Preventing tobacco use among adolescents in Uruguay: Project Activate

预防乌拉圭青少年吸烟：项目激活

• 批准号: 8913106
• 负责人: Melissa Blythe Harrell
• 金额: $ 31.37万
• 依托单位: UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-01 至 2016-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8913106
• 关键词: 14 year old; 15 year old; Address; Adolescence; Adolescent; Adult; Advocacy; American; Americas; Behavior; Behavior Therapy; Behavioral Mechanisms; Caring; Centers for Disease Control and Prevention (U.S.); Cigarette; Collaborations; Communities; Complement; Country; Development; Distal; Elements; Environment; Epidemic; Evaluation; Evidence based intervention; Fostering; Funding; Future; Goals; Government Officials; Growth; Health; Health Professional; Income; India; International; Intervention; Intervention Studies; Label; Latin America; Laws; Lead; Long-Term Effects; Low income; Media Campaign; Monitor; Outcome; Parents; Physical Function; Physical activity; Policies; Positioning Attribute; Preparation; Prevalence; Prevention; Prevention approach; Process; Public Health; Public Health Schools; Randomized Controlled Trials; Research; Research Project Grants; Sales; Schools; Scientist; Smoke; Smoking; Students; Taxes; Testing; Texas; Time; Tobacco; Tobacco Control Research; Training; Translating; Treatment Efficacy; United States; Universities; Uruguay; Work; Youth; base; behavior change; behavioral outcome; cigarette smoking; civil society; cohort; design; evidence base; experience; healthy lifestyle; innovation; legal cases; member; prevent; programs; public policy on tobacco; randomized trial; research study; response; skills; tobacco advertising; tobacco control

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.

描述（由申请人提供）：本提案是为了响应 RFA-TW-11-003（福格蒂国际烟草与健康研究和能力建设计划第三轮）而提交的。该项目的研究目标是设计、提供和评估文化上适当的、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。这项名为“Actívate!”的干预措施将以循证干预策略为基础，这些策略旨在预防和减少高收入（例如美国）和低收入（例如印度）国家年轻人的烟草使用，并“转化”为在这个中等收入国家使用。鉴于新的研究表明促进身体活动实际上可以防止烟草使用，因此将采用额外的干预策略来鼓励和支持身体活动。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进行测试。该干预措施的效果将通过一项分组随机对照试验进行评估，该试验将对乌拉圭蒙得维的亚的 3,200 名青少年进行为期 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 乌拉圭和美国适当应用和增强针对拉丁美洲青年设计、实施和监测行为干预措施的技能，以及对青少年开展和评估大规模研究的技能。能力建设活动还将吸引和激励年轻人、他们的父母和其他社区成员采取行动，防止乌拉圭青少年吸烟的发生和发展。美国团队来自德克萨斯大学公共卫生学院。他们在该机制的前两轮中成功获得了福格蒂资助，因此有能力领导这项研究。乌拉圭团队隶属于乌拉圭烟草流行病研究中心 CIET。 CIET 处于乌拉圭（以及整个拉丁美洲地区）烟草控制研究、实践和宣传的前沿，因其与当地和国际民间社会和政府官员的合作而闻名。