Tobacco Interventions Delivered by Community Agencies to those Living in Poverty
社区机构向贫困人口提供的烟草干预措施
基本信息
- 批准号:8332237
- 负责人:
- 金额:$ 15.08万
- 依托单位:
- 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:2011-09-13 至 2014-08-31
- 项目状态:已结题
- 来源:
- 关键词:AbstinenceAccountingAddressAmericanAttentionBeliefClientCognitiveCommunitiesCommunity ServicesControl GroupsDataDiseaseEducationEffectivenessEmergency SituationEvidence based treatmentGuidelinesHealthHealth Services AccessibilityHealthcareHeart DiseasesIndividualInterventionLifeLung diseasesMalignant neoplasm of lungMedicaidMedicineMethodsMorbidity - disease rateMotivationOutcomePilot ProjectsPopulationPopulations at RiskPovertyPrevalenceRelative (related person)RelianceReportingResearchRouteServicesSmokeSmokerSmokingSurveysTestingTobaccoTobacco DependenceTobacco useUrsidae FamilyVisitWithholding Treatmentbasebrief interventioncommunity interventioncommunity settingeffective interventionevidence baseexperiencefollow-uphealth disparityinterestmortalitymotivational interventionpreventprimary outcomeprogramsresearch studysuccesstherapy designtobacco control
项目摘要
DESCRIPTION (provided by applicant): The 37 million Americans who live in poverty smoke at twice the rate of other Americans. As a result, those living in poverty bear a disproportionate burden from tobacco-related diseases, including lung cancer, other lung diseases, and heart disease. A number of beliefs serve as barriers to their use of evidence-based treatment for tobacco dependence. These beliefs include: 1) smoking is both normative and acceptable under some conditions; 2) willpower is sufficient for quitting rendering outside help unnecessary and irrelevant; 3) evidenced-based treatments are not more effective than other methods; 4) quitting medicines are ineffective, dangerous, addicting, and/or too expensive; and 5) treatments for quitting are not available, hard to access, and/or too expensive. Also, while the poor have as much desire to quit as others, their motivation to make a quit attempt in the near term is less than that of other smokers. New ways are needed to bring evidence-based treatment to this hard to reach population. Providing a brief tobacco dependence intervention to the poor seeking services from community agencies is one such way. Specifically, this study will examine the effectiveness of a brief cognitive-motivational intervention designed to challenge these beliefs and motivate a quit attempt by smokers not otherwise motivated to quit who are presenting for services at the Salvation Army (N=140) relative to an attention control group (N=140), a no-treatment control group (N=140), and smokers who are motivated to quit (N=100). The primary outcome is acceptance of a brief treatment intervention. Other outcomes are subsequent quit attempts and abstinence through three months of follow up. In addition, community agency staff who administer the interventions will complete a survey to assess its feasibility in the community agency setting. Data will be analyzed to evaluate study aims: 1) Did the brief cognitive-motivational intervention result in greater acceptance of treatment, quit attempts using evidenced-based methods, and abstinence than the control groups? 2) Did the intervention boost treatment acceptance and quit attempts above the rate by smokers already motivated to quit? 3) Is the intervention feasible for use in community agencies and acceptable to its cliental? If these aims are achieved, a brief, practical, and effective intervention can be available from community agencies that motivates smokers living in poverty to make quit attempts using evidenced-based methods. Wide distribution of this tailored intervention will help decrease the health disparity experienced by smokers living in poverty.
描述(申请人提供):3700万生活在贫困中的美国人的吸烟率是其他美国人的两倍。因此,那些生活在贫困中的人背负着与烟草有关的疾病的不成比例的负担,包括肺癌、其他肺病和心脏病。一些信念成为他们使用循证治疗烟草依赖的障碍。这些信念包括:1)吸烟在某些情况下是正常的和可以接受的;2)意志力足以戒烟,使外部帮助变得不必要和无关;3)循证治疗并不比其他方法更有效;4)戒烟药物无效、危险、令人上瘾和/或过于昂贵;以及5)戒烟治疗不可用、难以获得和/或过于昂贵。此外,尽管穷人和其他人一样有戒烟的愿望,但他们在短期内尝试戒烟的动机比其他吸烟者要少。需要新的方法将循证治疗带给这一难以接触到的人群。向寻求社区机构服务的穷人提供短暂的烟草依赖干预就是这样一种方式。具体地说,这项研究将检验简短的认知-动机干预的有效性,旨在挑战这些信念,并激励没有其他戒烟动机的吸烟者与注意力控制组(N=140)、非治疗控制组(N=140)和有戒烟动机的吸烟者(N=100)进行戒烟尝试。主要结果是接受短暂的治疗干预。其他结果是随后的戒烟尝试和通过三个月的随访而戒烟。此外,管理干预措施的社区机构工作人员将完成一项调查,以评估其在社区机构环境中的可行性。数据将被分析以评估研究目的:1)短暂的认知-动机干预是否导致更多的人接受治疗,使用循证方法戒烟,并比对照组戒烟?2)干预是否提高了吸烟者的治疗接受度和戒烟尝试的比率?3)干预措施是否适用于社区机构,并被其客户接受?如果实现了这些目标,社区机构可以提供一种简短、实用和有效的干预措施,鼓励生活在贫困中的吸烟者使用循证方法进行戒烟尝试。这种量身定制的干预措施的广泛分布将有助于缩小生活在贫困中的吸烟者所经历的健康差距。
项目成果
期刊论文数量(0)
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Bruce Arthur Christiansen其他文献
Bruce Arthur Christiansen的其他文献
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{{ truncateString('Bruce Arthur Christiansen', 18)}}的其他基金
Tobacco Interventions Delivered by Community Agencies to those Living in Poverty
社区机构向贫困人口提供的烟草干预措施
- 批准号:
8046112 - 财政年份:2011
- 资助金额:
$ 15.08万 - 项目类别:
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