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: 7140138
• 负责人: MYRA L. MURAMOTO
• 金额: $ 11.35万
• 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 2008-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7140138
• 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）：儿童的环境烟草烟雾（ETS）是一个主要的公共卫生问题，其中多达43％的美国儿童或超过1500万儿童住在有吸烟者的家庭中。在拥有成年吸烟者和儿童的70％以上的房屋中，家庭内允许吸烟。育儿中心是未充分利用儿童健康促进的场所，并可能对父母的吸烟行为产生重大影响。鉴于目前每天有近60％的学龄前儿童获得非父母护理，因此接触大量子女和父母的可能性是很大的。培训托儿中心工人（CCCW）进行简短的烟草干预措施（BL），这些干预措施已被证明是一种有效的戒烟工具，将使他们准备更有效地影响父母的烟草使用行为。提出了一项试点研究，以确定育儿中心中BL培训的潜在效用和影响，目标人群为1）儿童及其父母/护理人员以及2）CCCW员工。通过使用最初针对非医疗保健专业人员的现有BL培训，该研究将收集飞行员和可行性数据，以准备更广泛的研究，以评估该国各个地区托儿中心的CCCW的简短干预培训的疗效。第1阶段将是对育儿中心儿童父母的基准调查，以确定儿童ETS暴露的患病率和估计水平；在ET和吸烟方面记录父母的知识，态度和行为；并确定暴露于ET的儿童以招募前瞻性研究。第2阶段将是一项前瞻性纵向，随机，受控的，试点研究，以检查BL培训对以下方面的影响：1）通过唾液可替宁水平测量的儿童ETS暴露； 2）关于ETS暴露和烟草使用的父母知识，态度和行为； 3）报告与父母进行干预以减少儿童ETS暴露的CCCW比例。在第3阶段，将通过出版物分析和传播结果。