Nicotine Replacement and Counseling In Adolescents

青少年的尼古丁替代和咨询

基本信息

批准号：
7257774
负责人：
MARK L RUBINSTEIN
金额：
$ 12.8万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
依托单位国家：
美国
项目类别：
财政年份：
2003
资助国家：
美国
起止时间：
2003-08-01 至 2009-06-30
项目状态：
已结题

项目摘要

DESCRIPTION (provided by applicant): Among addictive behaviors, tobacco smoking is the one most likely to become established during adolescence. Tobacco smoking is also one of the few preventable behaviors occurring during adolescence with direct results on adult morbidity and mortality. Among adolescents who smoke 10 or greater cigarettes per day, less than 20% report being successful at quitting and efforts to quit smoking are often hampered by withdrawal symptoms. The applicant is an Internist and specialist in Adolescent Medicine with expertise in the field of adolescent risk behaviors. The candidate's career objective is to both develop and implement new treatment strategies specifically for adolescents with a particular emphasis on tobacco cessation. During the training phase of the award, the applicant will have four primary development objectives: 1) to develop skills in the area of conducting clinical trails with a focus on the attainment of expertise specific to the study of adolescents; 2) to learn to recruit and follow large cohorts of adolescents; 3) to gain additional expertise in the qualitative and quantitative methodologies used for evaluating treatment outcomes and efficacy; and 4) to gain additional knowledge in the field of tobacco research and policy. These will be complimented by focused course work offered by the K30 funded Advanced Training in Clinical research Program at the UCSF. The research phase of the award will be to conduct a randomized controlled clinical trial comparing two methods of pharmacological smoking intervention among adolescents using data garnered from his preliminary studies on nicotine replacement and counseling in adolescents. This research will compare two different regimes that have been shown to be most efficacious in adults, for both adherence and efficacy in an adolescent population. The goals of this study are to: 1) determine the added benefit of nicotine replacement to that of counseling alone for smoking cessation in adolescents; 2) to determine which method of nicotine replacement (spray versus patch) may be superior with regards to quit rates and acceptability; 3) compare the level of adherence to each method; and 4) investigate correlations between pre-cessation cotinine levels and treatment outcome.

描述（由申请人提供）：在成瘾行为中，吸烟是最有可能在青春期形成的一种行为。吸烟也是青春期发生的少数可预防行为之一，直接影响成人发病率和死亡率。在每天吸 10 支或更多支烟的青少年中，只有不到 20% 的人成功戒烟，而且戒断症状往往会阻碍戒烟的努力。申请人是一名青少年医学内科医生和专家，在青少年危险行为领域拥有专业知识。候选人的职业目标是专门针对青少年制定和实施新的治疗策略，特别强调戒烟。在该奖项的培训阶段，申请人将有四个主要发展目标： 1) 培养进行临床试验领域的技能，重点是获得针对青少年研究的专业知识； 2）学会招募和跟踪大批青少年； 3) 获得用于评估治疗结果和疗效的定性和定量方法的额外专业知识； 4) 获得烟草研究和政策领域的更多知识。这些将得到加州大学旧金山分校 K30 资助的临床研究高级培训项目提供的重点课程的补充。该奖项的研究阶段将进行一项随机对照临床试验，利用他对青少年尼古丁替代和咨询的初步研究获得的数据，比较两种青少年药物吸烟干预方法。这项研究将比较两种已被证明对成人最有效的不同治疗方案，以及对青少年人群的依从性和有效性。本研究的目标是：1）确定尼古丁替代疗法相对于青少年戒烟单独咨询的额外益处； 2) 确定哪种尼古丁替代方法（喷雾剂与贴片）在戒烟率和可接受性方面可能更好； 3) 比较每种方法的遵守程度； 4) 研究戒烟前可替宁水平与治疗结果之间的相关性。