Implementation and Dissemination of the CEASE Intervention to Reduce Tobacco Use

描述（由申请人提供）：吸烟是美国和世界上头号可预防的死亡原因。与烟草成瘾有关的健康差距正在扩大，在收入和受教育程度最低的人群中，烟草使用和烟草所致死亡和疾病的流行率最高。此外，吸烟是一种复杂的成瘾行为，由不同的因素造成，这使得它非常困难，特别是对于那些资源较少的人来说，改变他们的行为。拟议的项目"实施和传播CBPR干预措施以减少烟草使用"旨在调查和吸引更多社区参与传播和实施在NIMHD CBPR干预赠款支持下制定的社区宣传和倡导无烟环境（CEASE）干预措施。建议的项目的具体目标是：（1）探讨不同因素对成功传播和实施CEASE干预措施的影响;（2）确定在类似社区和组织中持续开展干预措施的有效战略;以及（3）确定其他社区和组织采用该计划的障碍和推动因素，这些社区和组织对降低健康差距中的吸烟率感兴趣人口数量。本研究的设计是基于几个理论框架的传播和实施研究在个人，群体，组织和社区层面。将与当地社区合作，采用定量和定性研究方法，对该项目的进程和成果进行评估。拟议项目的研究结果将有助于更好地了解与在类似的社区环境中成功传播、采用、实施、调整和可持续性干预措施有关的重要因素。

DESCRIPTION (provided by applicant): Tobacco smoking is the number one preventable cause of death in the United States and in the world. Health disparities related to tobacco addiction are widening, with the highest prevalence of tobacco use and tobacco-attributable death and diseases in populations with the least income and education. Furthermore, smoking is a complex addictive behavior resulting from different factors which makes it very difficult, especially for those with fewer resources, to change their behavior. The proposed project, "Implementation and Dissemination of a CBPR Intervention to Reduce Tobacco Use," aims to investigate and engage more communities in dissemination and implementation of the Communities Engaged and Advocating for a Smoke-free Environment (CEASE) intervention developed with support from the NIMHD CBPR Intervention grant. The specific aims of the proposed project are: (1) to explore the effects of different factors on successful dissemination and implementation of the CEASE intervention; (2) to identify effective strategies for sustaining the intervention in similar communities and organizations; and (3) to identify barriers and enablers to adoption of the program by other communities and organizations interested in reducing smoking rates among health disparity populations. This study is designed based on several theoretical frameworks of dissemination and implementation research at individual, group, organizational, and community levels. The project's processes and outcomes will be evaluated in partnership with the local community using both quantitative and qualitative research methods. The findings of the proposed project will help improve understanding of important factors related to the successful dissemination, adoption, implementation, adaptation, and sustainability of the intervention in similar community-based settings.