新的以家庭为基础的干预措施 鼓励儿童和儿童之间更有效的沟通和互动 吸烟的成年亲人。干预的首要目标是 增加成年人劝阻儿童吸烟的成效，以及 反过来，提高儿童在鼓励成年人 采取措施戒烟。具体目标是：1)开发一种 由要参与的活动组成的自我指导干预的原型 由三到五年级的学生和选定的成年亲人一起 烟雾；2)评估最有效的招募、调查和 保留参与者二人组；3)评估遵从性和短期 干预效果的指标。有儿童和儿童的焦点小组 将对成年吸烟者进行指导发展的干预 材料。干预材料草案将由以下机构的代表审查 使用结构化访谈的目标群体。五十个成人和儿童的双胞胎将会是 从各种社区来源招募，并记录了 与每个招聘来源相关的成功。三十五个二元组将是 随机接受干预，15人进入不干预状态。 所有50个二元组将在以下时间完成基线调查和4个月跟踪调查 调查中心位于熟悉的社区设施中。调查将评估 儿童对吸烟的易感性、吸烟的类型和水平 成年人的戒烟动机和戒烟企图；以及 为成人和儿童提供关于吸烟的交流。遵守 而对干预措施的反应将在被随机分配到 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.