Smoking Cessation in Pediatric Pratice: Phase 1

儿科实践中的戒烟：第一阶段

• 批准号: 6785065
• 负责人: JONATHAN D KLEIN
• 金额: $ 10万
• 依托单位: UNIVERSITY OF ROCHESTER
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-30 至 2005-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6785065
• 关键词: adolescence (12-20); attitude; behavior modification; behavioral /social science research tag; clinical research; counseling; craving; drug abuse information system; drug abuse therapy; drug habituation; health care service planning; health services research tag; human data; human subject; medical outreach /case finding; patient oriented research; pediatrics; smoking cessation; tobacco abuse

DESCRIPTION (provided by applicant): More than three million adolescents in the United States smoke cigarettes. Although there has been considerable research on smoking prevention for children and on clinical smoking cessation interventions for adults, few studies examine smoking cessation interventions for youth. The University of Rochester--in collaboration with the American Academy of Pediatrics-Pediatrics Research in Office Settings (PROS) practice-based research network of more than 1,700 clinicians in 601 primary care pediatric practices--proposes pilot studies of tobacco cessation counseling interventions for adolescents in primary care pediatric settings. Our long-term goal is to improve the quality of clinical preventive services in PBRN settings. Our specific aims are to: 1a) pilot procedures for recruitment and randomization of PROS practices, 1b) field trial/pilot PROS practitioner cessation counseling and practices' enrollment of adolescent patients; and, 2) assess the feasibility of pediatric clinician referral of adolescent patients to internet-based adjuncts for smoking cessation. We will pilot recruitment and training using the Public Health Service Guideline 5A's model in 10 PROS practice sites; assess adolescent enrollment and screening procedures with 1,000 adolescents, and survey 100 smokers two to three weeks after their visits to assess the interventions and at three months to provide preliminary estimates of cessation outcomes. We will field test measures, describe the patterns of smoking among youth, and explore how interventions affect motivation, quitting, abstinence, attitudes, and smoking behaviors. The PROS network offers the unique opportunity to develop interventions in collaboration with clinicians who will actually use them. This study will develop methods for future larger scale studies and will add to our understanding of the process of implementation of adolescent smoking cessation in primary care practice. If effective, these interventions will have broad public health implications for reducing smoking prevalence among youth.

描述（申请人提供）：美国有300多万青少年吸烟。 虽然已经有相当多的研究对儿童的吸烟预防和临床戒烟干预成人，很少有研究探讨戒烟干预青年。 罗切斯特大学与美国儿科学会合作，在601个初级保健儿科诊所中有1,700多名临床医生，他们提出了在初级保健儿科诊所中对青少年进行戒烟咨询干预的试点研究。 我们的长期目标是提高PBRN环境中临床预防服务的质量。 我们的具体目标是：1a）PROS实践招募和随机化的试点程序，1b）现场试验/试点PROS从业者戒烟咨询和青少年患者的实践招募;以及2）评估儿科临床医生将青少年患者转诊至基于互联网的戒烟专家的可行性。 我们将使用公共卫生服务指南5A的模式在10个PROS实践点进行试点招募和培训;评估1,000名青少年的青少年登记和筛查程序，并在访问后两到三周对100名吸烟者进行调查，以评估干预措施，并在三个月内提供戒烟结果的初步估计。 我们将现场测试措施，描述青少年吸烟的模式，并探讨干预措施如何影响动机，戒烟，禁欲，态度和吸烟行为。 PROS网络提供了与实际使用它们的临床医生合作开发干预措施的独特机会。 这项研究将为未来更大规模的研究开发方法，并将增加我们对青少年戒烟在初级保健实践中的实施过程的理解。 如果有效，这些干预措施将对减少青年吸烟率产生广泛的公共卫生影响。

项目成果

The changing risk profile of the American adolescent smoker: implications for prevention programs and tobacco interventions.

• DOI: 10.1016/j.jadohealth.2005.10.014
• 发表时间: 2006-07-01
• 期刊: The Journal of adolescent health : official publication of the Society for Adolescent Medicine
• 作者: Camenga, Deepa R;Klein, Jonathan D;Roy, Jason
• 通讯作者: Roy, Jason