Relapse Prevention for Adolescent Ex-Smokers

青少年戒烟者的复吸预防

• 批准号: 6790605
• 负责人: THADDEUS A HERZOG
• 金额: $ 16.3万
• 依托单位: H. LEE MOFFITT CANCER CTR & RES INST
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-08-15 至 2006-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6790605
• 关键词: adolescence (12-20); behavioral /social science research tag; clinical research; disease /disorder prevention /control; educational resource design /development; health education; human subject; interview; motivation; outcomes research; publications; relapse /recurrence; saliva; self help; smoking

DESCRIPTION (provided by applicant): Cigarette smoking among adolescents has increased over the past decade. This trend is particularly important given that more than 80% of adult smokers initiated smoking prior to age 18. In response to this problem, researchers and public health officials have placed an increased emphasis on reducing youth cigarette smoking in recent years. The most pervasive form of youth tobacco control is prevention of smoking. Although many prevention programs have been developed and implemented in recent decades, the success rates of most of these programs has been modest. More recently, researchers and clinicians have increased efforts in the area of smoking cessation for adolescents. However, smoking cessation for youth is still in its incipient phase, and the success rates of cessation interventions have also been modest. One understudied area for research and intervention is relapse-prevention for adolescents. This is significant because adolescents quit smoking more frequently than adults, and also relapse more frequently than adults. The current proposal aims to capitalize upon the advances made in adult relapse-prevention by applying and adapting these techniques to adolescents. Ultimately our intervention will consist of a series of booklets modeled after the Stay Quit booklets, which have been successful at reducing relapse among the general population of adult recent quitters. We will adapt the booklets to meet the specific needs of adolescents. The adaptation of the intervention will be based upon qualitative evaluations including a series of focus groups, in-depth interviews, and learner verification interviews (Study I). Study II will be a feasibility intervention study using our redesigned relapse-prevention booklets, and will follow Study I. Adolescents who have quit smoking will be recruited from six public high schools and will receive the series of 8 booklets sent every three weeks. Assessments will be conducted at one month, three months, and five months after the beginning of treatment. Study II will allow us to assess the procedures and mechanics of administering a mail-based intervention to adolescent ex-smokers, and will also provide us with preliminary data regarding the acceptability of our mail-based program, and the feasibility of our recruitment and consent procedures.

描述（由申请人提供）：过去十年，青少年吸烟人数有所增加。鉴于超过 80% 的成年吸烟者在 18 岁之前开始吸烟，这一趋势尤为重要。为了应对这一问题，研究人员和公共卫生官员近年来越来越重视减少青少年吸烟。青少年烟草控制最普遍的形式是预防吸烟。尽管近几十年来制定并实施了许多预防计划，但大多数计划的成功率都很有限。最近，研究人员和临床医生加大了青少年戒烟领域的努力。然而，青少年戒烟仍处于起步阶段，戒烟干预措施的成功率也较低。 研究和干预的一个尚未充分研究的领域是青少年的旧病复发预防。这一点很重要，因为青少年比成年人戒烟更频繁，而且复吸的频率也比成年人更高。目前的提案旨在通过将这些技术应用于青少年并使其适应，以利用在成人预防复发方面取得的进展。 最终，我们的干预措施将包括一系列以“保持戒烟”小册子为蓝本的小册子，这些小册子已成功地减少了最近戒烟的成年人的复吸率。 我们将调整小册子以满足青少年的具体需求。干预措施的调整将基于定性评估，包括一系列焦点小组、深入访谈和学习者验证 访谈（研究一）。 研究二将是一项可行性干预研究，使用我们重新设计的预防复吸小册子，并将遵循研究一。将从六所公立高中招募已戒烟的青少年，并将收到每三周发送的八本系列小册子。 评估将在治疗开始后一个月、三个月和五个月进行。研究二将使我们能够评估对青少年戒烟者进行基于邮件的干预的程序和机制，并且还将为我们提供有关基于邮件的计划的可接受性以及我们的招募和同意程序的可行性的初步数据。