Development of a Tobacco Health Literacy Instrument

烟草健康素养工具的开发

• 批准号: 9042323
• 负责人: CHRISTINE Makosky DALEY
• 金额: $ 17.65万
• 依托单位: UNIVERSITY OF KANSAS MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-04-01 至 2018-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9042323
• 关键词: Address; Adult; American Indians; Assessment tool; Behavior; Cancer Etiology; Cardiovascular Diseases; Cause of Death; Cessation of life; Communication; Communities; Community Health; Community Participation; Comprehension; Data; Decision Making; Development; Dimensions; Education; Ensure; Ethnic group; Factor Analysis; Faculty; Goals; Grant; Health; High Prevalence; Individual; Internet; Intervention; Kansas; Knowledge; Lead; Learning; Literature; Lung; Malignant Neoplasms; Malignant neoplasm of lung; Measurement; Measures; Medical center; Medicine; Methods; Nature; Oral; Outcome; Participant; Plants; Population; Premature Mortality; Prevention; Prevention program; Preventive Intervention; Primary Prevention; Printing; Qualifying; Race; Readability; Reporting; Research; Research Methodology; Risk; Risk Factors; Secondary Prevention; Smoke; Smoker; Smoking; Surveys; Target Populations; Testing; Tobacco; Tobacco use; Underserved Population; United States; Universities; Validity and Reliability; Work; Youth; aged; base; cigarette smoking; community based participatory research; design; functional health literacy; health disparity; health equity; health literacy; high risk; improved; instrument; literacy; mathematical ability; member; mortality; northern plains; prevent; programs; racial and ethnic; reduce tobacco use; response; skills; smoking cessation; tobacco control; tobacco prevention; tool; tribal college; university student

 DESCRIPTION (provided by applicant): American Indians (AI) have the highest rates of smoking of any racial/ethnic group in the US (41% versus 23% for whites and blacks). Consequently, they suffer the highest mortality from tobacco-related illnesses of any racial/ethnic group; two of every five AI die from a tobacco-related illness. AI youth have a high prevalence of tobacco use as well, where cigarette smoking is reported just below 37% for youth aged 11-18. Tobacco prevention efforts include education materials and programming that deter individuals from starting smoking or encourage individuals to quit smoking. However, we do not know if education efforts are fully understood and resonate with target populations, as indicated by high prevalence rates among AI populations. This may be explained, in part, because tobacco is a sacred plant to many AI and, as such, cannot be treated completely negatively, as most primary and secondary prevention programs do. We propose to create health literacy (HL) instrument that is specific to tobacco knowledge and risk. We believe this is a necessary step in primary and secondary prevention efforts in order to determine the appropriate way to intervene upon behaviors among those who have yet to start smoking, those who smoke and want to quit, and those that smoke and do not want to quit. Therefore, our long-term goal is to improve tobacco education and programming that will lead to better tobacco prevention efforts among AI communities. Our team has successfully used community-based participatory research (CBPR) to address tobacco use with AI communities since 2003. Our community partners requested that we examine additional ways to improve tobacco prevention efforts. We will address the following specific aims: (1) Develop a HL measure that is specific to tobacco use among AI populations by using CBPR to create a culturally relevant instrument that examines tobacco HL knowledge and risk; (2) Determine the reliability and validity of a tobacco HL measure among AI populations by testing it with AI adults (long form, n=250; short form, n=100). We will use experts to estimate content validity and factor analysis on participants' responses to estimate instrument's dimension and reliability. Our rationale for this project is tha the use of a tobacco HL instrument will lead to the design of better primary and secondary prevention tools, thus reducing tobacco-related disparities.

 描述（由申请人提供）：美国印第安人（AI）的吸烟率在美国任何种族/族裔群体中最高（41%对白人和黑人的23%）。因此，他们遭受任何种族/族裔群体中与烟草有关的疾病的最高死亡率;五分之二的AI死于与烟草有关的疾病。AI青年的烟草使用率也很高，据报道，11-18岁的青年吸烟率略低于37%。烟草预防工作包括阻止个人开始吸烟或鼓励个人戒烟的教育材料和方案。然而，我们不知道教育工作是否得到了目标人群的充分理解和共鸣，正如AI人群的高患病率所表明的那样。这可以部分解释，因为烟草是许多AI的神圣植物，因此，不能像大多数初级和二级预防计划那样完全消极对待。我们建议创建针对烟草知识和风险的健康素养（HL）工具。我们认为这是一级和二级预防工作的必要步骤，以确定对尚未开始吸烟的人、吸烟并希望戒烟的人以及吸烟但不想戒烟的人的行为进行干预的适当方式。因此，我们的长期目标是改善烟草教育和规划，从而在人工智能社区中开展更好的烟草预防工作。自2003年以来，我们的团队成功地利用基于社区的参与式研究（CBPR）来解决人工智能社区的烟草使用问题。我们的社区合作伙伴要求我们研究改进烟草预防工作的其他方法。我们将解决以下具体目标：（1）通过使用CBPR创建一个文化相关的工具，检查烟草HL知识和风险，开发一种针对AI人群烟草使用的HL措施;（2）通过对AI成人进行测试，确定AI人群烟草HL措施的可靠性和有效性（长表，n=250;短表，n=100）。本研究将利用专家对问卷内容效度进行评估，并对被试的反应进行因子分析，以评估问卷的维度和信度。我们开展这一项目的理由是，使用烟草HL工具将有助于设计更好的一级和二级预防工具，从而减少与烟草有关的差异。

项目成果

It's not just about recruitment: An exploratory look at tobacco education sessions to increase participation into smoking cessation programs among American Indians.

这不仅仅是招募人员：对烟草教育课程进行探索性研究，以增加美洲印第安人对戒烟计划的参与。

• DOI: 10.15761/hec.1000137
• 发表时间: 2018
• 期刊: Health education and care
• 作者: Lumpkins,CY;Filippi,MK;Nazir,N;Pacheco,CM;Hester,CM;Daley,SM;Choi,WS;Daley,CM
• 通讯作者: Daley,CM