Incentive-Based Intervention for Smoking Cessation and Prevention in High Schools

高中戒烟和预防的激励干预

基本信息

批准号：
7911764
负责人：
SUCHITRA KRISHNAN-SARIN
金额：
$ 37.41万
依托单位：
YALE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-09-01 至 2012-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7911764
关键词：
Abstinence Accounting Address Administrator Adolescence Adolescent Adolescent Behavior Adoption Adult Advertising Alcohol or Other Drugs use Attitude Behavior Behavior Control Behavior Therapy Behavioral Biochemical Cigarette Cognition Cognitive Therapy Communities Confidentiality Data Deception Development Disease Early treatment Ethics Exposure to Focus Groups Frequencies Gender Goals Grant Guidelines Hawks Incentives Intention Intervention Life Style Literature Methods Minority Modeling Nicotine Dependence Outcome Participant Patient Self-Report Pattern Phase Pilot Projects Planning Theory Population Prevention Prevention strategy Prize Psychological reinforcement Published Comment Relapse Reporting Research Research Design Rewards Risk Roswell Park Cancer Institute Sarin School-Age Population Schools Shapes Site Smoke Smoker Smoking Smoking Behavior Smoking Cessation Intervention Smoking Status Staging Structure Students Surgeon Surveys Testing Therapeutic Studies Time Tobacco Tobacco use Treatment Efficacy United States National Institutes of Health Universities Validation base cost design efficacy testing experience high school innovation interest multi-site trial novel post intervention prevent programs public health relevance response smoking cessation social therapy development tobacco abstinence tobacco prevention

项目摘要

DESCRIPTION (provided by applicant): This developmental proposal is a Stage 1a grant that will develop and test the feasibility, acceptability and preliminary efficacy of a novel incentive-based behavioral intervention to promote a tobacco-free lifestyle among high school adolescents. Nicotine dependence is a progressive, relapsing disorder, predominantly initiated during adolescence with few existing smoking cessation strategies and minimally efficacious prevention strategies. The focus on a "tobacco free" lifestyle will allow for high school wide implementation of this project and decrease rates of potential deception in self-reports of smoking status. This project will be conducted in two sites, CT and NY and combines the expertise of two strong research groups, one at Yale with extensive experience in high school based research and one at Roswell Park with extensive experience in developing and testing community based incentive programs for adult smoking cessation. This multi-site trial will first conduct focus groups with adolescents and administrators in high schools to develop the "Tobacco Free and Win" campaign and program. The program will be administered over two year period. In the first year, one school each from CT and NY will serve as the intervention school and the other two will serve as control schools. Interested students will make a pledge to be tobacco free during the academic year and will be entered into monthly drawings for various prizes and will also receive tobacco educational literature including information on prevention and cessation. Monthly drawings will be held for six months and incentives will be provided to those not using tobacco products (self-reports with biochemical validation). Surveys of tobacco use behaviors and attitudes towards such behaviors will be conducted prior to the start of the campaign and at the end of the program period. In the second year, intervention will be continued in the schools that received it in the first year and initiated in the schools that served as the control schools in the fist year. Focus groups at the end of the two year program period will evaluate methods to enhance its efficacy and reach. The following specific aims will be addressed: 1. To design an incentive based intervention; 2. To assess the feasibility and acceptability of this incentive based intervention in high schools; and 3. To examine preliminary efficacy of the intervention, determine optimal duration of the program, and determine an effect size estimate for a larger trial. Estimates of effect size and other information obtained from this pilot proposal will be used to design a larger Stage 1b trial to test the efficacy of the intervention. Development of this intervention will follow the guidelines outlined by NIH for stage-wide development of behavioral therapies for substance use and will address the major goal of reducing rates of adolescent tobacco use put forth by the Surgeon General. PUBLIC HEALTH RELEVANCE: Tobacco use is mostly initiated during adolescence and we have few effective smoking cessation or prevention strategies for high school aged smokers. This project will develop and test an innovative high-school based intervention that will be designed to provide incentives to motivate adolescents to maintain a tobacco free lifestyle. This intervention could provide a cost-effective method to reach and motivate a large number of adolescents to not use tobacco products.

描述（由申请人提供）：该发展提案是一项1A阶段赠款，它将发展和测试一种基于新颖的激励行为干预措施，以促进高中青少年中无烟草的生活方式的可行性，可接受性和初步疗效。尼古丁依赖性是一种进步的，复发的疾病，主要是在青春期开始的，几乎没有现有的戒烟策略和最低效率的预防策略。关注“免费烟草”生活方式的关注将允许高中实施该项目，并降低吸烟自我报告的潜在欺骗率。该项目将在CT和NY的两个地点进行，并结合了两个强大的研究小组的专业知识，一个在耶鲁大学拥有丰富的高中研究经验，在Roswell Park进行了丰富的经验，在Roswell Park拥有丰富的经验，可以在开发和测试基于社区的成人吸烟戒烟方面。这项多站点试验将首先与高中青少年和管理人员进行焦点小组，以开发“烟草免费和赢”运动和计划。该计划将在两年内管理。在第一年，来自CT和NY的一所学校将作为干预学校，另外两家将充当控制学校。有兴趣的学生将保证在学年中免费获得烟草，并将进入每月的各种奖品图纸，还将获得烟草教育文献，包括有关预防和停止的信息。每月的图纸将持续六个月，并向那些不使用烟草产品（具有生化验证的自我报告）的人提供激励措施。烟草使用行为和对此类行为的态度的调查将在活动开始之前和计划期结束前进行。在第二年，将在第一年接受的学校中继续进行干预，并在拳头一年作为对照学校的学校开始。在两年计划期结束时，焦点小组将评估提高其功效和触及的方法。将解决以下具体目标：1。设计基于激励的干预措施； 2。评估这种基于激励的干预措施的可行性和可接受性； 3。要检查干预的初步疗效，确定程序的最佳持续时间，并确定较大试验的效果大小估计值。从该试点建议获得的效果大小和其他信息的估计将用于设计更大的1B期试验以测试干预措施的功效。该干预措施的开发将遵循NIH概述的指南，以范围内开发用于物质使用的行为疗法，并将解决降低外科医生将军使用的青少年烟草使用率的主要目标。公共卫生相关性：烟草的使用主要是在青春期开始的，我们几乎没有有效的戒烟或预防策略为高中吸烟者提供。该项目将开发和测试创新的基于高中的干预措施，该干预措施将旨在提供激励措施，以激励青少年维持烟草免费生活方式。这种干预措施可以提供一种具有成本效益的方法，以吸引和激励大量青少年不使用烟草产品。