Mobilizing Youth for Action Against Tobacco in India

描述(由申请者提供)：该项目的目标是预防和减少印度青少年中烟草使用的流行。该项目有三个具体目标。1)在印度的4个城市和56所学校进行随机、多成分的社区干预试验，重点是利用最新的青年健康相关信息传播项目(Hriday)干预措施，预防6-9年级青少年使用烟草的发病并降低其流行率。2)提高印度研究人员进行大规模行为干预的能力，包括将行为学理论应用于干预设计，开发有效和可靠的措施，进行彻底的过程评估，跟踪大量学生一段时间的情况，并使用适当的方法分析数据进行团体随机试验。3)提高学校学生、学校教职员工和社区成员进行有效烟草控制的能力，以减少青少年吸烟。将招募两个大城市(德里和金奈)和两个中等城镇(印多尔和布巴内斯瓦尔)。在城市中，12-16所学校将被选择、匹配并随机分配到两种条件中的一种：Hriday项目多成分干预或延迟干预计划(对照)。Hriday项目的条件包括6-9年级基于课堂的行为课程、父母教育、媒体宣传、同龄人领导和社区联系计划。延迟的计划将在研究的第五年接受干预计划和培训。所有干预材料将由调查人员在先前研究的基础上开发。这些干预措施将在两年内通过两个青少年队列样本进行评估。这些学生将分别在56所学校的6年级和8年级进行预试。对成年人的结果将通过对学校附近社区的成年人样本进行采访来衡量。过程措施将评估教师遵守和反馈、同行参与和看法，以及家长、媒体和社区组成部分的实施情况。能力建设将通过在明尼苏达大学举办的扩大研讨会、调查人员之间的面对面会议、与社区协调员、来自当地非政府组织的社区推动者、教师和同行领导人的培训班以及与来自印度所有邦和地区的代表举办的传播讲习班来实现。

DESCRIPTION (provided by applicant): The goal of this project is to prevent the onset and reduce the prevalence of tobacco use among adolescents in India. There are three specific aims of the project. 1) To conduct a randomized, multi component, community intervention trial in 4 cities and 56 schools in India, focusing on preventing the onset and reducing the prevalence of tobacco use among adolescents in grades 6-9, using an updated Project Health Related Information Dissemination Among Youth (HRIDAY) intervention. 2) To increase the capacity of researchers in India to conduct large scale behavioral interventions, including applying behavioral theories in intervention design, developing valid and reliable measures, conducting thorough process evaluation, tracking a large number of students over time, and analyzing data using appropriate methods for group randomized trials. 3) To increase the capacity of school students, school staff and community members to conduct effective tobacco control to reduce adolescent tobacco use. Two large cities (Delhi and Chennai) and two middle-sized towns (Indore and Bhubaneswar) will be recruited. Within cities, 12-16 schools will be selected, matched, and randomly assigned to one of two conditions: the Project HRIDAY multi component intervention or delayed intervention program (control). The Project HRIDAY condition involves classroom based behavioral curricula in grades 6-9, parental education, media advocacy, peer leadership, and community linkage programs. The delayed program condition will receive intervention programs and training in Year 5 of the study. All intervention materials will be developed by the investigators based on prior research. The interventions will be evaluated with two cohort samples of young adolescents over two years. The cohorts will be in grades 6 and 8 in each of the 56 schools at pretest. Outcomes with adults will be measured using interviews with a sample of adults in the neighborhoods near the schools. Process measures will assess teacher compliance and feedback, peer participation and perceptions, and implementation of the parent, media, and community components. Capacity building will be accomplished through an extended seminar at the University of Minnesota; face to face meetings among the investigators; training sessions with community coordinators, community facilitators from local non government organizations, teachers and peer leaders; and a dissemination workshop with representatives from all states and territories in India.