Building Capacity of Tobacco Cessation in India & Indonesia

印度戒烟能力建设

• 批准号: 7648040
• 负责人: MARK A NICHTER
• 金额: $ 29.89万
• 依托单位: UNIVERSITY OF ARIZONA
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-13 至 2012-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7648040
• 关键词: Address; Adopted; Asians; Attention; Awareness; Cessation Research; Clinic; Collaborations; Commit; Communities; Community Health; Community Healthcare; Community Practice; Conscious; Counseling; Country; Developed Countries; Developing Countries; Education; Educational Curriculum; Environment; Faculty; Fostering; Funding; General Population; Glean; Goals; Government; Health; Health Personnel; Health Priorities; Health Professional; Home environment; Income; India; Indonesia; Institution; Interdisciplinary Study; International; Intervention; Joints; Knowledge; Learning; Locales; Medical; Medical Education; Medical Faculty; Mentors; Modeling; Morbidity - disease rate; Nongovernmental Organizations; Participant; Patients; Physicians; Pilot Projects; Positioning Attribute; Private Sector; Process; Province; Public Health; Recruitment Activity; Research; Research Activity; Research Design; Research Infrastructure; Research Personnel; Research Training; Risk; Services; Site; Students; Sum; Tobacco; Tobacco Use Cessation; Tobacco use; Training; Training Activity; Training and Infrastructure; Women' s Group; Work; Workplace; base; cohort; cost effective; experience; interest; international center; medical schools; meetings; member; mortality; next generation; patient population; population health; programs; research in practice; skills; tobacco control

DESCRIPTION (provided by applicant): Tobacco cessation is a global health priority not yet addressed in low and low-middle income countries such as India and Indonesia. An important lesson gleaned from international health is that interventions proven effective in western countries cannot simply be exported to developing nations without significant cultural adaptation. Research is urgently needed to find the most effective means of promoting cessation in local contexts. A first step in gaining public attention about the harm of tobacco use and the need for cessation is to involve the medical community in tobacco cessation efforts. It has been well established that before tobacco use declines in the general population, health care providers must be at the forefront of tobacco cessation efforts. To do so, they must quit tobacco use themselves, routinely ask patients about tobacco use, and advise them to quit. At present, there is little involvement of physicians in tobacco cessation efforts in India and Indonesia. Based on four years of experience during Project Quit Tobacco International (QTI) (under the previous Fogarty initiative), the proposed project unfolds as a four-step process to develop a cohort of tobacco cessation researchers in India and Indonesia, using local medical schools as a hub for research activities in both the health care community and the community at large. Medical schools will become centers for recruiting and training tobacco cessation researchers as well as sites for implementing pilot studies and mobilizing local tobacco cessation research networks. The specific objectives of the project are to (1) increase knowledge about the risks of tobacco use and the importance of cessation through dissemination of a model tobacco education curriculum for medical schools in India and Indonesia; (2) recruit and train tobacco researchers concurrently with introducing tobacco education in nine medical schools in each country; (3) involve partner medical schools in tobacco cessation-related community-based research pilot studies, and (4) build capacity in tobacco-related research in both countries by creating tobacco cessation research networks in the six states (three in each country) where project activities will take place. Developed over the past four years, the QTI tobacco cessation research centers in India and Indonesia have begun to engage the communities in which they are located. In-country researchers have gained the skills and confidence to take the next step toward building research capacity beyond their institutions in these two culturally diverse nations. The proposed project will leverage lessons learned during QTI and provide an infrastructure for training a next generation of local tobacco researchers to meet the challenges of tobacco cessation within their own countries.

戒烟是一项全球卫生优先事项，但在印度和印度尼西亚等中低收入国家尚未得到解决。从国际卫生中吸取的一个重要教训是，在西方国家证明有效的干预措施不能简单地出口到发展中国家，而必须进行重大的文化适应。迫切需要进行研究，以找到在当地促进戒烟的最有效手段。让公众关注烟草使用的危害和戒烟的必要性的第一步是让医学界参与戒烟工作。众所周知，在一般人群的烟草使用下降之前，卫生保健提供者必须站在戒烟工作的最前沿。要做到这一点，他们必须自己戒烟，定期询问患者有关烟草使用的情况，并建议他们戒烟。目前，在印度和印度尼西亚，医生很少参与戒烟工作。根据国际戒烟项目（QTI）（在以前的Fogarty倡议下）四年的经验，拟议的项目分为四个步骤，在印度和印度尼西亚培养一批戒烟研究人员，利用当地医学院作为卫生保健界和整个社区研究活动的中心。医学院将成为招募和培训戒烟研究人员的中心，以及实施试点研究和动员当地戒烟研究网络的场所。该项目的具体目标是：（1）通过在印度和印度尼西亚的医学院传播烟草教育示范课程，增加对吸烟风险和戒烟重要性的认识;（2）在每个国家的九所医学院开展烟草教育的同时，招聘和培训烟草研究人员;（3）让伙伴医学院参与与戒烟有关的社区研究试点研究，以及（4）通过在六个州建立戒烟研究网络，在两国建立烟草相关研究能力（每个国家三个）项目活动将在哪里进行。在过去四年中，印度和印度尼西亚的QTI戒烟研究中心已经开始让所在社区参与进来。国内研究人员已经获得了技能和信心，可以在这两个文化多样性国家的机构之外进一步建立研究能力。拟议的项目将利用QTI期间吸取的经验教训，并为培训下一代当地烟草研究人员提供基础设施，以应对本国戒烟的挑战。