Preventing tobacco use among adolescents in Uruguay: Project Activate

描述(由申请人提供)：本提案是针对Fogarty的第三轮国际烟草与健康研究和能力建设计划RFA-TW-11-003而提交的。该项目的研究目标是设计、提供和评估一种适合文化的、协调的、多组成部分的干预措施，以预防和减少乌拉圭蒙得维的亚青少年的烟草使用。这项名为《行动计划》的干预措施将建立在循证干预战略的基础上，以预防和减少高收入(例如美国)和低收入(例如印度)国家年轻人的烟草使用为基础，并将其转化为在这个中等收入国家使用。鉴于新的研究表明，促进体育锻炼实际上可以防止烟草使用，将采用额外的干预策略来鼓励和支持体育锻炼。鉴于乌拉圭目前存在的全面监管环境，以及我们对现有证据基础和其中基本要素的使用，我们预计对烟草使用的短期和长期影响，并将对此进行测试。干预的效果将在一项分组随机对照试验中进行评估，该试验将在乌拉圭蒙得维的亚对3200名青年进行为期3年的跟踪调查。能力建设将是我们研究计划的一个完整而重要的部分。能力建设战略将为#年的公共卫生专业人员提供多种培训机会 乌拉圭和美国在设计、实施和监测针对拉丁美洲青年的行为干预措施以及开展和评估针对青少年的大规模研究研究方面适当地应用和提高了专门技能。能力建设活动还将促使年轻人、他们的父母和其他社区成员采取行动，防止乌拉圭青少年使用烟草的开始和发展。这个来自美国的团队是德克萨斯大学公共卫生学院的成员。他们处于领导这项研究的有利地位，在这一机制的前两轮中成功地接受了Fogarty的资助。乌拉圭的团队在乌拉圭的烟草流行研究中心CIET工作。CIET在乌拉圭(以及整个拉丁美洲地区)处于烟草控制研究、实践和宣传的前沿，他们与当地和国际上的民间社会和政府官员合作而闻名。

DESCRIPTION (provided by applicant): This proposal is being submitted in response to RFA-TW-11-003, the third round of Fogarty's International Tobacco and Health Research and Capacity Building Program. The research goal of this project is to design, deliver, and evaluate a culturally-appropriate, coordinated, multiple component intervention to prevent and reduce tobacco use among adolescents in Montevideo, Uruguay. The intervention, called ¿Act¿vate!, will be grounded in evidence-based intervention strategies known to prevent and reduce tobacco use among young people in high-income (e.g., United States) and low-income (e.g., India) nations, "translated" for use in this middle-income country. Additional intervention strategies wil be employed to encourage and support physical activity, given new studies that suggest that promoting physical activity could actually prevent tobacco use. Given the comprehensive regulatory environment that currently exists in Uruguay and our use of the existing evidence-base and essential elements therein, we anticipate short- and long-term effects on tobacco use and will test for that. The efficacy of the intervention will be evaluated in a group-randomized, controlled trial that will follow a cohort of 3,200 youth in Montevideo, Uruguay over 3 years. Capacity building will be an integrated and significant part of our research program. Capacity building strategies will provide multiple training opportunities for public health professionals in Uruguay and the United States to suitably apply and enhance their skills specific to designing, implementing, and monitoring behavioral interventions for Latin American youth and conducting and evaluating large-scale research studies with adolescents. Capacity building activities will also engage and activate young people, their parents, and other community members to take action to prevent the onset and progression of tobacco use among adolescents in Uruguay. The US-based team is with the School of Public Health, University of Texas. They are well-positioned to lead this study, having been successful recipients of Fogarty funding in the previous two rounds of this mechanism. The Uruguay-based team is with CIET, the Tobacco Epidemic Research Center in Uruguay. CIET is at the forefront of tobacco control research, practice, and advocacy in Uruguay (and across the region of Latin America), well-known for their work with civil society and government officials, both locally and internationally.