Tailored-Web and Peer Email Cessation Counseling for College Smokers

描述（由申请人提供）：年轻人的吸烟率是任何年龄组中最高的，包括大学生的吸烟率高得惊人。学院和大学招收了超过1400万年轻人，因此是鼓励早年戒烟的理想环境。不幸的是，目前还没有为大学生设计的循证戒烟计划。互联网是一个很有前途的渠道，提供这种干预措施的基础上，高利率的互联网使用的大学生。我们在这个提案中的目标是进行三组随机对照试验，以确定通过互联网向大学吸烟者提供量身定制的戒烟信息和同伴支持的有效性。3个校园的大学吸烟者（明尼苏达大学、密歇根大学、德克萨斯大学埃尔帕索分校）将通过互联网健康筛查（n=1680）确定并招募在前30天内报告吸烟的受试者，并随机接受在线大学生活杂志的访问，其中包括：Tx1）非定制戒烟内容，）个性化定制戒烟内容，或）个性化定制戒烟内容加同行电子邮件支持。我们的具体目标是确定提供量身定制的戒烟内容是否上级非量身定制的内容（即Tx2 > Tx1），以及提供同伴电子邮件支持作为量身定制的内容的补充（即Tx3 > Tx2）是否有利于促进6个月的长期戒烟。我们自己的初步工作支持这种方法。在RealU的研究中，我们发现，与对照组相比，使用在线杂志格式提供个性化的戒烟信息和同伴电子邮件支持增加了30天的戒烟率。与密歇根大学健康传播研究中心的合作将进一步加强这里提出的干预措施的发展，该中心由维克托·斯特雷彻博士领导，斯特雷彻博士是信息定制领域的国际公认专家。在这个项目完成后，我们希望我们将确定一个有效的干预方案，准备通过互联网向感兴趣的学院和大学传播。

DESCRIPTION (provided by applicant): Rates of cigarette use among young adults are the highest for any age group, including a surprisingly high rate of smoking among college students. Colleges and universities enroll over 14 million young adults and therefore are an ideal setting to encourage smoking cessation early in life. Unfortunately, there are currently no evidence-based cessation programs designed for college populations. The internet is a promising channel for delivering such interventions based upon high rates of internet use by college students. Our objective in this proposal is to perform a three-group randomized controlled trial to determine the efficacy of providing tailored cessation messages and peer support via the internet to college smokers. College smokers on 3 campuses (University of Minnesota, University of Michigan, University of Texas El Paso) who report any smoking in the prior 30-days will be identified and recruited via internet health screening (n=1680) and randomized to receive access to an online college life magazine that includes either: Tx1) untailored smoking cessation content,) individually tailored smoking cessation content, or ) individually tailored smoking cessation content plus peer email support. Our specific aims are to determine if providing tailored cessation content is superior to untailored content (i.e. Tx2 > Tx1) and if providing peer email support is beneficial as an addition to tailored content (i.e. Tx3 > Tx2) in terms of promoting 6-month prolonged abstinence from tobacco use. Our own preliminary work supports this approach. In the RealU study we found that providing individually tailored smoking cessation messages and peer email support using an online magazine format increased 30-day abstinence rates compared to control. Collaboration with the University of Michigan's Center for Health Communications Research directed by Dr. Victor Strecher, an internationally recognized expert in the field of message tailoring, will further enhance the development of the intervention proposed here. At the completion of this project, it is our expectation that we will have identified an effective intervention package ready for dissemination via the internet to interested colleges and universities.