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Promoting Smoking Cessation Among Youth Exiting Foster Care

促进离开寄养的青少年戒烟

基本信息

批准号：
9250724
负责人：
Jordan Michel Braciszewski
金额：
$ 14.11万
依托单位：
HENRY FORD HEALTH SYSTEM
依托单位国家：
美国
项目类别：
财政年份：
2016
资助国家：
美国
起止时间：
2016-08-01 至 2019-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9250724
关键词：
Address Adult Adverse event Age Aging Alcohol or Other Drugs use Biochemical Car Phone Caring Child Cigar Cigarette Communication Computers Control Groups Data Development Drops Electronic cigarette Employment Evidence based intervention Evidence based treatment Face Feasibility Studies Feedback Fostering Foundations Frequencies Future General Population Goals Grant Health Health Services Health Services Accessibility Health Services Needs Home environment Homelessness Housing Intervention Interview Mental Health Mental disorders Methods Modeling Motivation Nicotine Outcome Participant Pilot Projects Plant Roots Population Populations at Risk Preparation Prevalence Problem behavior Public Health Question Text Readiness Recruitment Activity Reporting Research Resources Risk Security Services Smoking Cessation Intervention Substance abuse problem System Testing Text Time Tobacco Tobacco Dependence Tobacco Use Cessation Tobacco Use Disorder Tobacco use Unemployment Vulnerable Populations Youth abuse neglect aged arm base care systems cigarette smoking clinically significant computerized cost design diet and exercise emerging adult experience follow-up foster care health care availability health disparity healthy lifestyle high risk population hookah innovation maltreatment motivational enhancement therapy neglect novel peer physical conditioning programs prospective public health relevance response satisfaction screening and brief intervention smoking cessation smoking prevalence social cognitive theory success tailored messaging tobacco abstinence

项目摘要

DESCRIPTION (provided by applicant): Each year, roughly 30,000 youth exit the foster care system due to "aging out" at age 18, losing access to support services while also becoming fully responsible for their own financial, health, employment, and housing needs. Progressing from homes disproportionately high in neglect and maltreatment, these emerging adults face independence with an increased likelihood of heavy tobacco use and, ultimately, the development of tobacco use disorders. Indeed, lifetime tobacco use is nearly ubiquitous among foster youth, while daily use rates are four times that of the general population. Services to curtail such use while young people remain in the foster care system are severely limited, if they are offered at all. Once removed from foster care, these youth have far less access to health services compared to their non-foster care peers. The proposed feasibility study seeks to address these gaps in availability, accessibility, and use of tobacco cessation services for youth aging out of the foster care system. Computer- and mobile phone-based interventions have the capacity to provide evidence-based treatment content while reducing many of the barriers relevant to tobacco cessation service delivery for foster youth. The proposed study will begin a program of research to synthesize the benefits of these approaches in a way that addresses the needs of a vulnerable population who experience tobacco-related health disparities. More specifically, this study seeks to test an adaptation of an existing substance use intervention (iHeLP: Interactive Healthy Lifestyle Preparation) for smoking cessation among youth aging out of foster care. Rooted in motivational interviewing, the transtheoretical model, and social cognitive theory, iHeLP is a one-time computerized screening and brief intervention (SBI), supplemented by six months of tailored text messaging based on participants' SBI results and subsequent fluctuations in their readiness to change. The goal of this pilot study is to obtain data on acceptability and feasibility of a novel intervention, as well as examine direction of effects on both overall motivation to change and actual tobacco use. As such, we will conduct a two-arm feasibility trial, testing iHeLP against a contact-control condition. The use of daily text messaging represents a novel method for delivering intervention boosters. Low-intensity, high-frequency interactions are a marked change from traditional interventions and have high potential for extending initial gains. In addition, tailoring of these messages through dynamic, text-based communication with participants is innovative. Given the potential of wide dissemination to multiple at-risk populations at low cost, the proposed study has high potential public health and clinical significance.