Optimizing the Health of Korean Youth Using Technology for Smoking Cessation

项目总结(见说明)： 自20世纪60年代以来，一项协调一致的公共卫生努力已经将美国吸烟的总体流行率降低了约50%，一些州，如加利福尼亚州，减少的幅度更大。 虽然这些努力值得称赞，并导致许多人的发病率和死亡率下降，但收益并不相等。在洛杉矶县，只有10.4%的居民吸烟，在某些有经济和种族/民族差异的亚群中观察到令人震惊的高流行率。在洛杉矶县的韩裔美国人中，吸烟率达到40%，年轻人的吸烟率虽然有所下降，但仍然很高。这一研究项目建立在社区机构、学生和活动家、县政策制定者和学者致力于为韩国青年量身定做以证据为基础的戒烟干预措施的基础上，并制定使用网络和移动智能手机进行干预的方案。该研究项目的第一阶段包括咨询活动和焦点小组程序，以适应和定制为期6周的认知行为动机增强(CBME)。 专门针对韩裔美国青年的戒烟干预。利用社区和学生关键信息提供人和技术专家之间的迭代程序，调整干预措施将被编程为使用网络提供。该研究项目的第二阶段包括对寻求戒烟的韩裔美国青年(14-19岁)进行一项力度充足的随机对照试验，将网上提供的实验干预(n=120)与标准护理(n=120)进行比较。 主要结果变量是在治疗结束、24周和52周的随访中，通过生物标记物证实的7天点戒烟流行率。我们预计，实验组的戒烟率比对照组高2-3倍，这代表着显著的发病率降低。如果有效，干预还将提供一个有效的计划，以适应其他种族/种族的年轻吸烟者。

PROJECT SUMMARY (See instructions): A concerted public health effort since the 1960s has reduced the overall prevalence of cigarette smoking in the United States by approximately 50%, with some states like California having even greater reductions. While these efforts are laudable and have led to reductions in morbidity and mortality for many, the gains have not been equal. In Los Angeles County, where only 10.4% of residents smoke cigarettes, alarmingly high prevalence is observed in select sub-groups that have economic and racial/ethnic disparities. Among Korean-Americans in Los Angeles County, smoking prevalence reaches 40% with reduced but still high rates of smoking among youth. This research project builds upon the commitment of community agencies, students and activists, County policymakers and academics to tailor an evidence-based smoking cessation intervention for use with Korean youth and to develop programming to deliver the intervention using the web and mobile Smartphones. The first phase of this research project involves consultative activities and focus group procedures to adapt and to tailor a 6-week, cognitive behavioral-motivational enhancement (CBME) cessation intervention specifically for Korean-American youth. Using iterative procedures between community and student key informants and technology experts, the adapted intervention will be programmed to be delivered using the web. The second phase of this research project involves conduct of an adequately powered, randomized controlled trial of the experimental intervention delivered on the web (n=120) compared to standard of care (n=120) for Korean-American youth (aged 14-19) seeking smoking cessation. Primary outcome variable is 7-day point prevalence of smoking abstinence verified by biomarkers at end of treatment, 24- and 52-week follow-up visits. We expect to find between 2-3 times increase in smoking cessation rates for the experimental group over the control group, which represents an outstanding morbidity reduction. If effective, the intervention will also provide an effective program for adaptation to young smokers of other ethnicities/races.