Technology Assisted Dominican Republic Tobacco Control

描述（由申请人提供）： 烟草流行的全球化，特别是在低收入和中等收入国家的使用增加，指出来自高收入国家的研究人员与发达的烟草研究计划及其在低收入和中等收入国家的同行之间需要研究合作。拟议的项目旨在建立和评估烟草宣传和戒烟活动，并利用目前在全国各地建立的高技术LINCOS容器的现有基础设施，在多米尼加共和国建立研究能力。利用现有的技术，将文化上适当的烟草干预措施带给农村和城市居民，以及具有一系列教育、知识和识字技能的人群，可以将烟草控制活动带入21世纪，并在全球范围内推广、维持和翻译。DR是该项目的理想场所，因为它是该地区吸烟率最高的地区之一 几乎没有证据表明有系统的烟草控制程序，并且在LINCOS容器的使用方面是最先进的，因此可以作为海滩，将有效的烟草干预模式复制到其他低收入和中等收入国家，这些国家将在全球采用LINCOS技术。拟议的项目将建立国际和当地的专业和社区工作组，以指导制定针对DR 6个社区成年烟草使用者的干预措施。干预措施将包括基于LINCOS的视频和易于导航的互动式基于网络的提高认识和戒烟计划，并由接受过简要烟草使用筛查和咨询培训的医疗保健提供者推荐，以及直接的社区提高认识项目。一项方法开发试验将随机选择六个社区进行干预或延迟干预控制。将与当地伙伴一起建立烟草使用和烟草相关疾病监测的监测结构。

DESCRIPTION (provided by applicant): The globalization of the tobacco epidemic, with particular increases in use in low and middle income countries, points to the need for research partnering between investigators from high income countries with well-developed tobacco research programs and their counterparts in low and middle income countries. The proposed project is designed to establish and evaluate tobacco awareness and cessation activities and to build research capacity in the Dominican Republic (DR) using the existing infrastructure of high technology LINCOS containers currently established in sites around the country. Harnessing existing technology to bring culturally appropriate tobacco interventions to both rural and urban dwellers, and to populations with a range of education, knowledge, and literacy skills, can bring tobacco control activities into the 21st century in a way that is replicable, maintainable, and translatable globally. The DR is an ideal site for this project, as it has among the highest smoking rates in the region with little evidence of systematic tobacco control procedures in place, and is the most advanced in its use of the LINCOS containers so can serve as a beach head for replication of effective tobacco intervention models to other low and middle income countries that will be adopting the LINCOS technologies globally. The proposed project will establish international and local professional and community working groups to guide the development of interventions targeting adult tobacco users in 6 communities in the DR. Interventions will include LINCOS-based video and easily navigable interactive web-based awareness-raising and cessation programs, with referral from healthcare providers trained in brief tobacco use screening and counseling, and from direct community awareness-raising programs. A methods development trial will randomize six communities to intervention or delayed intervention control conditions. Infrastructures for tobacco use and tobacco-related disease monitoring will be developed with local partners.