MOTIVATING PARENTS OF KIDS WITH ASTHMA TO QUIT SMOKING

描述（改编自研究者摘要）：本申请将 对比两种理论戒烟的效果 哮喘儿童父母的干预措施，并比较关键机制 行为的改变。 为此实施有效的戒烟措施 人口有可能影响健康结果的变化， 成人吸烟者和哮喘儿童。 吸烟者将被招募到一个- 家庭，个性化的哮喘教育计划，这是他们健康的一部分， 保险公司的护理标准。 他们将被随机分为两组 治疗条件采用从更大的社会认知结构， 理论框架。 第一种是行为动作模型（BAM），它基于 AHCPR指导方针，并强调目标设定和解决问题的技能， 增强戒烟的自我效能感。 第二，预防采纳模式 (PAM)，是根据吸烟者的戒烟意愿度身定做的， 结合了特定的生物标记反馈（环境烟草烟雾的水平 在家里，一氧化碳和可替宁测试），以增加感知 暴露在烟雾中的风险。 所有吸烟者将收到尼古丁贴片， 他们已经准备好退出，所有干预组件将由 呼吸治疗师在家里。 分析将检查：1）戒烟率， 家庭环境烟草烟雾水平和戒烟动机 治疗后12个月内治疗组之间的差异; 2）强度 在每种条件之间和条件内的行为变化的介质;和3） 儿童吸烟与哮喘发病率的关系 后处理。

DESCRIPTION (adapted from investigator's abstract): This application will contrast the efficacy of two theoretically-based smoking cessation interventions for parents of children with asthma, and compare key mechanisms of behavior change. Implementing effective smoking cessation for this population has the potential to effect changes in health outcomes for both the adult smoker and child with asthma. Smokers will be recruited into an in- home, individualized asthma education program, which is part of their health insurance carrier's standard of care. They will be randomized to one of two treatment conditions employing constructs from a larger social cognitive theoretical framework. The first, Behavioral Action Model (BAM), is based on AHCRP guidelines and emphasizes goal-setting and problem-solving skills to enhance self-efficacy to quit smoking. The second, Precaution Adoption Model (PAM), is tailored to the smokers's degree of readiness to quit, and incorporates specific biomarker feedback (level of environmental tobacco smoke in the home, and carbon monoxide and cotinine testing) to increase perception of risk of smoke exposure. All smokers will receive the nicotine patch if they are ready to quit, and all intervention components will be delivered by respiratory therapists in the home. Analyses will examine: 1) quit rates, level of environmental tobacco smoke in the home, and motivation to quit between treatment groups throughout the 12 months post-treatment; 2) strength of mediators of behavior change between and within each condition; and 3) relations between smoking outcomes and asthma morbidity variables in children post-treatment.