Brief Tobacco Intervention Training in Childcare Centers

儿童保育中心的简短烟草干预培训

• 批准号: 7140138
• 负责人: MYRA L. MURAMOTO
• 金额: $ 11.35万
• 依托单位: UNIVERSITY OF ARIZONA
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-01 至 2008-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7140138
• 关键词: attitude; behavioral /social science research tag; child care personnel; clinical research; education evaluation /planning; environmental exposure; health behavior; human subject; interview; nicotine; parent offspring interaction; questionnaires; smoking; tobacco abuse education; tobacco abuse prevention

DESCRIPTION (provided by applicant): Environmental Tobacco Smoke (ETS) exposure in children is a major public health problem, with as many as 43% of U.S. children or more than 15 million children, who live in a household with a smoker. In more than 70% of homes with both adult smokers and children, smoking is allowed within the home. Childcare centers are an underutilized venue for child health promotion and have a potentially significant influence on parental smoking behavior. Given that nearly 60% of preschoolers currently receive non-parental care on a daily basis, the potential to reach a large number of children and parents is substantial. Training childcare center workers (CCCWs) to conduct brief tobacco interventions (Bl), which have been demonstrated as an effective tool for smoking cessation, will prepare them to more effectively influence parental tobacco use behavior. A pilot study to determine the potential utility and impact of Bl training in childcare centers is proposed, with a target population of 1) children and their parents/care givers and 2) CCCW staff. By using an existing Bl training, originally intended for non-healthcare professionals, the study will collect pilot and feasibility data in preparation for more extensive research to evaluate the efficacy of a brief intervention training of CCCWs in childcare centers in diverse regions of the country. Phase 1 will be a baseline survey of parents of children in childcare centers to determine prevalence and estimated level of ETS exposure of children; document parental knowledge, attitudes, and behaviors with regards to ETS and smoking; and identify children exposed to ETS to recruit for prospective study. Phase 2 will be a prospective longitudinal, randomized, controlled, pilot study to examine the impact of Bl training on: 1) children's ETS exposure as measured by salivary cotinine levels; 2) parental knowledge, attitudes and behaviors regarding ETS exposure and tobacco use; and 3) proportion of CCCWs who report intervening with parents to reduce children's ETS exposure. During Phase 3, results will be analyzed and disseminated through publication.

描述（由申请人提供）：儿童接触环境烟草烟雾（ETS）是一个主要的公共卫生问题，多达43%的美国儿童或超过1500万儿童生活在吸烟者的家庭中。在70%以上既有成人吸烟者又有儿童的家庭中，允许在家中吸烟。托儿中心是一个未充分利用的儿童健康促进场所，对父母吸烟行为有潜在的重大影响。鉴于目前近60%的学龄前儿童每天接受非父母照顾，因此接触大量儿童和父母的潜力是巨大的。培训托儿中心工作人员（CCCWs）进行简短的烟草干预（Bl），这已被证明是戒烟的有效工具，将使他们能够更有效地影响父母的烟草使用行为。提出了一项试点研究，以确定在托儿中心进行Bl培训的潜在效用和影响，目标人群为1)儿童及其父母/照顾者和2)CCCW工作人员。通过使用现有的Bl培训（最初是为非医疗保健专业人员提供的），该研究将收集试点和可行性数据，为更广泛的研究做准备，以评估对该国不同地区托儿中心的ccccws进行简短干预培训的效果。第一阶段将对托儿中心儿童的父母进行基线调查，以确定儿童接触ETS的流行程度和估计水平；记录父母在ETS和吸烟方面的知识、态度和行为；并确定暴露于ETS的儿童招募进行前瞻性研究。第二阶段将是一项前瞻性、纵向、随机、对照、试点研究，以检验Bl训练对以下方面的影响：1)通过唾液可替宁水平测量儿童ETS暴露；2)父母关于接触ETS和烟草使用的知识、态度和行为；3)报告与家长进行干预以减少儿童ETS暴露的ccccws比例。在第三阶段，结果将通过出版物进行分析和传播。