Implementation and Dissemination of the CEASE Intervention to Reduce Tobacco Use

描述（由申请人提供）：吸烟是美国和世界上可预防的头号死亡原因。与烟瘾有关的健康差距正在扩大，在收入和受教育程度最低的人群中，烟草使用率最高，烟草造成的死亡和疾病也最高。此外，吸烟是一种复杂的成瘾行为，由不同的因素造成，这使得很难改变他们的行为，特别是对那些资源较少的人来说。拟议的项目“实施和传播减少烟草使用的CBPR干预措施”旨在调查并让更多社区参与传播和实施社区参与和倡导无烟环境（stop）干预措施，该干预措施是在NIMHD CBPR干预补助金的支持下开发的。建议项目的具体目的是：(1)探讨不同因素对成功传播和实施“停止”干预措施的影响；(2)确定在类似社区和组织中维持干预的有效策略；(3)确定其他社区和组织采用该计划的障碍和推动因素，这些社区和组织对降低健康差异人群的吸烟率感兴趣。本研究基于个人、群体、组织和社区层面的传播和实施研究的几个理论框架而设计。该项目的过程和结果将与当地社区合作，使用定量和定性研究方法进行评估。拟议项目的调查结果将有助于增进对在类似社区环境中成功传播、采用、执行、调整和可持续性干预措施的重要因素的了解。

DESCRIPTION (provided by applicant): Tobacco smoking is the number one preventable cause of death in the United States and in the world. Health disparities related to tobacco addiction are widening, with the highest prevalence of tobacco use and tobacco-attributable death and diseases in populations with the least income and education. Furthermore, smoking is a complex addictive behavior resulting from different factors which makes it very difficult, especially for those with fewer resources, to change their behavior. The proposed project, "Implementation and Dissemination of a CBPR Intervention to Reduce Tobacco Use," aims to investigate and engage more communities in dissemination and implementation of the Communities Engaged and Advocating for a Smoke-free Environment (CEASE) intervention developed with support from the NIMHD CBPR Intervention grant. The specific aims of the proposed project are: (1) to explore the effects of different factors on successful dissemination and implementation of the CEASE intervention; (2) to identify effective strategies for sustaining the intervention in similar communities and organizations; and (3) to identify barriers and enablers to adoption of the program by other communities and organizations interested in reducing smoking rates among health disparity populations. This study is designed based on several theoretical frameworks of dissemination and implementation research at individual, group, organizational, and community levels. The project's processes and outcomes will be evaluated in partnership with the local community using both quantitative and qualitative research methods. The findings of the proposed project will help improve understanding of important factors related to the successful dissemination, adoption, implementation, adaptation, and sustainability of the intervention in similar community-based settings.