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项目（WeBREATHe：基于网络的烟草与健康呼吸教育），培训儿科呼吸治疗师和护士，为住院儿科患者的父母提供简短的、基于医院的戒烟干预措施。在第一阶段，我们设计并评估了一个基于经验验证的戒烟干预的原型项目，专门针对一家大型儿童医院专门护理呼吸系统疾病儿童的呼吸治疗师和护士。评估的结果非常有希望，参与者报告他们在向患者父母提供戒烟干预方面的知识、态度、感知障碍和自我效能方面发生了重大变化。在第二阶段，活动将包括：1)完善现有网站；2)完成当前模块（如视频短片）；3)针对不同的护理环境和患者模式（即门诊）开发额外的模块；4)为儿科患者和无烟烟草使用者制定戒烟模块；5)针对儿科患者制定预防烟草使用模块；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，填充所有视频角色模型和小插曲，并为门诊儿科呼吸治疗师和护士添加新的组成部分。还将开发针对儿科患者和无烟烟草使用者的戒烟模块，以及针对儿科患者的预防烟草使用模块。目标2。在一项随机试验中评估该项目在儿童医院环境中的应用，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随机分配到训练条件（WeBREATHe项目）或延迟训练控制条件。参与者的戒烟行为、态度、知识、感知障碍和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。培训后用户满意度也将被收集。目标3。开发交互式培训计划的最终版本，并为市场产品创建手册和包装。烟草的使用在死亡率和发病率方面都是一个重大的公共卫生问题。环境烟草烟雾（ETS）暴露对儿童呼吸健康的特殊影响为呼吸治疗师（RT）和护士（RN）提供了一个临床机会，鼓励吸烟患者的父母戒烟。迫切需要为RTs和RNs提供基于经验验证方案的可传播的戒烟培训方案。WeBREATHe项目的目的是教急诊医生和注册护士如何帮助病人的父母戒烟。减少儿童接触碳排放交易体系将改善健康状况，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.