Enhancing Quit and Win Contests to Improve Cessation Among College Smokers

描述(申请人提供)：帮助年轻吸烟者戒烟是国家健康的优先事项，但很少有循证治疗为他们设计。迫切需要为年轻人开发和提供有吸引力的有效戒烟干预措施。学院和大学招收了1400多万年轻人，是接触到相当大比例的年轻成年吸烟者的理想场所。标准的戒烟和获胜竞赛，吸烟者通常戒烟一个月，以换取赢得奖品的机会，实施简单，易于传播，在鼓励戒烟方面可能特别划算，至少在短期内是这样。这些竞赛的许多特点似乎非常适合在大学校园实施，但由于在短暂的竞赛期间再次吸烟，它们的整体好处有限。这些发现证实了干预的必要性，比如这里提出的干预措施，旨在在最初的戒烟和获胜竞赛期间保持禁欲。我们在这项建议中的目标是在一个基于理论的方法中评估增加剂量和增加内容的单独和联合效果，以加强大学校园戒烟和获胜参与者的禁欲。首先，我们将通过将比赛的次数从一个月延长到连续三个月的比赛来测试治疗剂量的效果。其次，我们将通过增加戒烟咨询来测试治疗的内容。我们的创新方法，动机复发预防(MRP)，专注于增加内在动机和应对策略，以防止复发。我们建议在2年和4年的大学校园中对吸烟者(n=1,256)进行2×2因子随机对照试验。参与者将被随机分为四种情况之一：TX1)：标准戒烟大赛(1个月)+大学健康(接触控制)咨询；TX2)：标准戒烟大赛(1个月)+动机复发预防(MRP)咨询；TX3)：延长戒烟大赛(连续3个月)+大学健康(控制)咨询；TX4)：延长戒烟大赛(连续3个月比赛)+MRP咨询。这项研究将测试以下目标：在12周的干预期内，所有咨询电话将通过六次电话管理的会议进行，使用参与者敏感时间表。主要结果将是通过在研究登记后9个月(即，在干预期结束后6个月)测量尿可替宁来验证30天的戒断。这项建议解决了呼吁和有效的干预措施来帮助年轻人戒烟的迫切需要。我们预计，在这项研究完成后，我们将确定提高大学校园戒酒与赢家参与者持续禁酒率的具体策略，这些结果将对全国高校的决策者和项目规划者产生极大兴趣。

DESCRIPTION (provided by applicant): Helping young smokers quit is a national health priority, but few evidence-based treatments are designed for them. Developing and delivering appealing and effective smoking cessation interventions for young people is critically needed. Colleges and universities, which enroll over 14 million young adults, are ideal settings to reach a substantial proportion of young adult smokers. Standard Quit & Win contests, in which smokers typically quit for one month in return for the opportunity to win prizes, are simple to implement and easy to disseminate and may be particularly cost-effective in encouraging cessation, at least short term. Many features of these contests appear well suited for implementation on college campuses, but their overall benefit is limited by relapse to smoking after the brief contest period. These findings confirm the need for interventions, such as those proposed here, designed to maintain abstinence beyond the initial Quit & Win contest period. Our objective in this proposal is to evaluate the separate and combined efficacy of increased dose and enhanced content within a theory based approach to enhance abstinence among college campus Quit and Win participants. First, we will test the effect of the dose of treatment by extending the number of contests from one month to three successive monthly contests. Second, we will test the content of treatment by adding cessation counseling. Our innovative approach, Motivational Relapse Prevention (MRP), focuses on increasing intrinsic motivation and coping strategies to prevent relapse. We propose a 2 x 2 factorial randomized controlled trial with smokers (n = 1,256) on 2- and 4-year college campuses. Participants will be randomized to one of four conditions: Tx1): Standard Quit and Win Contest (1 month) + College Health (Contact Control) Counseling; Tx2): Standard Quit and Win Contest (1 month) + Motivational Relapse Prevention (MRP) Counseling; Tx3): Extended Quit and Win Contest (3 successive monthly contests) + College Health (Control) Counseling; Tx4): Extended Quit and Win Contest (3 successive monthly contests) + MRP Counseling. This study will test the following aims: All counseling calls will be delivered via six telephone-administered sessions over the 12 week intervention period using participant sensitive scheduling. The primary outcome will be 30-day abstinence validated via urine cotinine measured 9 months after study enrollment (i.e., 6 months after the end of the intervention period. This proposal addresses a critical need for appealing and effective interventions to help young people to quit smoking. We anticipate that at the completion of this research we will have identified specific strategies for improving sustained abstinence rates among college campus Quit & Win participants and that these results will be of great interest to decision makers and program planners at colleges and universities nationwide.