Implementation and Dissemination of the CEASE Intervention to Reduce Tobacco Use

描述(申请人提供)：吸烟是美国和世界上头号可预防的死亡原因。与烟草成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，烟草使用和烟草导致的死亡和疾病的流行率最高。此外，吸烟是一种由不同因素引起的复杂的成瘾行为，这使得改变他们的行为非常困难，特别是对于那些资源较少的人。拟议的项目“实施和传播减少烟草使用的CBPR干预措施”，旨在调查和动员更多的社区参与传播和实施社区，并倡导在NIMHD CBPR干预赠款的支持下制定的无烟环境(停止)干预措施。拟议项目的具体目标是：(1)探索不同因素对成功传播和实施戒烟干预的影响；(2)确定在类似社区和组织中持续实施干预的有效战略；以及(3)确定其他社区和组织采用该计划的障碍和促进因素，这些社区和组织对降低健康差距人口中的吸烟率感兴趣。本研究是基于个人、团体、组织和社区层面的传播和实施研究的几个理论框架设计的。将与当地社区合作，使用定量和定性研究方法对该项目的进程和成果进行评估。拟议项目的结果将有助于更好地了解与干预措施在类似社区环境中的成功传播、采用、实施、适应和可持续性有关的重要因素。

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.