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，表明来自拥有完善烟草研究项目的高收入国家的研究人员与低收入和中等收入国家的研究人员之间需要建立研究伙伴关系。拟议的项目旨在建立和评估烟草宣传和戒烟活动，并利用目前在该国各地建立的高科技LINCOS集装箱的现有基础设施，在多米尼加共和国建设研究能力。利用现有技术向农村和城市居民以及具有各种教育、知识和识字技能的人口带来文化上适当的烟草干预措施，可以将控烟活动以一种可在全球复制、维护和翻译的方式带入21世纪。DR是这个项目的理想地点，因为它是该地区吸烟率最高的地区之一 由于几乎没有证据表明制定了系统的烟草控制程序，而且在使用LINCOS集装箱方面是最先进的，因此可以作为滩头，将有效的烟草干预模式复制到将在全球采用LINCOS技术的其他低收入和中等收入国家。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.的6个社区的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基于网络的互动提高认识和戒烟方案，并由接受过简短烟草使用筛查和咨询培训的医疗保健提供者转介，以及直接的社区提高认识方案。方法发展试验将把六个社区随机分为干预或延迟干预控制条件。将与当地合作伙伴一起开发烟草使用和烟草相关疾病监测的基础设施。

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.