TESTING THE EFFECTIVENESS OF TARGETED SMOKING CESSATION MESSAGES IN CONSTRUCTION

描述（由申请人提供）：蓝领工人，特别是建筑行业的工人，与白领工人相比，更容易吸烟，吸烟更严重，戒烟成功率更低。由于建筑工作的短暂性，传统的以雇主为基础的工地干预措施对这一人群并不实用。以工会为基础的戒烟干预措施的研究是有希望的，但需要做更多的工作来开发简单，成本有效的干预措施，可以在更大的工会群体中实施和维持。本研究将开发和测试一种创新和可持续的干预措施，以提高工会木匠和地板工人戒烟的参与度。利用市场营销和健康传播的受众细分技术，我们将制定并向这些工人的不同亚群体提供有针对性的戒烟信息。这种方法重点突出但简单，如果发现有效，工会和贸易组织很容易采用。本申请的总体目标是通过促进工会赞助的综合戒烟计划的登记，促进这一高危群体的戒烟。我们将使用受众细分来创建有针对性的信息，激励人们采取行动戒烟。在开发出目标信息后，我们将进行一项随机对照试验，比较基于受众细分的目标信息与标准戒烟教育。所有木匠都将收到有关戒烟的信息，并获得全面的工会赞助的戒烟计划。干预组的木匠将收到额外的有针对性的材料，以鼓励他们加入工会的戒烟计划。干预将包括基于我们对吸烟木匠形成性研究的受众细分数据的每月邮寄信息。主要的研究结果是干预后六个月戒烟计划的注册率。其他结果包括戒烟率、吸烟数量和戒烟意愿。我们的研究基于这样一个假设，即更有效的戒烟信息可以通过员工的态度和信念数据来塑造。我们将测试收到基于受众细分的目标信息的木匠是否更有可能参加工会赞助的戒烟计划，更有可能表现出戒烟准备的变化，更有可能戒烟。

DESCRIPTION (provided by applicant): Blue-collar workers, particularly in the construction trades, are more likely to smoke, smoke more heavily, and have less success in quitting compared to white-collar workers. Due to the transient nature of construction work, traditional employer-based worksite interventions are not practical for this population. Research on union-based smoking cessation interventions is promising, but more work is needed to develop simple, cost- effective interventions that can be implemented and sustained in larger union groups. This study will develop and test an innovative and sustainable intervention to increase participation in smoking cessation among union carpenters and floor layers. Using audience segmentation techniques from marketing and health communication, we will develop and deliver targeted smoking cessation messages to different sub-groups of these workers. This approach is focused but simple, and can easily be adopted by unions and trade organizations if found to be effective. The overall aim of this application is to promote smoking cessation in this high-risk group by boosting enrollment in a union-sponsored comprehensive smoking cessation program. We will use audience segmentation to create targeted messages that motivate action toward smoking cessation. After developing targeted messages, we will conduct a randomized controlled trial comparing targeted messaging based on audience segmentation versus standard smoking cessation education. All carpenters will receive information on quitting smoking, and access to comprehensive union-sponsored smoking cessation program. Carpenters in the intervention group will receive additional targeted materials to encourage enrollment in the union's smoking cessation program. The intervention will include monthly mailed messages based on audience segmentation data from our formative research among carpenters who smoke. The main study outcome is rates of enrollment in the smoking cessation program six months after the intervention. Other outcomes include quit rates, number of cigarettes smoked, and readiness to quit. Our study is based on the hypothesis that more effective smoking cessation messages can be shaped by data on attitudes and beliefs among workers. We will test whether carpenters who receive targeted messages based on audience segmentation are more likely to enroll in the union sponsored smoking cessation program, more likely to show change in readiness to quit smoking, and more likely to quit smoking.