PEDIATRIC SMOKING CESSATION STUDY

描述 在这份修订后的申请中，研究人员建议招募500名女性， 来自两个低收入城市儿科诊所的吸烟者。 第一个目标 一项研究是进行一项随机试验，比较常规护理和吸烟 戒烟干预包括一个简短的激励信息， 儿科卫生保健提供者;专门开发的自助材料 针对低识字率、低收入人群; 10至15分钟的激励性 在儿科诊所与一名受过专门训练的护士面谈;以及 个人后续联系。 主要终点是吸烟率， 12个月随访。 次要终点包括使用自助 材料，严重的戒烟尝试，以及短期和长期的禁欲。 第二个目标是对各种因素进行前瞻性的纵向评估 与目标人群中的戒烟有关。 为此， 在基线以及3个月和12个月时， 包括对吸烟和健康的知识和态度， 对吸烟后体重和体重增加的期望和担忧 戒烟，戒烟动机，酒精和其他药物 使用，压力，抑郁，伴侣和家庭成员吸烟状况，以及 孩子的健康事件。 调查人员计划检查程度， 这些变量预测吸烟状况的变化， 这些变量的时间相关变化与 吸烟状况，以及这些变量在多大程度上缓和了 干预效果。

DESCRIPTION In this revised application the investigators propose to recruit 500 female smokers from two low-income urban pediatric clinics. The first aim of the study is to conduct a randomized trial comparing usual care to a smoking cessation intervention consisting of a brief motivational message from a pediatric health care provider; self-help materials developed specifically for low literacy, low income populations; a 10 to 15 minute motivational interview with a specially-trained nurse at the pediatric clinic; and three personal follow-up contacts. The primary endpoint is smoking prevalence at a 12 month follow-up. Secondary endpoints include use of the self-help materials, serious quit attempts, and short and long-term abstinence. A second aim is to conduct a prospective, longitudinal assessment of factors associated with smoking cessation in the target population. For this aim, at baseline and at three and 12 months, a variety of process variables are to be measured, including knowledge and attitudes about smoking and health, expectations and concerns about weight and weight gain following smoking cessation, motivation regarding smoking cessation, alcohol and other drug use, stress, depression, partner and household-member smoking status, and health events of the child. The investigators plan to examine the degree to which these variables predict changes in smoking status, whether time-related changes in these variables are associated with change in smoking status, and the extent to which these variables moderate the intervention effects.