CORE--COUNSELING AND ASSESSMENT

核心A -咨询和评估将包括三个独立的项目1） 青少年戒烟计划（项目1）：2）客户逐渐减少 他们的香烟摄入量为戒烟尝试做准备（项目2）; 3)饮食调整咨询，以减少复发风险的妇女， 患乳腺癌（项目4）。 这个核心将作为一种资源 中心并向中心研究者提供咨询， 临床干预很重要。 这三种情况的公因子 项目将使用电话形式进行咨询， 考核 咨询师将仅通过电话和电话对客户进行干预， 将使用基于认知行为的结构化协议 原则和动机面试技巧。 来确保质量控制 咨询和评估服务，有执照的心理学家将 协调人员选拔、培训和临床监督 对于这三个项目。 戒烟和饮食顾问， 评估员将参加各自领域的强化培训计划。 在成功完成各自的培训计划后， 成员将开始咨询和评估客户，并将参加项目 每周小组监督和定期个人监督 会议讨论相关临床问题。 顾问也将 参与继续教育工作，如案例介绍， 就与其项目有关的主题进行在职培训。 电话会议 将定期监测，以确保辅导员和 评审员提供优质服务。 为了确定客户 评估小组将利用电话 合同. 对于吸烟项目的客户， 进行了长达13个月。 饮食中客户的评估电话 前四个月每隔6个月进行一次修改项目 年

Core A -Counseling and Assessment will include three separate projects 1) smoking cessation programs for teens (Project 1): 2) clients tapering their cigarette intake in preparation for a quit attempt (Project 2) and; 3) dietary modification counseling to reduce recurrence risk for women who have had breast cancer (Project 4). This core will act as a resource center and provide consultation to Center investigators on counseling and clinical intervention matters. The common factor for each of the three projects will be the use of a telephone format for counseling and assessment. Counselors will intervene with clients solely telephone and will utilize a structured protocol which is based on cognitive-behavioral tenets and motivational interviewing techniques. To ensure quality control of counseling and assessment services, a licensed psychologist will coordinate the personnel selection, training, and the clinical supervision for the three projects. Smoking cessation and dietary counselors and assessors will participate in intensive training programs for their areas. After successful completion of their respective training programs, staff member will begin counseling and assessing clients and will attend project specific, weekly group supervision and regular individual supervision meetings to address relevant clinical issues. Counselors will also participate in continuing education efforts such as case presentations and in-service training on topics related to their project. Telephone sessions will be monitored on a regular basis to ensure that counselors and assessors are providing quality service. In order to determine client status at varying points, the assessment group will utilize telephone contracts. For clients in the smoking projects, evaluation calls will be conducted up to 13 months. Assessment calls from clients in the dietary modification project will occur at 6 month intervals for the first four years.