TEEN SMOKING PREVENTION AND CESSATION VIA CD ROM PROGRAM

描述（改编自申请人摘要）：最近的研究表明 现有的预防戒烟策略未能 减少青少年吸烟率。这是尽管 在制定干预措施方面取得重大进展， 投资于反吸烟活动。调查人员认为， 对这一悖论的可能解释值得考虑。一是有效 预防吸烟方案没有得到广泛传播。二是当 教师往往不遵守方案指导方针。第三， 吸烟者不愿意表明身份寻求戒烟援助。 第四，吸烟预防和戒烟计划往往未能考虑到 学生之间存在显著的个体差异。最后，大多数吸烟者 预防和戒烟方案没有利用现代通信 技术，不符合当今青少年的需求。的目标 拟议的项目是设计，实施和评估一个互动的 预防青少年吸烟及戒烟光碟课程 干预通过互动，我们的意思是单独评估每个学生， 引导他或她进行最适当的干预。该软件将 评估学生吸烟状况，吸烟获得的变化阶段， 戒断、成瘾程度和抑郁症状。以这种方式， 由于吸烟者和不吸烟者都能 学生将被要求参加该计划和干预， 接收将被定制，以满足他们的个人需求。干预 还将根据性别和种族进行调整。通过使用光盘， 研究人员希望能促进受试者遵守干预方案， 以及随后的节目传播。研究人员假设， 干预将导致：a）较低的吸烟开始; B）更多的吸烟 戒烟结果;以及c）对介导戒烟过程的变量的影响 与替代治疗对照组相比的变化。研究设计 一项为期18个月的分组随机对照试验。研究参与者将 包括来自休斯顿16所学校14-16岁学生（基线为10”年级学生 地区高中。

DESCRIPTION (Adapted from applicant's abstract): The recent studies indicated that the existing smoking prevention cessation strategies have failed to produce population reductions in teen smoking prevalence. This is despite significant progress in intervention development and increasing financial investments in anti-smoking activities. The investigators believe several possible explanations merit consideration for this paradox. First, effective smoking prevention programs have not been widely disseminated. Second, when adopted, teachers often fail to adhere to program guidelines. Third, teens who smoke are reluctant to identify themselves to seek cessation assistance. Fourth, smoking prevention and cessation programs often fail to account for salient individual differences among students. Finally, most existing smoking prevention and cessation programs do not utilize modern communication technologies and do not meet the demands of today's adolescents. The goal of the proposed project is to design, implement, and evaluate an interactive CD-ROM curriculum aimed at adolescent smoking prevention and cessation intervention. By interactive, we mean assessing each student individually and channeling him or her into the most appropriate intervention. The software will assess student smoking status, stages of change for smoking acquisition and cessation, level of addiction, and symptoms of depression. In this manner, recruitment of smokers is facilitated because both smoking and nonsmoking students will be asked to participate in the program and the intervention they receive will be customized to meet their individual needs. The intervention will also be tailored to gender and ethnicity. By utilizing CD-ROM the investigators hope to facilitate subjects' adherence to intervention protocols and subsequent program dissemination. The investigators hypothesize the intervention will result in: a) lower onset of smoking; b) greater smoking cessation outcomes; and c) impact on variables that mediate the process of change compared to an alternative treatment control group. The study design is an 18-month, group-randomized, controlled trial. Study participants will include students 14-16 years of age (10" graders at baseline) from 16 Houston area high schools.