Exploring a Cessation Intervention for Low Income Smokers in an Emergency Setting

探索紧急情况下低收入吸烟者的戒烟干预措施

基本信息

批准号：
8543662
负责人：
E. Melinda Mahabee-Gittens
金额：
$ 19.31万
依托单位：
CINCINNATI CHILDRENS HOSP MED CTR
依托单位国家：
美国
项目类别：
财政年份：
2011
资助国家：
美国
起止时间：
2011-09-22 至 2015-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8543662
关键词：
Abstinence Accident and Emergency department Acute Address Adult Affect Cancer Control Carbon Monoxide Child Child health care Childhood Clinical Practice Guideline Counseling Data Development Development Plans Effectiveness Electronic Health Record Electronic Mail Emergency Situation Environmental Tobacco Smoke Focus Groups Future Goals Grant Growth Health Hospital Administrators Household Intervention Interview K-Series Research Career Programs Low income Malignant Neoplasms Methods Modeling Morbidity - disease rate Motivation Nurses Outcome Parents Patient Self-Report Phase Physicians Preparation Prevalence Randomized Controlled Trials Recruitment Activity Research Research Personnel Resources Scientist Smoke Smoker Smoking Cessation Intervention Telephone Testing Text Tobacco Tobacco Dependence Tobacco Use Cessation Tobacco use Training Translating Translations Visit Work base brief intervention career career development effective intervention efficacy testing financial incentive follow-up health belief health disparity improved innovation interest intervention effect nicotine replacement preference prevent primary outcome prospective public health relevance quitline randomized trial screening and brief intervention screening, brief intervention, referral, and treatment secondary outcome smoking cessation success tobacco screening trend

项目摘要

Exploring a Cessation Intervention for Low Income Smokers in an Emergency Setting An estimated 6.6 million parents who smoke visit pediatric emergency departments (PED) annually. Up to 50% of these parental smokers are from low-income, racially/ethnically diverse households in which a variety of tobacco-related disparities exist for both the parents and their children. The PED is an ideal and innovative setting in which to address these disparities, which include differences in tobacco use, pediatric second hand smoke exposure (SHSe), quit rates, access to cessation resources, and morbidity such as cancer. The proposed Career Development Award application will facilitate the candidate's growth as an independent cancer control physician scientist conducting research in the PED setting. The long-term career goal of the candidate is to become an effective independent researcher able to conduct parental cessation interventions in the PED that are readily translated into practice. The candidate's immediate career goal is to develop and test a cessation intervention for low-income smokers in the PED. To achieve this goal, the candidate proposes a career development plan that includes professional development, grant preparation, and a research plan to collect pilot data. The proposed research plan extends the candidate's prior smoking cessation work in the PED setting which indicates that parental smokers who visit the PED are aware of the pediatric effects of SHSe, motivated to quit, and eager to receive cessation counseling in this setting. The proposed research will be conducted in two phases. During Phase I, we will explore the types of interventions acceptable to low- income parental smokers via focus groups. Focused interviews of PED nurses, physicians, and hospital administrators will be conducted to explore barriers to intervention sustainability that will assist in future intervention planning. This data will be used to develop a PED-based parental cessation intervention. During Phase II, we will conduct a pilot prospective trial to examine the effectiveness of our screening, brief intervention, and referral to treatment (SBIRT) intervention on parental smoking cessation. Equal numbers of parental smokers who bring their child to the PED for either a SHSe-related illness or non SHSe-related illness will be given a brief intervention using an adapted form of the Clinical Practice Guideline: Treating Tobacco Use and Dependence. Intervention components may include brief cessation counseling using an "Advise, Assess, and Assist" approach; information on SHSe in children; direct connection to the Quitline (QL) in the PED; and/or free administration of nicotine replacement therapy (NRT). The Health Belief Model will be used to explore whether factors unique to this setting (e.g., child's acute illness) moderate the effect of the intervention on cessation outcomes. Outcomes will be assessed following the intervention via phone, email, or text messaging. If effective, this intervention could reduce health disparities related to tobacco use, by improving treatment and preventing tobacco-related morbidities in low-income, racially/ethnically diverse smokers.

在紧急情况下探索低收入吸烟者的戒烟干预措施估计吸烟的父母估计每年访问小儿急诊科（PED）。高达50％这些父母吸烟者中有来自低收入，种族/种族多样的家庭，其中各种各样的家庭父母和孩子都存在与烟草有关的差异。 PED是理想和创新的解决这些差异的设置，包括烟草使用差异，小儿二手烟雾暴露（SHSE），戒烟率，获取戒烟资源以及癌症等发病率。这拟议的职业发展奖申请将促进候选人作为独立的成长癌症控制医师科学家在PED环境中进行研究。长期职业目标候选人将成为一名有效的独立研究人员，能够在很容易翻译成实践的PED。候选人的直接职业目标是开发和测试在PED中对低收入吸烟者的戒烟干预。为了实现这一目标，候选人提出了职业发展计划，包括专业发展，赠款准备和研究计划收集飞行员数据。拟议的研究计划扩展了候选人在 PED设置表明访问PED的父母吸烟者知道 Shse，有动力辞职，并渴望在这种情况下接受戒烟咨询。拟议的研究将分为两个阶段进行。在第一阶段，我们将探索低 - 可接受的干预措施的类型通过焦点小组收入的父母吸烟者。 PED护士，医生和医院的重点访谈将进行管理人员以探索干预可持续性的障碍，以帮助将来干预计划。这些数据将用于开发基于PED的父母戒烟干预措施。期间第二阶段，我们将进行试点前瞻性试验，以检查我们的筛查的有效性，简短干预，并转介给父母戒烟的治疗（SBIRT）干预措施。相等的数字将孩子带到PED的父母吸烟者患有与SHSE相关的疾病或与SHSE相关的疾病将使用改编的临床实践指南进行简短干预：治疗烟草使用和依赖。干预组件可能包括使用“建议，评估和协助“方法；有关儿童中的SHSE的信息；直接连接到Quitline（QL） ped;和/或尼古丁替代疗法（NRT）的自由给药。健康信念模型将用于探索这种环境所独有的因素（例如，儿童的急性疾病）是否适应了干预的影响关于停止结果。通过电话，电子邮件或文本进行干预后，将评估结果消息传递。如果有效，此干预措施可以通过改进来减少与烟草使用相关的健康差异在低收入，种族/种族多样的吸烟者中，治疗并防止烟草相关的病因。

项目成果

期刊论文数量（5）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Missed opportunities to intervene with caregivers of young children highly exposed to secondhand tobacco smoke.

DOI：
10.1016/j.ypmed.2014.10.031
发表时间：
2014-12
期刊：
Preventive medicine
影响因子：
5.1
作者：
Mahabee-Gittens EM;Gordon JS
通讯作者：
Gordon JS

Pediatric emergency department is a promising venue for adult tobacco cessation interventions.

DOI：
10.1093/ntr/ntt069
发表时间：
2013-10-01
期刊：
Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco
影响因子：
0
作者：
Mahabee-Gittens, E Melinda;Stone, Lara;Gordon, Judith S
通讯作者：
Gordon, Judith S

Motivation to quit smoking in parental smokers in the pediatric emergency department.

DOI：
10.1097/pec.0000000000000179
发表时间：
2014-08
期刊：
Pediatric emergency care
影响因子：
1.4
作者：
Kanis J;Byczkowski T;Mahabee-Gittens EM
通讯作者：
Mahabee-Gittens EM

Development of iBsafe: A Collaborative, Theory-based Approach to Creating a Mobile Game Application for Child Safety.

iBsafe 的开发：一种基于理论的协作方法，用于创建儿童安全移动游戏应用程序。

DOI：
发表时间：
2014
期刊：
AMIA ... Annual Symposium proceedings. AMIA Symposium
影响因子：
0
作者：
Dixon,CinnamonA;Ammerman,RobertT;Dexheimer,JudithW;Meyer,Benjamin;Jung,Heekyoung;Johnson,BoydL;Elliott,Jennifer;Jacobs,Tom;Pomerantz,WendyJ;Mahabee-Gittens,EMelinda
通讯作者：
Mahabee-Gittens,EMelinda