WeBREATHe: Web-Based Respiratory Education About Tobacco and Health

描述（由申请人提供）：在美国，据估计，大约43%的5岁以下儿童在家中或公共场所暴露于环境烟草烟雾（ETS）。越来越多的证据表明，儿童时期接触ETS会对个人一生的健康产生普遍和持久的影响。对儿童暴露于废气排放污染物的最佳描述是增加呼吸系统疾病的发病率，记录为肺功能损害、急诊和医生就诊次数增加以及住院率。当儿童因呼吸系统疾病住院时，呼吸系统护士就有机会鼓励吸烟的父母戒烟。研究表明，利用护士帮助病人戒烟是可行的，但大多数卫生专业人员认为缺乏培训是提供这些服务的障碍。需要进行可传播的、经经验验证的烟草教育，以鼓励和协助护士对使用烟草的家庭成员进行干预。基于计算机的交互式程序可以满足这一需求。我们建议开发一个基于互联网的互动项目，WeBREATHe（基于网络的烟草与健康呼吸教育），培训儿科护士和呼吸治疗师，为患者家属提供简短的、基于医院的戒烟干预措施。在第一阶段，我们将开发和评估一个原型项目，专门针对呼吸治疗师和护士，专门护理患有呼吸系统疾病的儿科患者。原型将根据呼吸治疗师、护士和教育工作者这两个焦点小组的意见进行开发。交互式培训项目的原型（Alpha版本）包含视频、音频、文本、图形和交互式编程元素，将通过辛辛那提儿童医院医疗中心的内部网站提供给25名呼吸治疗师和25名护士。结果将使用呼吸治疗师和护士的态度、知识、感知障碍和消费者满意度的前/后评估来评估。我们的团队在为卫生保健工作者开展烟草教育、制作互动式培训项目、创建和评估基于互联网的健康应用程序以及为儿科患者和家长提供全面的以家庭为中心的护理方面拥有丰富的经验，这使我们有资格进行拟议的研究。

DESCRIPTION (provided by applicant): In the United States, it is estimated that approximately 43 percent of children under the age of 5 are exposed to Environmental Tobacco Smoke (ETS) either in the home or in public. There is mounting evidence that childhood exposure to ETS can have pervasive and lasting effects on an individual's health throughout the lifespan. The best described effect of exposure to ETS in children is an increased incidence of respiratory diseases, documented by pulmonary function impairment, increased emergency and physician's visits, as well as hospitalization rates. When children are hospitalized with respiratory illnesses, respiratory nurses are presented with a clinical opportunity to encourage parental smokers to give up tobacco. Studies have demonstrated the viability of using nurses to help patients quit, yet the majority of health professionals cite lack of training as a barrier to providing these services. There is a need for disseminable, empirically-validated tobacco education to encourage and assist nurses in intervening with tobacco-using family members. Interactive computer-based programs can meet this need. We propose to develop an interactive Internet-based program, WeBREATHe (Web-Based Respiratory Education About Tobacco and Health), to train pediatric nurses and respiratory therapists to provide brief, hospital-based tobacco cessation interventions to patients' families. During Phase I, we will develop and evaluate a prototype program specifically aimed at respiratory therapists and nurses specializing in the care of pediatric patients with respiratory diseases. The prototype will be developed with input from 2 focus groups of respiratory therapists, nurses, and educators. A prototype (Alpha version) of the interactive training program, containing elements of video, audio, text, graphics and interactive programming will be delivered via the internal website at Cincinnati Children's Hospital Medical Center to 25 respiratory therapists and 25 nurses. Outcomes will be evaluated using a pre-/post-assessment of respiratory therapists' and nurses' attitudes, knowledge, perceived barriers, and consumer satisfaction. Our team has extensive experience in developing tobacco education for health care workers, producing interactive training programs, creating and evaluating Internet- based health applications, and delivering comprehensive family-centered care to the pediatric patient and parent, uniquely qualifying us to conduct the proposed research.