MOTIVATING PARENTS OF KIDS WITH ASTHMA TO QUIT SMOKING

描述(改编自调查员摘要)：此应用程序将 比较两种基于理论的戒烟方法的效果 对哮喘儿童父母的干预，并比较关键机制 行为改变的影响。为此实施有效的戒烟措施 人口有可能影响两个人的健康结果的变化 成人吸烟者和患有哮喘的儿童。吸烟者将被招募到一个内部- 家庭，个性化哮喘教育计划，这是他们健康的一部分 保险公司的护理标准。他们将被随机分成两组 治疗条件采用更大的社会认知结构 理论框架。第一个是行为行动模型(BAM)，其基础是 AHCRP指导并强调目标设定和解决问题的技能 增强戒烟自我效能感。第二，预防采用模式 (PAM)，是根据吸烟者戒烟的准备程度量身定做的，以及 结合特定的生物标志物反馈(环境烟草烟雾水平 在家中，一氧化碳和可替宁测试)，以增加感知 暴露在烟雾中的风险。所有吸烟者都将收到尼古丁贴片，如果 他们准备退出，所有干预组件将在 家里有呼吸治疗师。分析将检查：1)离职率， 家庭中的环境烟草烟雾水平和戒烟动机 治疗后12个月各治疗组间比较：2)力量 在每种情况下和在每种情况下行为变化的中介者；以及3) 儿童吸烟结局与哮喘发病变量的关系 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.