Nonsmokers and Tobacco Control Norms: Population Surveys and Intervention Studies

描述（由申请人提供）：该提案的重点是测试一个新的想法，以增加戒烟的人口水平。我们建议进行人口调查和干预研究，以证明非吸烟者是增加人口戒烟的关键。这个大型项目分为三个重叠的阶段：第一阶段：调查：我们将对全国代表性样本进行调查，以检验以下假设：在烟草控制指数高的州，非吸烟者和吸烟者对烟草控制措施的态度差距明显大于烟草控制指数低的州，态度差距（按州分组）预测戒烟率。这项调查将由知识网络公司对3,500名吸烟者和3,500名不吸烟者进行。第二阶段。随机试验：我们将从一般社区招募2,960个吸烟家庭（有一个成年非吸烟者）（一半来自加州，一半来自俄克拉荷马州），并将其随机分配到2 x 2析因设计中：一个因素是干预的目标是吸烟者还是非吸烟者，另一个因素是干预的强度。他们将被随访12个月。两个主要的假设进行测试：针对非吸烟者的信息产生显着更高的戒烟率吸烟者在家庭中的信息针对吸烟者和更高的干预强度产生更高的戒烟率。第三阶段比较媒体研究和传播：我们将创建一个新的戒烟媒体点，并将其与加州和俄克拉荷马州现有的媒体活动进行比较。这两个州的卫生部门（他们是共同研究者）已经承诺协调他们正在进行的媒体宣传活动与这项研究。在每个州的选定市场中，我们将使用ABAB设计（A=针对吸烟者，B=针对非吸烟者）来测试新媒体广告的效果。使用每个州戒烟热线的电话数量作为替代指标，我们将测试这一假设，即针对非吸烟者的媒体广告比针对吸烟者的媒体广告产生更高的戒烟电话率。我们通过与多个州的卫生部门合作，

DESCRIPTION (provided by applicant): This proposal focuses on testing a new idea to increase smoking cessation on the population level. We propose to conduct population surveys and intervention studies to demonstrate that nonsmokers hold the key to increasing population cessation. This large project is grouped by three overlapping phases: Phase 1: Surveys: We will conduct surveys of nationally representative samples to test the hypothesis that the attitudinal gaps between nonsmokers and smokers on tobacco control measures are significantly larger among those living in states with a high tobacco control index than among those in low index states, and that the attitudinal gap (grouped by state) predicts the smoking cessation rate. The survey of 3,500 smokers and 3,500 nonsmokers will be conducted with Knowledge Networks Inc. Phase 2. A Randomized Trial: We will recruit 2,960 smoking households (with an adult non-smoker) from the general community (half from California and half from Oklahoma) and randomly assign them into a 2 x 2 factorial design: one factor is whether the intervention targets smokers or nonsmokers and the other is the intensity of the intervention. They will be followed up for 12 months. Two primary hypotheses to test are: Messages targeting nonsmokers produce significantly higher quit rates among smokers in the household than messages targeting smokers and that higher intervention intensity produce a higher quit rate. Phase 3. A Comparative Media Study and Dissemination: We will create a new cessation media spot and compare it with the existing media campaign in California and Oklahoma. The health departments of these two states (who are co-investigators) have committed to coordinate their ongoing media campaign with this study. In a selected in market in each state, we will use an ABAB design (A= targeting smokers and B=targeting nonsmokers) to test the effects of the new media spots. Using the number of calls to each state quitline as a proxy measure, we will test the that hypothesis that media spots targeting nonsmokers produce significantly higher rates of quitline calls than media spots targeting smokers. We in cooperate dissemination into the project through collaboration with multiple state health departments