Preventing tobacco use among adolescents in Uruguay: Project Activate

描述（由申请人提供）：本提案是为了响应RFA-TW-11-003，即第三轮福格蒂国际烟草与健康研究和能力建设计划而提交的。该项目的研究目标是设计、提供和评估一种文化上适当的、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。干预，称为激活！，将以已知的预防和减少高收入年轻人吸烟的循证干预战略为基础（例如，美国）和低收入（例如，印度）国家，“翻译”用于这个中等收入国家。鉴于新的研究表明，促进体育活动实际上可以预防烟草使用，因此将采用额外的干预策略来鼓励和支持体育活动。考虑到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利用，我们预计烟草使用会产生短期和长期影响，并将对此进行测试。干预的有效性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3，200名青年进行为期3年的随访。能力建设将是我们研究计划的一个重要组成部分。能力建设战略将为公共卫生专业人员提供多种培训机会， 乌拉圭和美国将适当应用和加强其专门技能，以设计、执行和监测拉丁美洲青年的行为干预措施，并开展和评价对青少年的大规模研究。能力建设活动还将动员和动员年轻人、他们的父母和其他社区成员采取行动，防止乌拉圭青少年开始和发展烟草使用。美国的研究小组是德克萨斯大学公共卫生学院的。他们有能力领导这项研究，在这一机制的前两轮中，他们都是福格蒂基金的成功接受者。乌拉圭的研究小组与乌拉圭烟草流行研究中心CIET合作。CIET在乌拉圭（以及整个拉丁美洲地区）处于烟草控制研究、实践和宣传的最前沿，以其与当地和国际民间社会和政府官员的合作而闻名。

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 ¡Actívate!, 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.