Education on the Dangers of Secondhand Smoke: New Treatment for Nondaily Smokers

关于二手烟危害的教育：非日常吸烟者的新治疗方法

• 批准号: 7750059
• 负责人: REBECCA Emily SCHANE
• 金额: $ 6.13万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-11-16 至 2010-11-15
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7750059
• 关键词: Attitude; Behavior; Biological; Cardiovascular Diseases; Cigarette; Clinical Treatment; Consumption; Control Groups; Cotinine; Counseling; Data; Education; Fright; Future; Habits; Health; Health Professional; Individual; Intention; Intervention; Malignant Neoplasms; Measures; Passive Smoking; Patient Self-Report; Pattern; Predictive Factor; Prevalence; Questionnaires; Randomized; Readiness; Recruitment Activity; Relative (related person); Reporting; Research; Risk; Smoke; Smoker; Smoking; Smoking Behavior; Stress; Testing; Tobacco; Tobacco use; Visit; base; follow-up; non-smoker; primary outcome; secondary outcome; smoking cessation; success; urinary

DESCRIPTION (provided by candidate): Nondaily smoking (smoking on some days but not every day) is increasing, representing up to one quarter of current tobacco users. Nondaily smokers tend to minimize the health risks associated with their tobacco use but are concerned about the impact their smoking has upon others. Therefore, standard cessation counseling that focuses on personal health risks may not motivate nondaily smokers to quit. There are observational data that support counseling nondaily smokers on the dangers that their secondhand smoke poses to others as a promising alternative cessation message. We hypothesize that successful clinical treatment of nondaily smoking can be achieved with counseling that stresses the dangers of secondhand smoke to others as opposed to counseling that focuses on personal health risks. The primary aim of this study is to test a pilot intervention for nondaily smokers using individual counseling that compares the harms to self with harm to others as a smoking cessation strategy. The primary outcome will be an increase in readiness to quit, a factor predictive of future success with cessation. Secondary outcomes will include (1) a treatment based change in attitudes about the dangers that secondhand smoke poses to the nonsmoker and (2) a decrease in personal cigarette consumption. The proposed study will recruit and randomize nondaily smokers to receive either (1)15 minutes of standard counseling (personal health risk) or (2) 15 minutes of experimental counseling (the harms secondhand smoke poses to the nonsmoker). At baseline, subjects will complete questionnaires that measure (1) readiness to quit smoking as determined by their scores on The Contemplation Ladder and (2) smoking behavior as reported by monthly cigarette use and urinary cotinine levels. These measures will be compared with those at 3 month follow-up visits. Nondaily smoking is increasing in prevalence and carries significant health risks. While nondaily smokers minimize the consequences of their habit, they fear the impact their smoking has upon others. The results from this research application will inform health care professionals about new ways to treat nondaily smokers; education on the dangers of secondhand smoke may be a more effective cessation strategy for this group.

描述（由候选人提供）：非日常吸烟（在某些日子吸烟，但不是每天）正在增加，占目前烟草使用者的四分之一。非日常吸烟者往往会最大限度地减少与吸烟相关的健康风险，但担心吸烟对他人的影响。因此，关注个人健康风险的标准戒烟咨询可能不会激励非日常吸烟者戒烟。有观察数据支持咨询非日常吸烟者关于他们的二手烟对他人构成的危险，作为一种有希望的替代戒烟信息。我们假设，成功的非日常吸烟的临床治疗可以通过强调二手烟对他人的危害的咨询来实现，而不是专注于个人健康风险的咨询。这项研究的主要目的是测试一个试点干预非日常吸烟者使用个人咨询，比较伤害自己和伤害他人的戒烟策略。主要结果将是戒烟准备的增加，这是预测未来戒烟成功的一个因素。次要结果将包括（1）基于治疗的关于二手烟对非吸烟者构成的危险的态度的改变和（2）个人卷烟消费的减少。这项拟议中的研究将招募非日常吸烟者并随机接受（1）15分钟的标准咨询（个人健康风险）或（2）15分钟的实验咨询（二手烟对非吸烟者的危害）。在基线时，受试者将完成问卷调查，测量（1）戒烟准备程度（根据他们在沉思阶梯上的评分确定）和（2）吸烟行为（根据每月吸烟量和尿可替宁水平报告）。将这些指标与3个月随访访视时的指标进行比较。非日常吸烟越来越普遍，并带来重大的健康风险。虽然非日常吸烟者尽量减少他们习惯的后果，但他们担心吸烟对他人的影响。这项研究应用的结果将为医疗保健专业人员提供治疗非日常吸烟者的新方法;关于二手烟危害的教育可能是这一群体更有效的戒烟策略。