Computer-Delivered Interventions for Secondhand Smoke Exposure

针对二手烟暴露的计算机干预措施

基本信息

批准号：
7389447
负责人：
Neil Edward Klepeis
金额：
$ 13.23万
依托单位：
EMERALD CITY ENTERTAINMENT GROUP, LLC
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-04-01 至 2009-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7389447
关键词：
Accounting Acute Adult Age American Arts Attitude Automobiles Businesses California Caregivers Chemicals Child Childhood Cigarette Cities Client Clinic Clinical Clinics and Hospitals Collaborations Communication Computer Hardware Computer Simulation Computer software Computers Condition Control Groups Cotinine Data Dental General Practice Development Education Environment Evaluation Exposure to Extranet Family Feedback Focus Groups Generic Drugs Goals Health Health Personnel Health Promotion Heart Home environment Household Image Infant Institutes Intervention Interview Intranet Knowledge Latino Learning Life Logic Low Income Population Low income Medical Medical Staff Minority Multimedia Nature Numbers Online Systems Parents Participant Pattern Perception Phase Population Prevalence Public Health Randomized Randomized Controlled Trials Range Recruitment Activity Reporting Risk Science Series Serum Services Site Small Business Technology Transfer Research Smoke Smoker Smoking Smoking Behavior Source Code Surface Surgeon System Technology Testing Text Time Tobacco Tobacco smoke Treatment Efficacy United States Substance Abuse and Mental Health Services Administration Woman Writing aged animation base behavior change computerized design efficacy evaluation experience hazard health organization innovation member non-smoker prototype research and development response satisfaction simulation size skills smoking cessation smoking restriction sound success theories therapy development tobacco prevention usability user-friendly virtual willingness

项目摘要

DESCRIPTION (provided by applicant): Close to 40% of US children are exposed to secondhand tobacco smoke (SHS) in homes and up to 50% in cars, compromising the health and lives of millions of children. More effective, inexpensive, and accessible interventions are needed that impact parents' and caregivers' willingness and ability to institute smoking restrictions. We propose the development of an innovative, computerized simulation intervention, SHS-Sims, that allows caregivers to see the extent to which their or others' smoking exposes children to SHS, the potential negative health impacts of the exposure, and how different actions can reduce the exposure. The heart of the intervention is an interactive screen depicting the simulation of SHS exposure, with appealing graphics, animation, sound, and audio communication in English and Spanish. In the proposed Phase I STTR, we will test the feasibility and potential merit of the intervention by recruiting a total of approximately 80 participants in Women, Infant, and Children (WIC) clinics, who allow smoking in their car and who will be randomly assigned to the SHS-Sims intervention or static educational control groups (~40 in each group). The computer intervention will involve the exploration of different real life scenarios with the simulation interface. Participants will be provided with user-friendly direction and explanation of exposures and health effects. At the end of the intervention, the subjects will be interviewed about what they learned, and about their intentions to change behavior. We will judge the success of the Phase I intervention by its ability to: (1) increase knowledge and understanding regarding SHS exposure and strategies to reduce exposure; (2) increase intentions to initiate mitigation strategies; and (3) be accepted by clinic staff. Data from Phase I will be used to determine the utility and appropriateness of developing a more extensive simulation-based intervention that focuses on other common avenues of SHS exposure, including the home and the outdoors. The proposed intervention technology has the potential to be of great public health significance in that it could be deployed widely and inexpensively to parents in waiting rooms of clinics, hospitals, or medical practices.

描述（由申请人提供）：近 40% 的美国儿童在家中接触二手烟草烟雾 (SHS)，高达 50% 在汽车中接触二手烟草烟雾，这损害了数百万儿童的健康和生活。需要更有效、廉价且容易获得的干预措施来影响父母和照顾者制定吸烟限制的意愿和能力。我们建议开发一种创新的计算机模拟干预措施 SHS-Sims，让护理人员能够了解自己或其他人的吸烟使儿童接触二手烟的程度、接触对健康的潜在负面影响，以及不同的行动可以如何减少二手烟的影响。曝光度。干预的核心是一个交互式屏幕，描绘了 SHS 暴露的模拟，并具有吸引人的图形、动画、声音以及英语和西班牙语的音频通信。在拟议的第一阶段 STTR 中，我们将在妇女、婴儿和儿童 (WIC) 诊所招募总共约 80 名参与者，测试干预措施的可行性和潜在优点，这些参与者允许在车内吸烟，并将被随机分配到 SHS-Sims 干预组或静态教育对照组（每组约 40 人）。计算机干预将涉及通过模拟界面探索不同的现实生活场景。将为参与者提供用户友好的指导以及暴露和健康影响的解释。干预结束时，受试者将接受采访，了解他们学到了什么，以及他们改变行为的意图。我们将通过以下能力来判断第一阶段干预是否成功：(1) 增加对二手烟暴露和减少暴露策略的认识和理解； (2) 增强启动缓解策略的意愿； (3) 被诊所工作人员接受。第一阶段的数据将用于确定开发更广泛的基于模拟的干预措施的实用性和适当性，该干预措施重点关注二手烟暴露的其他常见途径，包括家庭和户外。所提出的干预技术有可能具有重大的公共卫生意义，因为它可以在诊所、医院或医疗机构的候诊室广泛且廉价地部署给家长。