Brief Tobacco Intervention Training in Childcare Centers

儿童保育中心的简短烟草干预培训

• 批准号: 6987093
• 负责人: MYRA L. MURAMOTO
• 金额: $ 16.43万
• 依托单位: UNIVERSITY OF ARIZONA
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-01 至 2007-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6987093
• 关键词: attitude; behavioral /social science research tag; child care personnel; clinical research; education evaluation /planning; environmental exposure; health behavior; human subject; interview; nicotine; parent offspring interaction; questionnaires; smoking; tobacco abuse education; tobacco abuse prevention

DESCRIPTION (provided by applicant): Environmental Tobacco Smoke (ETS) exposure in children is a major public health problem, with as many as 43% of U.S. children or more than 15 million children, who live in a household with a smoker. In more than 70% of homes with both adult smokers and children, smoking is allowed within the home. Childcare centers are an underutilized venue for child health promotion and have a potentially significant influence on parental smoking behavior. Given that nearly 60% of preschoolers currently receive non-parental care on a daily basis, the potential to reach a large number of children and parents is substantial. Training childcare center workers (CCCWs) to conduct brief tobacco interventions (Bl), which have been demonstrated as an effective tool for smoking cessation, will prepare them to more effectively influence parental tobacco use behavior. A pilot study to determine the potential utility and impact of Bl training in childcare centers is proposed, with a target population of 1) children and their parents/care givers and 2) CCCW staff. By using an existing Bl training, originally intended for non-healthcare professionals, the study will collect pilot and feasibility data in preparation for more extensive research to evaluate the efficacy of a brief intervention training of CCCWs in childcare centers in diverse regions of the country. Phase 1 will be a baseline survey of parents of children in childcare centers to determine prevalence and estimated level of ETS exposure of children; document parental knowledge, attitudes, and behaviors with regards to ETS and smoking; and identify children exposed to ETS to recruit for prospective study. Phase 2 will be a prospective longitudinal, randomized, controlled, pilot study to examine the impact of Bl training on: 1) children's ETS exposure as measured by salivary cotinine levels; 2) parental knowledge, attitudes and behaviors regarding ETS exposure and tobacco use; and 3) proportion of CCCWs who report intervening with parents to reduce children's ETS exposure. During Phase 3, results will be analyzed and disseminated through publication.

描述（由申请人提供）：儿童环境烟草烟雾 (ETS) 暴露是一个主要的公共卫生问题，多达 43% 的美国儿童或超过 1500 万儿童生活在有吸烟者的家庭中。在超过 70% 的有成人吸烟者和儿童的家庭中，允许在家里吸烟。托儿中心是一个未得到充分利用的儿童健康促进场所，对父母的吸烟行为有潜在的重大影响。鉴于目前近 60% 的学龄前儿童每天接受非父母照顾，因此覆盖大量儿童和父母的潜力巨大。培训托儿中心工作人员 (CCCW) 进行简短的烟草干预 (BI) 已被证明是戒烟的有效工具，将使他们做好准备，更有效地影响父母的烟草使用行为。建议开展一项试点研究，以确定 BL 培训在儿童保育中心的潜在效用和影响，目标人群为 1) 儿童及其父母/看护者和 2) CCCW 工作人员。通过使用最初针对非医疗保健专业人员的现有 BL 培训，该研究将收集试点和可行性数据，为更广泛的研究做好准备，以评估该国不同地区的儿童保育中心的 CCCW 简短干预培训的效果。第一阶段将对托儿中心儿童家长进行基线调查，以确定儿童接触 ETS 的流行率和估计水平；记录家长有关 ETS 和吸烟的知识、态度和行为；并确定接触 ETS 的儿童以招募进行前瞻性研究。第 2 阶段将是一项前瞻性纵向、随机、对照试点研究，旨在检查 BI 培训对以下方面的影响： 1) 通过唾液可替宁水平测量儿童的 ETS 暴露； 2) 家长关于 ETS 暴露和烟草使用的知识、态度和行为； 3) 报告与家长进行干预以减少儿童接触 ETS 的 CCCW 比例。在第三阶段，将对结果进行分析并通过出版物进行传播。