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: 7234405
• 负责人: JACK F HOLLIS
• 金额: $ 41.55万
• 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/7234405
• 关键词: 18 year old; Abstinence; Adoption; Affect; Behavioral Model; Childhood; Cognitive; Communication Tools; Condition; Counseling; Databases; Effectiveness; Electronics; Environment; Health Maintenance Organizations; Health Planning; Healthcare; Incentives; Internet; Intervention; Letters; Mails; Maintenance; Managed Care; Measures; Mediating; Mediator of activation protein; Mission; Online Systems; Outcome; Participant; Patients; Pattern; Population; Prevalence; Printing; Process Measure; Randomized; Randomized Controlled Clinical Trials; Randomized Controlled Trials; Rate; Recruitment Activity; Relative (related person); Reporting; Sampling; Screening procedure; Smoker; Smoking Behavior; Smoking Status; Staging; System; Teenagers; Telephone; Testing; Tobacco Use Cessation; Tobacco use; Work; Youth; base; cost; day; design; follow-up; health care delivery; improved; interest; member; outreach; programs; prototype; quitline

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、动机、沟通工具和与患者的信誉来接触吸烟的青少年成员。该项目的总体目标是完善和测试戒烟支持的潜在覆盖范围和效果，使用主动电话戒烟热线结合管理护理环境中青少年的交互式网络计划。作为临床医生指导的推广工作的一部分，我们将与儿科临床医生密切合作，通过两个大型hmo的电子数据库确定，最大限度地扩大该计划对青少年吸烟者的影响。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