Relapse Prevention for Adolescent Ex-Smokers

青少年戒烟者的复吸预防

• 批准号: 6687158
• 负责人: THADDEUS A HERZOG
• 金额: $ 16.3万
• 依托单位: H. LEE MOFFITT CANCER CTR & RES INST
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-08-15 至 2005-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6687158
• 关键词: adolescence (12-20); behavioral /social science research tag; clinical research; disease /disorder prevention /control; educational resource design /development; health education; human subject; interview; motivation; outcomes research; publications; relapse /recurrence; saliva; self help; smoking

DESCRIPTION (provided by applicant): Cigarette smoking among adolescents has increased over the past decade. This trend is particularly important given that more than 80% of adult smokers initiated smoking prior to age 18. In response to this problem, researchers and public health officials have placed an increased emphasis on reducing youth cigarette smoking in recent years. The most pervasive form of youth tobacco control is prevention of smoking. Although many prevention programs have been developed and implemented in recent decades, the success rates of most of these programs has been modest. More recently, researchers and clinicians have increased efforts in the area of smoking cessation for adolescents. However, smoking cessation for youth is still in its incipient phase, and the success rates of cessation interventions have also been modest. One understudied area for research and intervention is relapse-prevention for adolescents. This is significant because adolescents quit smoking more frequently than adults, and also relapse more frequently than adults. The current proposal aims to capitalize upon the advances made in adult relapse-prevention by applying and adapting these techniques to adolescents. Ultimately our intervention will consist of a series of booklets modeled after the Stay Quit booklets, which have been successful at reducing relapse among the general population of adult recent quitters. We will adapt the booklets to meet the specific needs of adolescents. The adaptation of the intervention will be based upon qualitative evaluations including a series of focus groups, in-depth interviews, and learner verification interviews (Study I). Study II will be a feasibility intervention study using our redesigned relapse-prevention booklets, and will follow Study I. Adolescents who have quit smoking will be recruited from six public high schools and will receive the series of 8 booklets sent every three weeks. Assessments will be conducted at one month, three months, and five months after the beginning of treatment. Study II will allow us to assess the procedures and mechanics of administering a mail-based intervention to adolescent ex-smokers, and will also provide us with preliminary data regarding the acceptability of our mail-based program, and the feasibility of our recruitment and consent procedures.

描述（由申请人提供）：青少年吸烟在过去十年中有所增加。鉴于超过80%的成年吸烟者在18岁之前开始吸烟，这一趋势尤为重要。针对这一问题，研究人员和公共卫生官员近年来越来越重视减少青少年吸烟。青少年烟草控制最普遍的形式是预防吸烟。尽管近几十年来制定和实施了许多预防方案，但大多数方案的成功率都很低。最近，研究人员和临床医生在青少年戒烟方面加大了努力。然而，青少年戒烟仍处于起步阶段，戒烟干预措施的成功率也不高。 研究和干预的一个未充分研究的领域是青少年的复发预防。这一点很重要，因为青少年比成年人更频繁地戒烟，而且比成年人更频繁地复发。目前的建议旨在利用在成人复发预防方面取得的进展，将这些技术应用于青少年。 最终，我们的干预措施将包括一系列模仿Stay Quit小册子的小册子，这些小册子已经成功地减少了最近戒烟的成年人的复发。 我们会根据青少年的特殊需要，对这些小册子进行改编。干预措施的调整将基于定性评估，包括一系列焦点小组，深入访谈和学习者验证 访谈（研究一）。 研究II将是一项可行性干预研究，使用我们重新设计的复发预防手册，并将遵循研究I。已经戒烟的青少年将从六所公立高中招募，并将收到每三周发送一次的8本小册子。 将在治疗开始后1个月、3个月和5个月进行评估。研究II将使我们能够评估对青少年戒烟者进行基于邮件的干预的程序和机制，并将为我们提供有关我们基于邮件的计划的可接受性以及我们的招募和同意程序的可行性的初步数据。