Telephone and Web-based Teen Tobacco Cessation in HMOs

HMO 中基于电话和网络的青少年戒烟

• 批准号: 6925491
• 负责人: JACK F HOLLIS
• 金额: $ 60.82万
• 依托单位: KAISER FOUNDATION RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-07-21 至 2009-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6925491
• 关键词: Internet; adolescence (12-20); behavioral /social science research tag; clinical research; clinical trials; counseling; drug /alcohol abstinence; education evaluation /planning; health care personnel; health services research tag; human subject; interview; managed care; nonhuman therapy evaluation; outcomes research; patient oriented research; smoking cessation; telemedicine; tobacco abuse education

DESCRIPTION (provided by applicant): Health maintenance organizations have the mission, incentive, communication tools, and credibility with patients to reach out to teen members who use tobacco. The overall aim of this project is to refine and test both the potential reach and the efficacy of tobacco cessation support using a proactive telephone quitline combined with an interactive Web-based program for teens within a managed care environment. As part of a clinician-directed outreach effort, we will work closely with pediatric clinicians to maximize the program's reach into the teen smoker population as identified through the electronic data bases of two large HMOs. We will use letters and proactive outreach calls to assess current smoking status and recruit 600 15- to 18-year-old teen smokers who are interested in quitting and would be willing to receive cessation support via telephone and the Web. A second aim will be to randomly assign interested teen smokers to receive a proactive telephone- and Web-based tobacco cessation program or mailed cessation materials (control condition) to test the efficacy of the program on long-term cessation rates at 6, 12, and 18 months. We will use several process measures to assess our ability to implement and consistently deliver both the telephone and Web components of the intervention. We will measure mediating variables to determine if they support the hypothesized linkages between the theoretical constructs described by our cognitive behavioral model of action. An effective managed care partnership with clinicians to assess, recruit, and intervene with teen smokers would be of great interest to clinicians and health plan managers, highly exportable, and would be given high priority for implementation at the population level.

描述(由申请人提供)：健康维护组织有使命、激励、沟通工具和与患者的信誉来接触使用烟草的青少年成员。该项目的总体目标是改进和测试戒烟支持的潜在覆盖面和有效性，使用积极主动的电话戒烟线路与管理保健环境中青少年的基于网络的互动计划相结合。作为临床医生指导的外展工作的一部分，我们将与儿科临床医生密切合作，最大限度地扩大该计划对通过两个大型保健组织的电子数据库确定的青少年吸烟者群体的影响。我们将使用信件和主动外展电话来评估当前的吸烟状况，并招募600名15至18岁的青少年 对戒烟感兴趣并愿意通过电话和网络接受戒烟支持的青少年吸烟者。第二个目标是随机分配感兴趣的青少年吸烟者接受基于电话和网络的积极戒烟计划或邮寄戒烟材料(对照条件)，以测试该计划在6个月、12个月和18个月时对长期戒烟率的效果。我们将使用几个流程度量来评估我们实施和一致交付干预的电话和Web组件的能力。我们将测量中介变量，以确定它们是否支持我们的认知行为行动模型所描述的理论结构之间的假设联系。与临床医生建立有效的管理保健伙伴关系，以评估、招募青少年吸烟者并对其进行干预，将引起临床医生和健康计划经理的极大兴趣，具有高度的可输出性，并将在人口层面得到高度优先的实施。