SpitWorld: Interactive Tobacco Education for Adolescents

描述(由申请人提供)： 拟议的项目将开发一个针对中学生的无烟烟草(ST)预防和戒烟的交互式计算机程序。由于无烟烟草预防和戒烟在旨在预防烟草的标准健康教育课程中经常被忽视或没有涉及，光盘方案被设计成烟草教育的辅助工具。无烟烟草的使用仍然是一个严重的烟草问题，但许多教师没有接受过培训，也没有资源来教授ST的风险。拟议的计划将基于我们的第一阶段原型计划，名为Spit World，在该计划中，向学生展示一个视频街机界面，让他们随机进入几个类似游戏的活动，在这些活动中，他们将了解无烟烟草使用的风险。 第一阶段的原型是让学生在Spit World中选择四个ST预防/戒烟游戏，受到了中学生和老师的好评。我们建议扩展选项菜单，以包括更多活动，并允许用户导航到更复杂和有趣的游戏。拟议的计划还将链接到一个网站，该网站将通过互联网向教师提供行政和评分反馈。 我们将利用我们在为无烟烟草教育开发预防和戒烟材料方面的丰富经验，以及我们为无烟烟草用户开发基于计算机的互动程序的经验，以及我们的目标受众--中学生和教师--以及我们的专家顾问小组的意见。评估将包括试点测试和评估试验，840名中学生按教室随机接受他们的标准烟草课程或我们的互动SpitWorld计划作为课程的附属课程。该计划将通过前评估和后评估以及6个月后的后续评估进行评估，以评估该计划对意图、风险认知和烟草使用的影响。

DESCRIPTION (provided by applicant): The proposed project will develop an interactive computer- based program for smokeless tobacco (ST) prevention and cessation aimed at middle school students. The CD-ROM program is designed to be an adjunct to tobacco education as smokeless tobacco prevention and cessation is often overlooked or not covered in standard health education curricula aimed at tobacco prevention. Smokeless tobacco use continues to be a serious tobacco problem but many teachers have not been trained, and do not have resources, to teach about the risks of ST. The proposed program will be based upon our Phase I prototype program entitled Spit World in which students are presented with a video arcade interface that offers them random access to several "game like" activities in which they will learn about the risks of smokeless tobacco use. The Phase I prototype in which students had a choice of four ST prevention/cessation games in Spit World was very well received by both middle school students and teachers. We propose to expand the menu of options to include more activities and allow the user to navigate into more complex and entertaining games. The proposed program will also link to a website which will offer administrative and scoring feedback via Internet to teachers. We will draw upon our extensive experience in developing prevention and cessation materials for smokeless tobacco education, and our experience in developing interactive computer based programs for smokeless tobacco users and input from our target audience of middle school students and teachers, as well as our expert panel of consultants. The evaluation will include pilot testing and an evaluation trial with 840 middle school students randomized by classroom to either receive their standard tobacco curriculum or our interactive SpitWorld program as an adjunct to the curriculum. The program will be evaluated by pre and post assessment, and followup assessments at 6 months to evaluate the impact of the program on intentions, risk perception, and tobacco use.