Web-Based Respiratory Education About Tobacco and Health

描述(由申请人提供)：我们建议开发一个基于互联网的互动计划(WeBREAThe：关于烟草与健康的网络呼吸教育)，以培训儿科呼吸治疗师和护士，为住院儿童患者的父母提供简短的、基于医院的戒烟干预。在第一阶段，我们设计并评估了一个原型计划，该计划基于一项经过经验验证的戒烟干预措施，专门针对一家大型儿童医院专门护理呼吸道疾病儿童的呼吸治疗师和护士。评估的结果非常有希望，参与者报告说，在向患者父母提供戒烟干预方面，他们的知识、态度、感知障碍和自我效能发生了显著变化。在第二阶段，活动将包括：1)改进现有网站；2)完成当前模块(如视频插曲)；3)开发针对不同护理环境和患者模式(即门诊)的额外模块；4)为儿科患者和无烟烟草使用者开发戒烟模块；5)开发针对儿科患者的烟草使用预防模块；6)对来自美国三家医院(佛罗里达州、俄亥俄州和俄勒冈州)的150名呼吸治疗师和护士进行随机临床试验。第二阶段的具体目标是：目标1.完善该计划的现有组成部分，填充所有视频榜样和小插曲，并增加针对门诊儿科呼吸治疗师和护士的新组成部分。还将开发针对儿科患者和无烟烟草使用者的戒烟单元，以及针对儿科患者的预防烟草使用单元。目的2.通过一项随机试验，评估该方案在儿童医院环境中的应用。在该试验中，来自三家医院的150名呼吸治疗师和护士将在医院内被随机分配到培训条件(WeBREAThe计划)或延迟培训控制条件。参与者的戒烟行为、态度、知识、感知障碍和实施戒烟干预的自我效能感将在基线、培训后立即和培训后三个月进行测量。用户满意度测量也将在培训后收集。目标3.制定互动培训计划的最终版本，并为适销对路的产品制作手册和包装。项目简介烟草的使用在死亡率和发病率方面都是一个严重的公共卫生问题。环境烟草烟雾(ETS)暴露对儿童呼吸道健康的特殊影响为呼吸治疗师(RT)和护士(RN)提供了一个鼓励吸烟患者的父母戒烟的临床机会。迫切需要以经验验证的方案为基础，为RTS和RN提供可传播的戒烟培训方案。WeBREAThe计划旨在教RTS和RN如何帮助患者的父母戒烟。减少儿童接触ETS将改善健康状况，并减轻儿科医疗保健系统的经济负担。

DESCRIPTION (provided by applicant): We propose to develop an interactive Internet-based program (WeBREATHe: Web-Based Respiratory Education About Tobacco and Health) to train pediatric respiratory therapists and nurses to provide brief, hospital-based tobacco cessation interventions to parents of hospitalized pediatric patients. During Phase I, we designed and evaluated a prototype program, based on an empirically validated tobacco cessation intervention, specifically aimed at respiratory therapists and nurses specializing in the care of children with respiratory illnesses at a large children's hospital. The results of the evaluation were very promising, with participants reporting a significant change in their knowledge, attitudes, perceived barriers, and self-efficacy towards providing tobacco cessation interventions to their patients' parents. During Phase II, activities will include: 1) refinement of the existing website; 2) completion of current modules (e.g., video vignettes); 3) development of additional modules to target different nursing settings and patient modalities (i.e., outpatient); 4) development of tobacco cessation modules for pediatric patients and for smokeless tobacco users; 5) development of tobacco use prevention modules aimed at pediatric patients; 6) conducting a randomized clinical trial with 150 respiratory therapists and nurses from three hospitals across the United States (Florida, Ohio, and Oregon). The Specific aims for Phase II are: Aim 1. Refine the existing components of the program, populate all video role models and vignettes, and add new components to target outpatient pediatric respiratory therapists and nurses. Modules on tobacco cessation for pediatric patients and smokeless tobacco users, and prevention of tobacco use aimed at pediatric patients will also be developed. Aim 2. Evaluate the program for use in children's hospital settings in a randomized trial in which 150 respiratory therapists and nurses from three hospitals will be randomly assigned within hospital to either the Training Condition (WeBREATHe program), or to a Delayed Training Control condition. Participants' tobacco cessation behaviors, attitudes, knowledge, perceived barriers, and self-efficacy regarding delivery of a tobacco cessation intervention will be measured at baseline, immediately post- training, and at three months post-training. User satisfaction measures will also be collected post- training. Aim 3. Develop a final version of the interactive training program and create manuals and packaging for a marketable product. PROJECT NARRATIVE The use of tobacco represents a significant public health problem both in mortality and morbidity. The specific effects of environmental tobacco smoke (ETS) exposure on children's respiratory health provide the respiratory therapist (RT) and nurse (RN) a clinical opportunity to encourage tobacco-using parents of patients to quit. There is a strong need for disseminable tobacco cessation training programs for RTs and RNs that are based on empirically validated programs. The WeBREATHe program aims to teach RTs and RNs how to help their patients' parents quit smoking. Reducing children's exposure to ETS will lead to improved health and reduce the economic burden on the pediatric healthcare system.