SMOKING CESSATION PROGRAM TESTING WITH CVD SUBJECTS

CVD 受试者戒烟计划测试

• 批准号: 3348722
• 负责人: Virginia Hill Rice
• 金额: $ 12.71万
• 依托单位: WAYNE STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1985
• 资助国家: 美国
• 起止时间: 1985-09-30 至 1986-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3348722
• 关键词: anxiety; cardiovascular disorder; clinical chemistry; disease /disorder proneness /risk; education evaluation /planning; gender difference; health behavior; human morbidity; human mortality; human subject; personality tests; saliva; self concept; social support network; thiocyanates; tobacco abuse education; type A /type B personality

The purpose of this research is to investigate the relative effectiveness of three different methods of teaching a multi-component smoking cessation program on the quit smoking behavior of a newly diagnosed cardiovascular disease (CVD) population. The literature suggests that multi-component programs which introduce the smokers to a wide range of smoking cessation strategies are more effective than unidimensional treatments. Yet, little is known about the relative effectiveness of different methods of teaching which different markedly in cost. Subjects (N=320) will be identified by severity of CVD risk, gender, and habit strength (pack years) and randomly assigned to one of four interventions (written instructions; individual instructions, group instructions, and no instruction control). Their quit smoking behavior will be monitored over a three-year period and self-reports will be verified with saliva thocyanate levels. In addition to the demographic data, several other measures will be obtained from each subject including health and smoking histories, level of social support, several personality measures, the subject's perceived degree of health risk, their perceptions of the components of the intervention strategy that were most helpful, and morbidity and mortality rates. A potential moderating variable of considerable interest is the client's degree of health risk. The premise is that exposing persons to the fear-arousing communication that they have a CVD will lead to increased attitudinal acceptance of a health recommendation (i.e., to quit smoking) if the individuals are given the means to achieve the recommendations (i.e., smoking cessation program). Six additional questions and hypotheses will be examined. Logistic and multiple linear regression procedures will be employed in order to assess the main effects and interactions of the primary predictors (method-of-instruction and subject's-perception-of-the-most-helpful-set-of-strategies) on quit rates and to examine the relationship between success at quiting smoking and morbidity and mortality.

本研究的目的是调查相对有效性 三种不同的多成分戒烟教学方法 针对新诊断心血管疾病患者的戒烟行为计划 疾病（CVD）人群。 文献表明，多组分 向吸烟者介绍各种戒烟方法的计划 策略比单维治疗更有效。 然而，很少 了解不同教学方法的相对有效性 其成本明显不同。 受试者 (N=320) 将根据 CVD 风险的严重程度、性别和 习惯强度（包年）并随机分配到四个之一 干预措施（书面指示、个人指示、小组指示 指令，无指令控制）。 他们的戒烟行为 将在三年内进行监测，并进行自我报告 通过唾液硫氰酸盐水平进行验证。 除了人口结构外 数据，将从每个受试者那里获得一些其他措施，包括 健康和吸烟史、社会支持水平、多种性格 措施、主体对健康风险的感知程度、他们的看法 干预策略中最有帮助的组成部分，以及 发病率和死亡率。 一个颇受关注的潜在调节变量是客户的 健康风险程度。 前提是使人暴露于 令人恐惧的沟通表明他们患有心血管疾病将导致增加 态度上接受健康建议（即戒烟） 如果个人有办法实现建议 （即戒烟计划）。 六个附加问题和假设 将接受检查。 将采用逻辑回归和多元线性回归程序 为了评估主要预测因素的主要影响和相互作用 （教学方法和 受试者对最有帮助的策略的看法）对戒烟率的影响 并研究戒烟成功与否之间的关系 发病率和死亡率。