TEEN SMOKING PREVENTION AND CESSATION VIA CD ROM PROGRAM

描述(摘自申请者的摘要)：最近的研究表明 现有的预防吸烟和戒烟策略未能 减少青少年吸烟率。这是尽管 在干预发展和增加资金方面取得重大进展 对反吸烟活动的投资。调查人员认为有几个 对于这一悖论，可能的解释值得考虑。第一，切实有效 预防吸烟的计划还没有得到广泛传播。第二，什么时候 被采纳后，教师往往不能遵守项目指导方针。第三，青少年 烟民不愿表明自己的身份，寻求戒烟帮助。 第四，预防和戒烟计划往往不能考虑到 学生之间显著的个体差异。最后，大多数现有的吸烟 预防和戒烟方案不使用现代通信 技术进步，不能满足当今青少年的需求。的目标是 建议的项目是设计、实施和评估交互式 针对青少年吸烟预防和戒烟的光盘课程 干预。所谓互动，我们指的是单独评估每个学生，并 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、吸烟习惯的变化阶段以及 戒烟、成瘾程度和抑郁症状。以这种方式， 吸烟者的招募是因为吸烟者和非吸烟者都是如此 学生将被要求参加该计划，并接受他们的干预 接收将根据他们的个人需求进行定制。干预措施 还将根据性别和种族进行量身定做。通过利用CD-ROM 调查人员希望促进受试者遵守干预方案 以及随后的节目传播。调查人员推测， 干预措施将导致：a)减少吸烟；b)增加吸烟 戒烟结果；以及c)对调节戒断进程的变量的影响 与替代治疗对照组相比发生了变化。研究设计为 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16个休斯敦的14-16岁的学生(10个“基准年级学生”) 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.