School Nurse-delivered Smoking Cessation Intervention

学校护士提供戒烟干预

• 批准号: 7548121
• 负责人: LORI PBERT
• 金额: $ 54.25万
• 依托单位: UNIV OF MASSACHUSETTS MED SCH WORCESTER
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-03-08 至 2011-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7548121
• 关键词: Abstinence; Academy; Address; Adolescence; Adolescent; Adult; American; Attention; Awareness; Behavior; Biochemical; Cessation of life; Characteristics; Childhood; Cigarette; Clinical Practice Guideline; Cognitive; Consumption; Counseling; Dependence; Disease; Effectiveness; Effectiveness of Interventions; Enrollment; Ethnic Origin; Frequencies; Gender; Health; Health Personnel; Health Professional; Individual; Intervention; Intervention Studies; Interview; Knowledge; Letters; Maintenance; Manuals; Massachusetts; Measures; Methodology; Nicotine Dependence; Nurses; Nursing Protocols; Pamphlets; Participant; Patient Self-Report; Patients; Pediatrics; Play; Population; Protocols documentation; Randomized; Randomized Controlled Trials; Recruitment Activity; Reporting; Research; Research Design; Research Personnel; Risk; Role; School Nursing; Schools; Self Efficacy; Series; Smoke; Smoker; Smoking; Smoking Behavior; Smoking Cessation Intervention; Smoking Status; Social Environment; Social support; Students; Subgroup; Surveys; Target Populations; Testing; Tobacco use; Training; United States; United States Public Health Service; Validation; Work; adolescent smoking; base; cost; follow-up; high school; intervention effect; loris; patient oriented; post intervention; premature; programs; smoking cessation; smoking intervention; social; willingness

Smoking is the largest preventable cause of disease and premature death in the United States. Adolescent smoking is the greatest predictor of adult smoking and is associated with adverse health effects during adolescence. Twenty-two percent of high school students report current smoking (past 30 days). As the primary health professional in the school setting, school nurses have a tremendous opportunity to play a key role in treating adolescent smokers. A randomized controlled trial (RCT) conducted by the investigators in 71 high schools in Massachusetts demonstrated the feasibility of school nurses delivering a four-session individual counseling intervention to adolescents who want to stop smoking and its potential efficacy in increasing self-reported short term (6-week and 3-month) quit rates. Although promising, the preliminary study lacked biochemical validation and long-term follow-up on the maintenance of the intervention effects, and was conducted with a primarily white student population. This application seeks to evaluate the effectiveness of the intervention using a more rigorous methodology, including biochemical validation of self-reported smoking behavior and longer-term follow-up (6 and 12 months post-intervention), a study design that compares the intervention to an information only attention-control condition, and recruitment from ethnically diverse schools to increase the generalizability of our findings. The overall aim of the proposed study is to conduct a randomized controlled school-based trial (RCT) to evaluate the effectiveness of a school nurse-delivered smoking cessation intervention in increasing 30 day abstinence rates among high school students who smoke. Forty high schools serving a diverse student population will be recruited and randomly assigned to one of two conditions: (1) Special Intervention (SI) - four 30-minute individual patient-centered smoking cessation counseling intervention sessions based on the Public Health Service (PHS) clinical practice guideline delivered by school nurses; or (2) Information Only (IO) attention-control comparison condition - four individual sessions with the school nurse to check smoking status and deliver a standardized series of informational pamphlets on smoking and cessation. Participant assessments will occur at study entry (baseline) and at 6-week, 3-, 6-, and 12-month follow-up. Thirty students enrolled in grades 9 through 12 who report smoking within the past 30 days and willingness to participate in a smoking cessation intervention study will be recruited from each school (n=1200) to provide 25 completed assessments per school at 12-month follow-up (n=1000). If found effective, the study products (i.e., intervention protocol, student materials, training manual, and estimated costs of intervention implementation) will facilitate dissemination of the intervention to school nurses nationally.

吸烟是美国最大的可预防疾病和过早死亡的原因。 青少年吸烟是成年人吸烟的最大预测因素，并与青少年时期的不良健康影响有关。22%的高中生报告目前吸烟（过去30天）。 作为学校环境中的初级卫生专业人员，学校护士有很大的机会在治疗青少年吸烟者方面发挥关键作用。研究人员在马萨诸塞州的71所高中进行了一项随机对照试验（RCT），证明了学校护士向想要戒烟的青少年提供四次单独咨询干预的可行性，以及其在增加自我报告的短期（6周和3个月）戒烟率方面的潜在功效。虽然有希望，但初步研究缺乏生物化学验证和对干预效果维持的长期随访，并且主要针对白色学生群体进行。本申请旨在使用更严格的方法来评估干预的有效性，包括自我报告的吸烟行为的生化验证和长期随访（干预后6个月和12个月），将干预与仅信息注意力控制条件进行比较的研究设计，以及从种族多样化的学校招募，以增加我们发现的普遍性。 这项研究的总体目标是进行一项随机对照的以学校为基础的试验（RCT），以评估学校护士提供的戒烟干预措施在增加吸烟高中生30天戒烟率方面的有效性。将招募40所高中，为不同的学生群体提供服务，并随机分配到以下两种情况之一：（1）特殊干预（SI）-根据公共卫生服务（PHS）临床实践指南，由学校护士提供四次30分钟的以患者为中心的个人戒烟咨询干预会议;或（2）仅信息（IO）注意力控制比较条件-与学校护士进行四次单独的会议，以检查吸烟状况，并提供一系列标准化的吸烟和戒烟信息小册子。 将在研究入组（基线）和6周、3个月、6个月和12个月随访时进行受试者评估。将从每所学校招募30名在过去30天内报告吸烟并愿意参加戒烟干预研究的9至12年级学生（n=1200），在12个月随访时（n=1000）为每所学校提供25项完整的评估。如果发现有效，研究产品（即，干预方案、学生材料、培训手册和实施干预的估计费用）将促进向全国学校护士传播干预措施。

项目成果

A school nurse-delivered adolescent smoking cessation intervention: a randomized controlled trial.

学校护士提供青少年戒烟干预：一项随机对照试验。

• DOI: 10.1016/j.ypmed.2006.04.006
• 发表时间: 2006
• 期刊: Preventive medicine
• 影响因子: 5.1
• 作者: Pbert,Lori;Osganian,StavroulaK;Gorak,Diane;Druker,Susan;Reed,George;O'Neill,KatherineM;Sheetz,Anne
• 通讯作者: Sheetz,Anne