SMOKING TREATMENT FOR ALCOHOL ABUSING ADOLESCENTS

针对酗酒青少年的吸烟治疗

基本信息

批准号：
2516847
负责人：
MARK G MYERS
金额：
$ 9.18万
依托单位：
RADY CHILDREN'S HOSPITAL - SAN DIEGO
依托单位国家：
美国
项目类别：
财政年份：
1996
资助国家：
美国
起止时间：
1996-09-29 至 1998-08-31
项目状态：
已结题

项目摘要

APPLICANT'S ABSTRACT: Cigarette smoking is a leading cause of morbidity and mortality and is the leading preventable cause of lung and other cancers. It results in substantial health care expenditures. Despite extensive efforts at preventing smoking, youth continue to initiate and maintain smoking at significant levels. Research shows that adolescent use of cigarettes and alcohol increases concurrently. Teens treated for alcohol and other drug abuse evidence substantial and persistent cigarette involvement that identifies this group as a particularly important target for smoking cessation intervention. Adolescent smoking cessation treatment research is in its infancy, with limited knowledge to inform the development of interventions. To address this issue, the goal of this proposed exploratory/developmental (R21) project is to develop an intervention designed specifically for alcohol-abusing adolescent smoking cessation. Information from this study will provide a better understanding of factors associated with alcohol-abusing teen smoking cessation and will produce an initial intervention that will serve as the basis for future treatment outcome research. The study design draws on theoretical and empirical contributions of the biobehavioral model of addiction (e.g., Donovan, 1988). Existing data on correlates of teen smoking cessation, and adult and alcohol abuser smoking cessation guide the design of the intervention development. The intervention consists of 2 phases, smoking reduction and cessation/relapse prevention, to be delivered in a group format to 84 adolescent alcohol abusers. Successive versions of the intervention will be modified based on participant and group leader feedback. The primary hypotheses of this study are a) that participant teens will evidence significantly reduced rates of cigarette smoking, and b) that pretreatment nicotine dependence will predict post-treatment smoking.

申请人的摘要：吸烟是发病率和死亡率，是肺部和其他癌症的可预防原因。它导致了大量的医疗保健支出。尽管很广泛为防止吸烟而努力，年轻人继续发起和维护在重要水平上吸烟。研究表明，青少年的使用香烟和酒精同时增加。青少年接受酒精治疗和其他药物滥用证据证明了大量和持续的香烟将该群体视为特别重要的目标的参与用于戒烟干预。青少年戒烟治疗研究仍处于起步阶段，知识有限，可以告知发展干预措施。为了解决这个问题，该提议的目标探索/发展（R21）项目是开发干预措施专为饮酒的青春期戒烟而设计。这项研究的信息将更好地了解因素与饮酒的青少年戒烟有关，并会产生最初的干预措施将作为将来治疗的基础结果研究。研究设计借鉴了理论和经验成瘾生物行为模型的贡献（例如，多诺万，1988年）。现有有关青少年戒烟以及成人和酒精相关的数据施虐者戒烟指南干预开发的设计。干预措施包括2个阶段，减少吸烟和停止/预防复发，以组格式交付至84 青少年滥用酒精。干预的连续版本将是根据参与者和小组负责人反馈进行修改。主要这项研究的假设是a）参与者青少年将证明大大降低了吸烟率，b）预处理尼古丁依赖性将预测治疗后吸烟。