TRIAL OF SMOKING CESSATION PROGRAMS IN BLACK CHURCHES

黑人教堂戒烟计划试验

• 批准号: 2221097
• 负责人: JOHN B SCHORLING
• 金额: $ 22.87万
• 依托单位: UNIVERSITY OF VIRGINIA
• 依托单位国家: 美国
• 财政年份: 1991
• 资助国家: 美国
• 起止时间: 1991-07-01 至 1995-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2221097
• 关键词: African American; behavior modification; blood lipid; blood pressure; cardiovascular disorder epidemiology; disease /disorder proneness /risk; education evaluation /planning; health behavior; health service demonstration project; human subject; religious group; rural area; smoking cessation; social support network; tobacco abuse education

This study is designed to provide a comprehensive description of smoking beliefs and behavior among rural blacks, and to test the effectiveness of smoking cessation strategies delivered through black churches. Two demographically similar rural counties in central Virginia will be compared, one intervention and one control site. In each country, two cohorts will be assembled, a random sample of all black smokers (the community cohort), and all members of randomly sampled black churches (the church cohort). The descriptive component of the study will involve eliciting the knowledge, beliefs, attitudes, and behavior concerning smoking from these cohorts. Cardiovascular risk factors, including blood pressure and cholesterol levels, will also be determined in the community cohort. For the experimental component, a variety of interventions which have proven to be efficacious in other settings will be implemented through black churches. These will include fostering a supportive environment, distributing self-help materials, and providing individual support and counselling through the use of peer facilitators. The results of the baseline psychosocial survey will be used to modify these methods for local use. They will then be implemented in a culturally appropriate fashion at the intervention sites. Baseline smoking rates will be determined using the initial surveys in both counties. Smokers will be surveyed again at the end of the interventions and one year later to establish one-year abstinence rates. These will be used as the primary outcome variables for the analysis of effect. The principal effect of the interventions will be measured by comparing smoking abstinence rates between the church cohorts in the intervention and control counties. Due to the extended nature of the social networks associated with the churches, the interventions may also have an effect on individuals not directly exposed, and this will be determined by comparing the outcomes in the community cohorts. Finally, the associations between the baseline psychosocial and physiologic variables, exposure to the interventions, and smoking cessation behavior will also be analyzed, to characterize on a population basis those who are and are not influenced by these church-based programs.

这项研究的目的是提供一个全面的描述吸烟 农村黑人的信仰和行为，并测试的有效性， 通过黑人教堂提供戒烟策略。 两 弗吉尼亚州中部人口统计学上相似的农村县将被 一个干预组和一个对照组。 在每个国家， 队列将被组装，所有黑人吸烟者的随机样本（ 社区队列），以及随机抽样的黑人教会（ church cohort）。 研究的描述部分将涉及 知识、信念、态度和行为 从这些人群中吸烟。 心血管风险因素，包括血液 血压和胆固醇水平，也将在社区确定 队列。 对于实验部分， 已被证明在其他环境中有效的方法将通过 黑人教堂 这将包括营造一个支持性的环境， 分发自助材料，提供个人支持， 通过使用同侪辅导员进行辅导。 的结果 基线心理社会调查将用于修改这些方法， 使用. 然后，将以文化上适当的方式， 干预网站。 基线吸烟率将通过两项调查的初步调查确定 个县 吸烟者将在干预结束时再次接受调查 一年后，确定一年的戒烟率。 这些将是 作为影响分析的主要结果变量。 的 干预措施的主要效果将通过比较吸烟 干预组和对照组的教会人群之间的禁欲率 个县 由于相关的社交网络的扩展性质， 对于教会来说，干预也可能对个人产生影响 不直接暴露，这将通过比较结果来确定 在社区队列中。 最后，基线与 心理社会和生理变量，暴露于干预措施，以及 戒烟行为也将进行分析，以表征一个 人口基础那些谁是和不受这些教会为基础的 程序.