SMOKING PREVENTION IN HISPANIC ADOLESCENT

这是一项为期五年的提案，分两个阶段提出， 实施和评估一项主要旨在预防吸烟的计划， 西班牙裔青少年 研究人群主要是波多黎各人， 哈特福德、康涅狄格州和大波士顿的黎加社区， 马萨诸塞州，包括11-19岁的青少年。 在第一阶段（21个月），活动的重点是制定一个 文化上适合目标青少年的干预方案 西班牙裔人口（包括试点研究）和获得 选定的学校和其他社区机构， 将被交付。 这一阶段的一个特点是拟议对700名 每个社区的家庭（共1400户）至少有一个 合格的青少年。 本次调查（包括一位家长和所有符合条件的 每个家庭的青少年）不仅提供必要的信息， 用于程序开发和内容，而且还将提供一个 青少年合作者，以协助在随后的计划发展。 第二阶段包括方案的执行和评估， 采用随机分配（配对）学校进行干预， 对照组以及两组的测试前和测试后测量， 包括为期两年的后续行动。 大约600名青少年受试者将 参加 一个复杂的过程评估方法，由 另一个双文化和双语社区的调查员 干预，将适用于该田间试验。 分析将侧重于比较测试前/后吸烟的变化 干预组和对照组受试者之间的行为。

This is a five year proposal, presented in two phases, to develop, implement and evaluate a program aimed primarily at smoking prevention in adolescent Hispanics. The study populations are the predominantly Puerto Rican communities of Hartford, Connecticut and Greater Boston, Massachusetts, including adolescents aged 11-19 years. During Phase I (21 months), activity will focus on the development of an intervention program culturally appropriate for the target adolescent Hispanic population (including a pilot study) and gaining access to selected schools and other community agencies through which the program will be delivered. A feature of this phase is the proposed survey of 700 households in each community (1400 total) which contain at least one eligible adolescent. This survey (including one parent and all eligible adolescents in each household) will not only provide necessary information for program development and content, but also will provide a pool of adolescent collaborators to assist in subsequent program development. Phase II consists of the implementation and evaluation of the program, using random assignment of (pair-matched) schools to intervention and control groups as well as pre- and post-test measures in both groups, to encompass a two-year follow-up. Approximately 600 adolescent subjects will participate. A sophisticated process evaluation approach, developed by the investigators on another bicultural and bilingual community-wide intervention, will be adapted for this field trial. Analyses will focus on comparisons of pre-/post-test changes in smoking behavior between subjects in intervention and control groups.