ARRESTING SMOKING UPTAKE USING INTERACTIVE MULTIMEDIA

青少年吸烟率再次上升。 青少年往往有动力，并试图戒烟，但很少有现有的 青少年戒烟计划显示出长期的有效性。 一个新 戒烟咨询的进步使用计算机系统来定制信息 性别、种族和走向停止的变化阶段。 然而，在这方面， 这些系统不适合大多数青少年吸烟者， 是在thr吸收和烟雾间歇性的过程中，因为他们认为， 经常吸烟和尼古丁依赖。 这些系统也不需要 充分利用计算机和媒体技术的最新进展 可以在全球信息网络上广泛传播， 可以由吸烟者自行配置以定制咨询。 在这 四个阶段的项目，一个计算机化的定制戒烟咨询系统 将为12-15岁的吸烟者设计， 采用下一代计算机技术，交互式 多媒体等 第一阶段将致力于形成性研究（青少年 调查，青少年和教师焦点小组，计算机使用研究，学校 政策调查），为实验者制定定制协议， 经常吸烟者（也可能是戒烟者）。 多媒体制作将 在第一阶段，模块和实施程序将是“测试版” 在第二阶段进行了测试（试点测试）。 第三阶段将包括随机 对多媒体节目的有效性进行试验，使用预测试- 后测控制组设计，以30名6-9年级的学生为研究对象， 图森和阿尔伯克基的配对公立学校 多媒体 戒烟计划将在第四阶段在全世界传播 Web. 将进行一项可行性研究，监测获取和使用情况 社区组织和为青少年服务的学校， 尤其是那些处于高风险的人（例如，学业成绩差、逃学）。

Smoking prevalence among adolescents is once again on the rise. Adolescents are often motivated and try to quit, but very few existing adolescent cessation programs showed longterm effectiveness. A new advance in cessation counseling uses computer systems to tailor messages to gender, ethnicity, and stage of change toward cessation. However, these systems are not configured for majority of adolescent smokers who are in thr process of uptake and smoke intermittently, because they assume regular smoking and nicotine dependence. The systems also do not take full advantage of the latest advances in computer and media technologies that can be distributed widely over the global information network and that can be configured by the smoker to self-tailor counseling. in this four-phase project, a computerized tailoring cessation counseling system will be designed for smokers aged 12-15 that matches messages to stage of uptake using the next generation of computer technology, interactive multimedia. Phase I will be devoted to formative research (adolescent survey, adolescent and teacher focus groups, computer use study, school policy surveys) to developing tailoring protocols for experimenters and regular smokers (and possibly ex-smokers). Multimedia production will occur in Phase I and modules and implementation procedures will be "beta" tested (pilot-tested) in Phase Ii. Phase III will contain a randomized trial on the effectiveness of the multimedia program, using a pretest- posttest control group design with students enrolled in grades 6-9 in 30 pair-matched public schools in Tucson and Albuquerque. The multimedia cessation program will be disseminated in Phase IV over the World Wide Web. A feasibility study will be conducted that monitors access and use of it by community organizations and schools serving adolescents, especially those at high risk (e.g., low academic attainment, truancy).