Tobacco Control in S.Africa: Prevention and Capacity Bu*

描述（由申请人提供）： 这个为期5年的项目代表了埃默里大学罗林斯公共卫生学院和南非医学研究理事会（MRC）（PI：Priscilla Reddy博士）之间的合作。除了与我们的主要合作伙伴MRC合作外，合作还将包括两所知名大学，即开普敦大学健康科学学院（Dele Amousoun博士）和纳尔逊R。德宾纳塔尔大学曼德拉医学院（Jinhabahi博士）。这项研究有两个相互关联的主要目标。 目的1）进行一项随机试验，比较两种方法在南非青少年五至七年级多种族样本中预防烟草使用的有效性。其中一项干预措施将基于社会技能/同伴抵抗力模型（Gil Botvin博士的生活技能培训课程），另一项干预措施将基于伤害最小化模型（KEEP LEFT），该模型由首席研究员与来自西澳大利亚州的同事共同开发。大约36所学校将被随机分配到三个实验组之一。第1组（比较）学校将接受常规的烟草和物质使用教育。第二组将从五年级开始接受生活技能培训课程（为南非青年改编），一直持续到七年级。第三组将从五年级开始接受“保持左侧，伤害最小化”课程（针对南非青年），一直持续到七年级。以学校为基础的干预研究的主要结果将是30天的香烟使用。 目标2）开展全面的能力建设举措，以提高烟草控制整个领域的专业知识（例如，预防，停止和立法）的南非教育工作者，临床医生，研究人员和政策制定者。实现这一目标的主要目标是为五个不同的受众开展教育和培训方案：卫生和相关专业人员，来自多个学科的大学研究人员，健康科学系的本科生和研究生，大学决策者以及议会组合委员会，以及国家和省一级的立法，政策和方案规划人员。

DESCRIPTION (provided by applicant): This 5-year project represents a collaboration between the Rollins School of Public Health of Emory University and the Medical Research Council (MRC) of South Africa (PI: Dr. Priscilla Reddy). In addition to working with our primary partner, the MRC, the collaboration will include two well-established universities, the University of Cape Town Faculty of Health Sciences (Dr. Dele Amousoun) and the Nelson R. Mandela School of Medicine, University of Natal, Durbin (Dr. Jinhabahi). The study has two interrelated primary aims. AIM 1) Conduct a randomized trial comparing the effectiveness of two approaches to tobacco use prevention in a multiethnic sample of South African youth grades five to seven. One of the interventions will be based on a social skills/peer resistance model (Dr. Gil Botvin's Life Skills Training Curriculum), the other on a Harm Minimization model (KEEP LEFT), developed by the principal investigator with colleagues from Western Australia. Approximately 36 Schools will be randomly assigned to one of three experimental groups. Group 1 (comparison) schools will receive usual tobacco and substance use education. Group 2 will receive the Life Skills Training curriculum (adapted for South African youth) beginning in Grade 5, continuing through Grade 7. Group 3 will receive the KEEP LEFT, Harm Minimization curriculum (adapted for South African youth) beginning in Grade 5, continuing through Grade 7. The primary outcome for the school-based intervention study will be 30-day cigarette use. AIM 2) Conduct a comprehensive capacity building initiative to enhance the expertise, across the entire spectrum of tobacco control (e.g., prevention, cessation, and legislation) of South African educators, clinicians, researchers, and policy makers. The main objective to achieve this aim is to conduct an education and training program for five discrete audiences: health and allied professionals, university-based researchers from several disciplines, undergraduate and graduate students from health sciences faculties, university policy makers as well as parliamentary portfolio committees, and legislative, policy and program planners at the national and provincial levels.