Linking Cessation & Prevention to Stop Intergenerational Transmission of Smoking

链接停止

• 批准号: 8240427
• 负责人: CHRISTINE JACKSON
• 金额: $ 61.09万
• 依托单位: RESEARCH TRIANGLE INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-04-01 至 2016-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8240427
• 关键词: Accounting; Active Learning; Adult; Age; Antismoking; Attitude; Behavioral; Child; Child Development; Cigarette; Cognitive; Control Groups; Counseling; Data Collection; Enrollment; Ethnic Origin; Female; Home environment; Household; Intervention; Interview; Link; Maintenance; Mediator of activation protein; Methods; Modeling; Morbidity - disease rate; Outcome; Parent-Child Relations; Parenting behavior; Parents; Participant; Predisposition; Prevention; Prevention program; Printing; Protocols documentation; Public Health; Race; Randomized; Randomized Controlled Trials; Regression Analysis; Reporter; Reporting; Sampling; Series; Services; Smoke; Smoking; Smoking Behavior; Smoking Prevention; Socialization; Staging; Stepparent; Surveys; Survival Analysis; Telephone; Testing; Tobacco use; United States; base; cigarette smoking; cost; cost effectiveness; design; evidence base; follow-up; improved; innovation; intergenerational; intervention effect; male; mortality; post intervention; prevent; programs; public health relevance; quitline; smoking cessation; transmission process; young adult

DESCRIPTION: (provided by applicant). Multi-generational studies provide conclusive evidence for the transmission of smoking behavior from parent to child. The proposed study will test a strategy for preventing intergenerational transmission of smoking. An evidence-based parenting program for child smoking prevention will be disseminated to parents who smoke as they initiate use of evidence-based telephone (Quitline) smoking cessation services. A two-group, randomized controlled trial will test the effects of combining the evidence-based parenting program for child smoking prevention, called Smoke-free Kids, with the evidence-based adult smoking cessation services of state Quitlines. Smoke-free Kids is a home-based, self-directed program that engages parents who smoke in anti-smoking socialization of children. All of the anti-smoking socialization activities recommended by this program are equally relevant to parents who are making a quit attempt. The trial will examine program effects on child initiation of smoking and on parent maintenance of smoking cessation. Summary. Eligible children will be eldest male or female children from single- or two-parent households, of any race/ethnicity, who will be ages 7 to 9 at baseline, in the pre-initiation stage of smoking, and enrolled with a parent, stepparent, or other guardian who lives with the child and who has begun using Quitline cessation services. In partnership with state Quitlines, rolling recruitment will be used to enroll 1,294 eligible children and their parents. Participants will be assigned randomly within states to either the treatment (adult cessation services plus child smoking prevention program), or control (adult cessation services only) group. Participants will follow a 36-month protocol between random assignment and final follow-up. Parents will complete baseline assessments plus follow-up interviews 1 and 6 months post-intervention and annually thereafter; in addition, treatment group parents will complete program implementation surveys. Children will complete baseline assessments plus follow-up interviews 1 and 6 months post-intervention and annually thereafter; they will be ages 10 to 12 at final follow-up. The study hypotheses posit reduced odds of child initiation of smoking (first instance of puffing on a cigarette), lower child susceptibility to smoking, and increased likelihood that parents will maintain smoking cessation. Survival analysis will test the effects of the intervention on initiation of smoking among children and on maintenance of cessation among parents. A proportional odds model will test the effects of the intervention on susceptibility to smoking among children who do not initiate smoking. Regression analyses and latent variable modeling will be used to identify mediators and moderators of intervention effects. Cost-effectiveness analyses will also be conducted. PUBLIC HEALTH RELEVANCE: The proposed project will test an innovative public health intervention strategy that could both prevent children from starting to smoke and improve the odds that parents will quit smoking. If effective, the proposed linkage of child prevention and adult cessation services could be disseminated by incorporating the Smoke-free Kids program into the portfolio of evidence-based Quitline services offered throughout the United States.

描述：（由申请人提供）。多代研究为吸烟行为从父母传播到子女提供了确切的证据。拟议的研究将测试防止吸烟际传播的策略。一项基于证据的预防吸烟儿童育儿计划将被传播给使用循证电话（Quitline）戒烟服务时吸烟的父母。一项两组，随机对照试验将测试结合循证育儿预防儿童育儿计划的效果，称为无烟儿童，以及基于证据的成人戒烟服务的国家戒烟服务。无烟儿童是一个以自家为基础的自我指导的计划，吸烟的父母与儿童的反烟社会化。该计划推荐的所有反吸烟社会化活动与正在戒烟尝试的父母同样相关。该试验将检查计划对儿童开始吸烟和父母维持戒烟的影响。概括。符合条件的孩子将是来自单个或两只父母家庭的男女儿童，他们的种族/族裔将是基线，在吸烟前的生产前7至9岁，年龄在7至9岁之间，并与父母，Stepparent或其他与孩子一起生活的监护人，并开始使用戒烟线服务。与国家戒烟线合作，滚动招聘将用于注册1,294名合格的孩子及其父母。参与者将在州内随机分配接受治疗（成人戒烟服务以及预防儿童吸烟计划）或控制（仅成人戒烟服务）组。参与者将遵循随机分配和最终随访之间的36个月协议。父母将完成干预后1个月和6个月的后续访谈，此后每年进行后续访谈；此外，治疗组父母将完成计划实施调查。儿童将完成干预后1和6个月的后续访谈，然后每年进行后续访谈；在最后的随访中，他们将年满10至12岁。该研究假设降低了儿童开始吸烟的几率（在抽烟上浮肿的第一例），儿童对吸烟的敏感性降低，并增加了父母维持戒烟的可能性。生存分析将测试干预措施对儿童吸烟的影响以及父母维持戒烟的影响。比例赔率模型将测试干预措施对不吸烟的儿童吸烟易感性的影响。回归分析和潜在变量建模将用于识别干预效果的介体和主持人。还将进行成本效益分析。 公共卫生相关性：拟议的项目将测试一种创新的公共卫生干预策略，既可以防止儿童开始吸烟并提高父母会戒烟的几率。如果有效，则可以通过将无烟儿童计划纳入美国提供的基于证据的Quitline服务的投资组合来传播拟议的预防儿童和成人戒烟服务的拟议联系。