A Multi-State Asian-Language Quitline for Smokers

描述(由申请人提供)：这项研究解决了《社区预防服务指南》所建议的在实施有效戒烟服务方面的一个重大差距。该指南建议将电话咨询或“戒烟”作为以人群为基础的关键烟草控制策略。目前，美国所有50个州都建立了戒烟热线。然而，只有一条QuiLine提供亚洲语言的直接咨询。没有亚洲语言服务的理由很多，从缺乏针对这一群体的经过验证的协议，到为多个亚洲语言的项目配备人员的实际困难。该项目将把一个经过实验验证的、亚洲语言的戒烟电话咨询方案转化为多个州的戒烟电话操作。加利福尼亚州、夏威夷和科罗拉多州的州卫生部门将与开发和测试该方案的研究人员合作，创建一个实用的传播模型。该项目旨在证明，研究人员和政策制定者之间的合作将有助于将研究成果迅速转化为现实世界的公共卫生实践。该项目既涉及传播又涉及实施，有两个重叠的阶段。在第一阶段，研究人员将与三个准备采用亚洲代号的州合作。他们将共同评估：(1)评估亚洲戒烟热线的多州模式的传播成功，其中每个州单独推广戒烟热线，但集中运营提供咨询服务；(2)通过比较吸烟者在各州特定戒烟政策背景下对广告信息的反应，检查促销策略实施中的自然变化；(3)通过比较咨询会话的数量和时长与加州最初的亚洲试验中的咨询会话数量和时长，以及与参与州的英语和西班牙语戒烟热线的咨询会话数量和时长进行比较，以测试实施的保真度。在第二阶段，研究人员将与其他州的卫生部门合作，鼓励进一步传播。具体地说，他们将：(1)检查其他州卫生部门对采用多州亚洲免费热线或启动自己的亚洲免费热线的组织准备情况，并评估他们从第一年到第三年的准备情况变化；(2)与选定的州卫生部门、州免费热线运营商和社区组织的代表进行深入访谈，以确定他们对采用亚洲语言免费热线的障碍的看法；以及(3)启动进一步传播的进程，在项目第三年之前招募至少一个额外的州加入多州亚洲免费热线。拟议的多州戒烟项目如果成功实施，可以作为其他州向亚洲语言吸烟者提供行为戒烟服务的典范，有助于减少这些人群在获得有效治疗方面的差距。

DESCRIPTION (provided by applicant): This study addresses a significant gap in the implementation of effective tobacco cessation services as recommended by the Community Guide to Preventive Services. The Guide recommends telephone counseling, or "quitlines," as a key population-based tobacco control strategy. Currently, all 50 U.S. states have established quitlines. However, only one quitline offers direct counseling in Asian languages. Justifications for the absence of Asian-language services range from the lack of proven protocols for this population to the practical difficulty of staffing a program in multiple Asian languages. The project will translate an experimentally validated, Asian-language, smoking cessation telephone counseling protocol into a multi-state quitline operation. State health departments in California, Hawaii and Colorado will work with the researchers who developed and tested the protocol to create a practical dissemination model. The project aims to demonstrate that collaboration between researchers and policy makers will help to translate research results quickly into real world public health practice. The project involves both dissemination and implementation and has two overlapping phases. In the first phase, researchers will work with three states that are ready to adopt an Asian quitline. Together they will: (1) evaluate the dissemination success of a multi-state model for an Asian quitline in which each state promotes the quitline individually, but a centralized operation provides the counseling service; (2) examine the natural variation in implementation of promotional strategies by comparing smokers' responses to advertising messages in the context of state-specific cessation policies; and (3) test implementation fidelity by comparing the number and length of counseling sessions with those in California's original Asian trial, and with those of participating states' English and Spanish quitlines. In the second phase, researchers will work with the health departments in other states to encourage further dissemination. Specifically, they will: (1) examine the organizational readiness of other state health departments to adopt either the multi-state Asian quitline or to start their own Asian quitlines, and to assess their change in readiness from year 1 to year 3; (2) conduct in-depth interviews with representatives from selected state health departments, state quitline operators, and community organizations to determine their perceptions of barriers to adoption of Asian-language quitlines; and (3) set in motion a process for further dissemination by recruiting at least one additional state to join the multi-state Asian quitline by year 3 of the project. The proposed multi-state quitline project, if implemented successfully, can serve as a model for other states in providing behavioral cessation services to Asian-language smokers, helping to reduce disparities in access to effective treatment for these populations.