Tailored-Web and Peer Email Cessation Counseling for College Smokers

描述(由申请者提供)：年轻人的吸烟率是所有年龄段中最高的，包括大学生中令人惊讶的高吸烟率。学院和大学招收了1400多万年轻人，因此是鼓励在生命早期戒烟的理想环境。不幸的是，目前还没有为大学生设计的循证戒烟计划。基于大学生的高互联网使用率，互联网是提供此类干预措施的一个有前途的渠道。我们在这项提案中的目标是进行一项三组随机对照试验，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个校区(明尼苏达大学、密歇根大学、德克萨斯大学埃尔帕索分校)中报告在过去30天内吸烟的大学吸烟者将通过互联网健康筛查(n=1680)进行识别和招募，并随机获得在线大学生活杂志的访问权限，其中包括：TX1)非定制的戒烟内容，)个人定制的戒烟内容，或)个人定制的戒烟内容加上同行电子邮件支持。我们的具体目标是确定提供量身定制的戒烟内容是否优于非定制内容(如Tx2；TX1)，以及在促进6个月的长期戒烟方面，提供同伴电子邮件支持作为定制内容(如Tx3；Tx2)的补充是否有益。我们自己的初步工作支持这一方法。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人定制的戒烟信息和同伴电子邮件支持增加了30天的戒烟率。由消息定制领域的国际公认专家Victor Strecher博士指导的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。在这个项目完成后，我们期望我们将确定一个有效的干预方案，准备通过互联网传播给感兴趣的学院和大学。

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.