WEB BASED SUPPORT--COMMUNITY TOBACCO CONTROL COALITIONS

互联网、基于网络的通信技术有可能改善对致力于促进健康和疾病控制的地方联盟的技术援助。AMC癌症研究中心、科罗拉多州辅助研究和科罗拉多州无烟草联盟之间的一个合作项目被提出。它将测试国家烟草控制专业人员和地方烟草控制联盟成员是否能够有效地利用基于网络的社区烟草控制技术援助计划，以实现社区烟草控制的成果。这个分两个阶段的项目将涉及科罗拉多州的社区。在第一阶段，我们将(A)对符合条件的科罗拉多州城市进行社区需求分析，以确定当前的控烟计划和活动以及技术援助需求；(B)制定基于网络的技术援助计划，其中包括在线培训课程、一个在线资源中心、针对地方联盟的在线自我评估，以及连接地方联盟和州控烟专业人员的互动交流功能；(C)测试网站的可用性；以及(D)确定由ASSITE资助的6个现有地方控烟联盟，并为随机试验组建14个新联盟。在第二阶段，基于网络的技术援助计划将在科罗拉多州的20个配对城市中以随机对照试验进行评估。主要结果将是政府、企业和家庭改变当地的烟草控制政策。多层次的综合政策评分将基于对当选官员、企业主/经理和居民的样本的采访，以及对参与城市书面烟草控制政策的分析。次要成果将包括对烟草控制政策的支助措施和对联盟运作的评估，包括对有关烟草控制的报纸文章/社论的分析。第三个结果将是烟草使用率的变化(吸烟和无烟烟草)。所有面试将通过电话进行。此外，我们将测试干预城市的变化是否与采取烟草控制政策的基线准备情况有关，以及对照城市的烟草控制政策的长期变化是否通过基线准备程度、相似性、接近程度和与干预城市的接触以及接触烟草控制信息(包括关于烟草控制的报纸文章/社论)来预测。

Internet, web-based communications technology has the potential to improve technical assistance to local coalitions working on health promotion and disease control. A collaborative project between the AMC Cancer Research Center, Colorado ASSIST Study, and the Coalition for Tobacco-Free Colorado is proposed. It will test whether a web-based technical assistance program on community tobacco control can be used effectively by state tobacco control professionals and local tobacco control coalition members to achieve gains in community tobacco control. The two-phase project will involve communities throughout Colorado. In Phase I, we will (a) conduct a community needs analysis of eligible Colorado cities to identify current tobacco control plans and activities, and technical assistance needs; (b) produce the web-based technical assistance program containing on-line training courses, an on-line resource center, an on-line self- assessment for local coalitions, and interactive communication features to link local coalitions and state tobacco control professionals; (c) test the website for usability; and (d) identify six existing local tobacco control coalitions funded by ASSIST and form 14 new coalitions for the randomized trial. In Phase II, the web-based technical assistance program will be evaluated in a randomized, controlled trial, in 20 matched pairs of cities in Colorado. The primary outcome will be changes in local tobacco control policy by government, business, and homes. A multi-level composite policy score will be based on interviews with samples of elected officials, business owners/managers, and residents and analysis of written tobacco control policies in participating cities. Secondary outcomes will include measures of support for tobacco control policies and assessments of coalition functioning, including analysis of newspaper articles/editorials on tobacco control. The tertiary outcome will be changes in prevalence of tobacco use (smoking and smokeless tobacco). All interviews will be conducted by telephone. In addition, we will test whether changes in intervention cities are associated with baseline readiness to adopt tobacco control policies and whether secular changes in tobacco control policies in control cities are predicted by baseline readiness to adopt, similarity, proximity, and contact with intervention cities, and exposure to tobacco control information, including newspaper articles/editorials on tobacco control.