Brief Tobacco Intervention Training in Childcare Centers

描述(由申请人提供)：儿童暴露于环境烟草烟雾(ETS)是一个主要的公共健康问题，多达43%的美国儿童或超过1500万儿童与吸烟者生活在一起。在有成年烟民和儿童的家庭中，超过70%的家庭允许在家中吸烟。托儿中心是一个未得到充分利用的促进儿童健康的场所，对父母的吸烟行为有潜在的重大影响。鉴于近60%的学龄前儿童目前每天都接受非父母照料，接触到大量儿童和父母的潜力是巨大的。培训托儿中心工作人员(CCCW)进行简短的烟草干预(BL)，这已被证明是一种有效的戒烟工具，将使他们准备更有效地影响父母的烟草使用行为。建议进行一项试点研究，以确定儿童保育中心儿童培训的潜在效用和影响，目标人群为1)儿童及其父母/照顾者和2)CCCW工作人员。通过使用现有的BL培训，最初是为非医疗保健专业人员设计的，这项研究将收集试点和可行性数据，为更广泛的研究做准备，以评估在全国不同地区的托儿中心对CCCW进行简短干预培训的效果。第一阶段将对托儿中心儿童的父母进行基线调查，以确定儿童ETS暴露的患病率和估计水平；记录父母关于ETS和吸烟的知识、态度和行为；并确定暴露于ETS的儿童招募进行前瞻性研究。第二阶段将是一项前瞻性、随机、对照的先导性研究，以检验BL培训对以下方面的影响：1)唾液可替宁水平衡量的儿童ETS暴露；2)父母关于ETS暴露和烟草使用的知识、态度和行为；以及3)报告与父母进行干预以减少儿童ETS暴露的CCCW比例。在第三阶段，将对结果进行分析，并通过出版物传播。

DESCRIPTION (provided by applicant): Environmental Tobacco Smoke (ETS) exposure in children is a major public health problem, with as many as 43% of U.S. children or more than 15 million children, who live in a household with a smoker. In more than 70% of homes with both adult smokers and children, smoking is allowed within the home. Childcare centers are an underutilized venue for child health promotion and have a potentially significant influence on parental smoking behavior. Given that nearly 60% of preschoolers currently receive non-parental care on a daily basis, the potential to reach a large number of children and parents is substantial. Training childcare center workers (CCCWs) to conduct brief tobacco interventions (Bl), which have been demonstrated as an effective tool for smoking cessation, will prepare them to more effectively influence parental tobacco use behavior. A pilot study to determine the potential utility and impact of Bl training in childcare centers is proposed, with a target population of 1) children and their parents/care givers and 2) CCCW staff. By using an existing Bl training, originally intended for non-healthcare professionals, the study will collect pilot and feasibility data in preparation for more extensive research to evaluate the efficacy of a brief intervention training of CCCWs in childcare centers in diverse regions of the country. Phase 1 will be a baseline survey of parents of children in childcare centers to determine prevalence and estimated level of ETS exposure of children; document parental knowledge, attitudes, and behaviors with regards to ETS and smoking; and identify children exposed to ETS to recruit for prospective study. Phase 2 will be a prospective longitudinal, randomized, controlled, pilot study to examine the impact of Bl training on: 1) children's ETS exposure as measured by salivary cotinine levels; 2) parental knowledge, attitudes and behaviors regarding ETS exposure and tobacco use; and 3) proportion of CCCWs who report intervening with parents to reduce children's ETS exposure. During Phase 3, results will be analyzed and disseminated through publication.