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

• 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
• 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

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.

紧急情况下对低收入吸烟者的戒烟干预研究 据估计，每年有660万吸烟的父母访问儿科急诊科（PED）。高达50% 这些父母吸烟者来自低收入，种族/民族多样化的家庭，其中各种 父母及其子女都存在与烟草有关的差异。PED是一个理想的和创新的 解决这些差异的环境，其中包括烟草使用的差异， 吸烟暴露（SHSe）、戒烟率、获得戒烟资源以及癌症等发病率。的 建议的职业发展奖申请将促进候选人的成长为一个独立的 癌症控制医生科学家在PED环境中进行研究。长期职业目标 候选人是成为一个有效的独立研究人员能够进行父母停止干预， PED很容易转化为实践。候选人的直接职业目标是开发和测试 PED中低收入吸烟者的戒烟干预。为了实现这一目标，候选人提出了一个 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。拟议的研究计划将候选人先前在 PED设置，表明访问PED的父母吸烟者意识到 SHSe，有戒烟动机，并渴望在这种情况下接受戒烟咨询。拟议的研究将 分两个阶段进行。在第一阶段，我们将探讨低- 通过焦点小组的收入父母吸烟者。PED护士、医生和医院的重点访谈 管理人员将进行探索干预的可持续性，这将有助于未来的障碍 干预规划。这些数据将用于开发基于PED的父母戒烟干预。期间 在第二阶段，我们会进行一项前瞻性试验，以检验我们的筛选的有效性， 干预和转介治疗（SBIRT）干预父母戒烟。相等数量的 父母吸烟者带孩子去PED治疗SHSe相关疾病或非SHSe相关疾病 将使用《临床实践指南：治疗烟草》的改编版进行简短的干预 使用和依赖。干预部分可能包括使用“建议， 评估和帮助”方法;关于儿童SHSe的信息;直接连接到戒烟热线（QL）， PED;和/或免费给予尼古丁替代疗法（NRT）。健康信念模型将用于 探索是否该设置特有的因素（例如，儿童的急性疾病）缓和干预的效果 关于戒烟的结果。干预后将通过电话、电子邮件或短信评估结果 信息传送.如果有效，这种干预措施可以通过改善与吸烟有关的健康差异， 治疗和预防低收入、不同种族/民族吸烟者的烟草相关疾病。

项目成果

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

在小儿急诊室中戒烟的动机。

• 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。

• 发表时间: 2014
• 期刊: AMIA ... Annual Symposium proceedings. AMIA Symposium
• 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