Implementing Evidence-Based Tobacco Cessation Strategies in Campus Health Clinics

在校园健康诊所实施循证戒烟策略

• 批准号: 8176558
• 负责人: Erin L Sutfin
• 金额: $ 20.42万
• 依托单位: WAKE FOREST UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-07-01 至 2013-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8176558
• 关键词: Address; Adopted; Adoption; Adult; Area; Attention; Behavior; Caring; Characteristics; Cigar; Cigarette; Cigarette Smoker; Clinic; Clinical; Communities; Counseling; Data; Diffusion of Innovation; Elements; Evaluation; Evidence based practice; Future; Goals; Guidelines; Health; Health Personnel; Healthcare; Healthcare Systems; Intervention; Interview; Knowledge; Motivation; NIH Program Announcements; North Carolina; Patients; Pharmacotherapy; Pilot Projects; Population; Provider; Publications; Randomized; Readiness; Research; Research Personnel; Resources; Sample Size; Sampling; Scanning; Self Efficacy; Site; Smokeless; Smoker; Staging; Students; Surveys; System; Testing; Time; Tobacco; Tobacco Dependence; Tobacco Use Cessation; Tobacco use; Training; Underserved Population; Uninsured; United States Public Health Service; Visit; Withholding Treatment; Work; base; clinical practice; college; design; dissemination research; efficacy trial; evidence base; follow-up; hookah; implementation research; informant; knowledge base; member; motivational enhancement therapy; nicotine replacement; programs; quitline; research study; screening and brief intervention; smoking cessation; theories; therapy design; tobacco control; tobacco screening; university student

DESCRIPTION (provided by applicant): The United States Public Health Services (PHS) provides clinicians and healthcare systems with evidence- based practices for tobacco control and treatment through widely disseminated guidelines ("PHS Guidelines"). Interventions as brief as three minutes can significantly increase quit rates among adult daily smokers. Despite an estimated three million college student smokers in the U.S., the majority of who have made at least one quit attempt, little research exists on college students and smoking cessation. Although the PHS Guidelines have been widely disseminated and are intended to be implemented in a variety of clinical settings, student health clinics do not appear to have fully adopted these strategies. Student health clinics provide care to a large number of students, making them an ideal setting to encourage tobacco cessation in this population. This proposal seeks to provide formative data testing the implementation of evidence-based tobacco cessation strategies in student health clinics on college campuses in North Carolina. Specific aims are to: (1) Increase student health centers' organizational adoption and implementation of the PHS Guidelines through system- level changes; and (2) Increase college student health care providers' adoption and implementation of the PHS Guidelines to promote tobacco cessation behaviors among college student tobacco users. A Secondary Aim is to preliminarily assess the efficacy of implementing the PHS Guidelines in student health centers on students' readiness to quit to estimate sample sizes for a future larger efficacy trial. Using a clinic-level randomized design, the intervention targets both organizations providing healthcare and clinicians within those organizations through system-level changes and increased provider training. The intervention will be evaluated using key informant interviews, environmental scans, provider surveys, and patient exit surveys. The proposed pilot study will mark the first time implementation of the PHS Guidelines has been tested in a college student health center setting. Results will be used to: (1) estimate effect sizes for a future trial that will test both implementation and efficacy in a larger sample; and (2) inform implementation of this intervention in other clinical settings, including community colleges. The proposed research study responds to an unmet need for the successful implementation of evidence-based tobacco cessation strategies for college students. The overall intent of this research is to ultimately close the gap between research discovery and program delivery in the area of tobacco control. PUBLIC HEALTH RELEVANCE: Despite an estimated three million college student smokers in the U.S., little is known about college students and smoking cessation. The United States Public Health Services has widely disseminated guidelines for tobacco treatment which are intended to be implemented in a variety of clinical settings; however, student health clinics do not appear to have fully adopted these strategies. The goal of the proposed research is to test the implementation of evidence-based tobacco cessation strategies in student health clinics on college campuses.

描述（由申请人提供）：美国公共卫生服务（PHS）通过广泛传播指南（“ PHS指南”）为临床医生和医疗保健系统提供了基于证据的烟草控制和治疗实践。大至三分钟的干预措施可以显着提高成人每日吸烟者的戒烟率。尽管估计在美国有300万大学生吸烟者，但大多数已经戒烟的人中的大多数人对大学生和戒烟的研究很少。尽管PHS指南已被广泛传播，并旨在在各种临床环境中实施，但学生健康诊所似乎并未完全采用这些策略。学生健康诊所为大量学生提供护理，使其成为鼓励该人群戒烟的理想场所。该建议旨在提供形成性数据测试，以在北卡罗来纳州大学校园的学生健康诊所实施基于证据的戒烟策略。具体目的是：（1）通过系统级别的变化增加学生保健中心的组织采用和实施PHS指南； （2）增加大学生卫生保健提供者的采用和实施PHS指南，以促进大学生烟草用户中烟草戒烟行为。第二个目的是初步评估学生健康中心的PHS准则的疗效，该指南愿意退出，以估算样本量，以进行未来的更大效力试验。干预措施使用诊所级随机设计，针对这些组织通过系统级变化和增加提供商培训来提供医疗保健和临床医生。干预措施将使用关键的线人访谈，环境扫描，提供者调查和患者退出调查进行评估。拟议的试点研究将标志着PHS准则的首次实施在大学学生健康中心环境中进行了测试。结果将用于：（1）将来试验的估计效应大小，该试验将在较大样本中测试实施和功效； （2）告知在包括社区大学在内的其他临床环境中实施此干预措施。拟议的研究回应了成功实施为大学生成功实施基于证据的戒烟策略的未满足的需求。这项研究的总体目的是最终缩小烟草控制领域的研究发现与计划交付之间的差距。 公共卫生相关性：尽管估计在美国有300万大学生吸烟者，但对大学生和戒烟知之甚少。美国公共卫生服务公司已广泛散布烟草治疗指南，该指南旨在在各种临床环境中实施；但是，学生健康诊所似乎并未完全采用这些策略。拟议研究的目的是测试在大学校园的学生健康诊所中实施基于证据的烟草戒烟策略。