Enhancing tobacco cessation in the black community through DVD technology:PTF

通过 DVD 技术促进黑人社区戒烟：PTF

• 批准号: 8248170
• 负责人: MONICA WEBB HOOPER
• 金额: $ 16.31万
• 依托单位: UNIVERSITY OF MIAMI CORAL GABLES
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-04-01 至 2014-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8248170
• 关键词: Address; Behavior; Behavior Therapy; Behavioral; Caricatures; Cessation Research; Characteristics; Clinic; Clinical Psychology; Cognitive; Color; Communities; Community Health; Counseling; Development; Disease; Education; Educational workshop; Elements; Evaluation; Feedback; Focus Groups; Freedom; Goals; Grant; Health; Health Promotion; Health Psychology; Health education; Heterogeneity; Home environment; Hour; Image; Intervention; Interview; Marketing; Medical; Menthol; Methods; Movement; Music; Narration; Nature; Nicotine Dependence; Nicotine Withdrawal; Outcome; Participant; Pathway interactions; Pharmacotherapy; Pilot Projects; Population; Prevalence; Primary Health Care; Process; Protocols documentation; Psychosocial Factor; Public Health; Published Comment; Qualitative Evaluations; Randomized; Readiness; Sampling; Self Efficacy; Services; Smoker; Smoking; Smoking Cessation Intervention; Social support; Specialist; Spirituality; Structure; Technology; Testing; Textiles; Theoretical model; Tobacco; Tobacco Industry; Tobacco Use Cessation; Tobacco smoking; Weight maintenance regimen; Writing; arm; attributable mortality; base; behavior change; coping; design; digital; disorder later incidence prevention; empowered; evidence base; experience; follow-up; health disparity; health literacy; high risk; innovation; prevent; primary outcome; programs; psychosocial; public health priorities; public health relevance; quitline; racial and ethnic; randomized trial; response; service intervention; smoking cessation; smoking prevalence; social; theories; tobacco control

DESCRIPTION (provided by applicant): Reducing tobacco-associated health disparities is a national public health priority. The Black community experiences higher rates of disease and death attributable to tobacco smoking than other racial/ethnic communities. Needed are interventions that combine public health and clinical psychology approaches, while addressing Black cultural and psychosocial factors. This study aims to (1) develop an innovative DVD-based cessation intervention, based on Pathways to Freedom (PTF), a community competent smoking cessation guide; and (2) conduct a pilot evaluation of the intervention. The DVD will also be guided by a clinic-based cessation program with demonstrated efficacy among Black smokers. The DVD will consist of 6 sections including: Education, Cessation, Relapse Prevention, Community Initiatives, Questions and Answers, and Medical Practice Settings. Smokers will be empowered to seek the assistance from sections that most closely match their needs and readiness to quit levels. The pilot evaluation will include both qualitative and quantitative methods. The qualitative evaluation will consist of semi- structured interviews with smokers, key stakeholders to explore themes related to the utility of intervention in the Black community, the ability of the intervention to address the heterogeneity of Black smokers, and dissemination potential. The quantitative pilot study will comprise a 2-arm design. Participants (N = 100) will be randomly assigned to view either the new PTF DVD or a Standard control DVD. Participants will be assessed at baseline, immediately post viewing the DVD, and at a 1-month follow-up. The primary outcome variables will be feasibility and process variables (e.g., intervention evaluations, readiness to quit, and cessation self-efficacy). Quit attempts will be the second outcome variable. The proposed intervention will utilize technology as a vehicle for health promotion in an underserved community, and develop a stand-alone intervention that can be used in multiple settings, such as community health clinics, primary care, quitlines, cessation clinics, and seminars/workshops. PUBLIC HEALTH RELEVANCE: Integrating public health and clinical psychology approaches to tobacco control has the potential to reduce racial health disparities. This study will develop an innovative evidence-based smoking cessation DVD targeting Blacks. The overall goal of this project is to increase the reach of cessation services into the Black community by developing a DVD-based protocol that will bring behavioral counseling into the homes of smokers.

描述（由申请人提供）：减少烟草相关的健康差距是国家公共卫生优先事项。黑人社区因吸烟而患病和死亡的比例高于其他种族/族裔社区。需要采取联合收割机结合公共卫生和临床心理学方法的干预措施，同时解决黑人文化和心理社会因素。本研究的目的是（1）开发一种创新的基于DVD的戒烟干预，基于自由之路（PTF），一种社区戒烟指南;（2）对干预进行试点评估。DVD还将由一个以诊所为基础的戒烟计划指导，该计划在黑人吸烟者中证明了有效性。DVD将包括6个部分，包括：教育，戒烟，复发预防，社区倡议，问题和答案，医疗实践设置。吸烟者将有权向最符合其需求和戒烟准备程度的部门寻求帮助。试点评价将包括定性和定量方法。定性评价将包括与吸烟者、主要利益相关者的半结构化访谈，以探讨与黑人社区干预效用相关的主题、干预解决黑人吸烟者异质性的能力以及传播潜力。定量初步研究将包括一项2组设计。参与者（N = 100）将被随机分配观看新的PTF DVD或标准对照DVD。将在基线、观看DVD后即刻和1个月随访时对受试者进行评估。主要结果变量将是可行性和过程变量（例如，干预评估、戒烟准备和戒烟自我效能）。退出尝试将是第二个结果变量。拟议的干预措施将利用技术作为在服务不足的社区促进健康的工具，并制定一项可用于多种环境的独立干预措施，如社区卫生诊所、初级保健、戒烟热线、戒烟诊所和研讨会/讲习班。 公共卫生关系：将公共卫生和临床心理学方法整合到烟草控制中有可能减少种族健康差异。这项研究将开发一个创新的循证戒烟DVD针对黑人。该项目的总体目标是通过制定一项基于DVD的协议，将行为咨询带入吸烟者的家中，从而增加戒烟服务对黑人社区的影响。