Targeting Tobacco Cessation Interventions for Latinos/as with Depression

针对拉丁裔/抑郁症患者的戒烟干预措施

• 批准号: 7459251
• 负责人: PAULA A ESPINOZA
• 金额: $ 7.7万
• 依托单位: UNIVERSITY OF COLORADO DENVER
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-05-06 至 2010-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7459251
• 关键词: Abstinence; Address; Adolescent; Adult; Cancer Etiology; Caring; Cessation of life; Chad; Clinic; Clinical Trials; Colorado; Communities; Community Health; Community Health Centers; County; Data; Education; Empirical Research; Face; Family member; Feedback; Focus Groups; General Population; Group Structure; Health; Health Personnel; Health Sciences; Health Services Accessibility; Health system; Healthcare; Hispanics; Intervention; Interview; Language; Latino; Malignant neoplasm of lung; Managed Care; Mental Depression; Mental Health; Mental disorders; Patients; Persons; Policy Research; Population; Prevention program; Provider; Psychiatry; Public Health; Qualifying; Randomized; Rate; Recruitment Activity; Relapse; Research; Research Personnel; Resources; Risk; Services; Site; Smoke; Smoker; Smoking; Smoking Cessation Intervention; Smoking Prevention; Stigmata; Supportive care; Target Populations; Testing; Tobacco; Tobacco Use Cessation; Tobacco use; Translating; Universities; Withholding Treatment; Woman; base; depressive symptoms; design; health organization; member; men; mental health center; prevent; programs; smoking cessation; social stigma; success; tobacco control; usability

DESCRIPTION (provided by applicant): This is a proposal to conduct a one year study to tailor smoking cessation interventions for Latino persons with depression with depression served in public health settings in order to prepare for a larger multi-site trial testing those interventions. In the U.S., lung cancer is the leading cause of cancer death among Latinos and second among Latinas; however most cases of lung cancer can be prevented by implementing smoking cessation interventions for adult smokers. Persons with depression have significantly higher rates of smoking than the general population and Latinos with depression have significantly higher rates of tobacco use than Latinos without depression. Unfortunately, persons with depression have less success with smoking cessation than persons without depression and are at increased risk for relapse of depressive symptoms during their quit attempts; thus they require additional supportive therapy and resources. Although culturally appropriate smoking cessation interventions for Latino populations have demonstrated success in facilitating abstinence from smoking, these programs have not been specifically tailored for Latinos with depression, a population that faces significant barriers in terms of treatment for mental health and tobacco cessation (e.g., stigma, access to care, language). The current project proposes to tailor a low burden provider toolkit and intervention materials (developed by the Drs. Morris, Waxmonsky, Giese, and Ms. Graves, MPH) for persons with mental illnesses served in community mental health clinics for Latinos/as persons with depression who wish to quit tobacco use and who primarily are treated in public community health centers in Larimer County, Colorado. In order to effectively engage this target population in tobacco cessation interventions, Drs. Waxmonsky and Morris are partnering with the Latino/a Research and Policy Center to provide direction and cultural expertise. Through the use of health care provider focus groups, patient/family member focus groups (separate Spanish and English focus groups), and structured interviews with key community stakeholders (Latino/a persons with depression, community members, mental health and primary care providers in Larimer County Colorado, and cultural experts), the project will (1) obtain input on strategies to recruit/retain Latinos in tobacco cessation treatments; (2) Modify the existing toolkit and interventions based on stakeholder input and translate the existing intervention materials to insure the cultural appropriateness and relevance of the tobacco cessation intervention to address specific/unique needs of Latino persons with depression; and (3) Garner qualitative data about the acceptance, feasibility, and usability of the targeted intervention materials. The project will create tailored intervention materials in both Spanish and English and implementation strategies for the targeted population based on the feedback from the stakeholder groups for a multisite clinical trial and eventual dissemination statewide.

描述（由申请人提供）：这是一项为期一年的研究提案，旨在为公共卫生环境中患有抑郁症的拉丁美洲人量身定制戒烟干预措施，以便为测试这些干预措施的大型多中心试验做准备。在美国，肺癌是拉丁美洲人癌症死亡的主要原因，在拉丁美洲人中居第二位;然而，大多数肺癌病例可以通过对成年吸烟者实施戒烟干预来预防。抑郁症患者的吸烟率明显高于普通人群，而患有抑郁症的拉丁美洲人的吸烟率明显高于没有抑郁症的拉丁美洲人。不幸的是，抑郁症患者的戒烟成功率低于无抑郁症的人，并且在戒烟尝试期间抑郁症状复发的风险增加;因此，他们需要额外的支持性治疗和资源。尽管针对拉丁裔人群的文化上适当的戒烟干预措施在促进戒烟方面取得了成功，但这些计划并不是专门为患有抑郁症的拉丁裔人群量身定制的，这些人群在心理健康和戒烟治疗方面面临重大障碍（例如，耻辱、获得护理、语言）。目前的项目建议量身定制一个低负担的提供者工具包和干预材料（由莫里斯博士，Waxmonsky，Giese和格雷夫斯女士，公共卫生硕士开发），用于在社区精神卫生诊所为拉丁美洲人服务的精神疾病患者/希望戒烟并主要在科罗拉多州拉里默县公共社区卫生中心接受治疗的抑郁症患者。为了有效地使这一目标人群参与戒烟干预措施，Waxmonsky和Morris博士与拉丁美洲/a研究和政策中心合作，提供指导和文化专业知识。通过使用医疗保健提供者焦点小组、患者/家庭成员焦点小组（西班牙语和英语焦点小组分开），并与主要社区利益相关者进行结构化访谈（拉丁裔/a抑郁症患者、社区成员、拉里默县科罗拉多的心理健康和初级保健提供者以及文化专家），该项目将（1）获得关于招募/留住拉丁裔戒烟治疗者的战略的投入;（2）根据利益相关者的意见修改现有的工具包和干预措施，并翻译现有的干预材料，以确保戒烟干预的文化适当性和相关性，以满足拉丁美洲抑郁症患者的特定/独特需求;（3）收集有关目标干预材料的接受度，可行性和可用性的定性数据。该项目将根据利益相关者群体的反馈，为目标人群制作西班牙语和英语的定制干预材料和实施战略，以进行多地点临床试验，并最终在全州范围内传播。