The adolescent smoker's check-up software program

描述(由申请人提供)： 这个项目的目标是开发、评估和传播一个基于互联网的互动项目，为青少年吸烟者提供简短的动机干预，青少年吸烟者体检(ASCU)。ASCU的内容将仿效针对青少年吸烟者的面对面短暂干预，已证明有效。该计划的结构将类似于为饮酒者提供的基于计算机的简短动机干预--饮酒者体检，目前正在进行一项对照临床试验。ASCU将由综合评估、反馈、决策、后续行动和管理模块组成。它将使用有效的简短干预的共同框架要素。后续行动部分将具有广泛的成果报告能力，可用于方案评估。第一阶段的目标是开发前三个模块的有限原型，并评估其技术优势和可行性。第二阶段的目标包括完成原型、创建后续模块、Beta测试，然后进行对照临床试验以评估其疗效。公共卫生方面的担忧影响深远。尽管在青少年吸烟预防项目上花费了数百万美元，但大约三分之一的美国青少年经常吸烟，大约90%的成年吸烟者报告说，他们在青春期开始经常吸烟。最近的文献表明，近600万青少年是经常吸烟的人，每天另有3000名青少年成为经常吸烟的人。基于偶然性的方法(即青少年吸烟法庭)、技能培养计划(即“说不”)或其他外在驱动的技术的结果似乎对这一群体无效。ASCU将为青少年设计，以增强他们戒烟的内在动机。这项计划可能是一种有效的青少年戒烟方法，无论是作为独立的干预措施，还是作为现有学校、社区或司法系统的前治疗辅助工具。

DESCRIPTION (provided by applicant): The goals of this project are to develop, evaluate, and disseminate an interactive, Internet-based program that provides a brief motivational intervention for adolescent smokers, the Adolescent Smoker's Check-up (ASCU). The content of the ASCU will be modeled on a face-to-face brief intervention for adolescent smokers that has demonstrated efficacy. The structure of the program will be similar to a computer-based brief motivational intervention for drinkers, the Drinker's Check-up, which is currently being evaluated in a controlled clinical trial. The ASCU will consist of integrated Assessment, Feedback, Decision Making, Follow-up and Administrator modules. It will use the FRAMES elements common to effective brief interventions. The Follow-up component will have extensive outcome report capabilities that could be used for program evaluation. The goals of Phase I are to develop a limited prototype of the first three modules and evaluate its technical merit and feasibility. The goals of Phase II include completing the prototype, creating a Follow-up module, beta testing, then a controlled clinical trial to assess its efficacy. The public health concerns are far reaching. Despite spending millions of dollars on adolescent smoking prevention programs, approximately one third of American teens smoke on a regular basis and roughly 90 percent of adult smokers report onset of regular smoking during adolescence. Recent literature suggests that nearly six million adolescents are regular smokers and an additional three thousand teens become regular smokers each day. The results from contingency-based approaches (i.e. juvenile smoking courts), skills building programs (i.e., "just say no"), or other extrinsically driven techniques do not seem to be effective with this population. The ASCU will be designed for teens to enhance their intrinsic motivation to quit smoking. This program could be an effective approach to adolescent smoking cessation either as a stand-alone intervention or as a pre-treatment adjunct to existing school, community, or judicial systems.