Randomized Trial of a State Tobacco Prevention Program

国家烟草预防计划的随机试验

• 批准号: 7916305
• 负责人: Anthony Biglan
• 金额: $ 14.86万
• 依托单位: OREGON RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-30 至 2011-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7916305
• 关键词: Adolescent; Adolescent Behavior; Alcohol or Other Drugs use; Behavior; Cities; Collaborations; Communication; Communities; Data; Development; Educational Curriculum; Effectiveness; Evaluation; Family; Funding; Health; Individual; Intervention; Measures; Mediator of activation protein; Nature; Oregon; Play; Police; Policies; Prevalence; Prevention; Prevention education; Prevention program; Preventive Intervention; Problem behavior; Randomized; Randomized Controlled Clinical Trials; Randomized Controlled Trials; Records; Research; Research Institute; Research Personnel; Resources; Risk; Role; Sampling; Schools; Smoking; Social Environment; Students; Surveys; System; Taxes; Testing; Time; Tobacco; Tobacco use; Training; Work; Youth; adolescent smoking; anti social; base; community intervention; design; dissemination trial; effectiveness trial; high school; prevent; programs; teacher; tobacco control; tobacco prevention

DESCRIPTION (provided by applicant): A randomized controlled trial of Oregon's comprehensive preventive intervention is proposed. The project will extend a successful collaboration between state agencies and Oregon Research Institute that for 3 years has measured tobacco control practices, individual risk/protective factors, the prevalence of tobacco use, and other healthy/harmful behaviors of adolescents in a cluster sample of 1/3 of Oregon middle and high schools. Oregon's Tobacco Prevention and Education Program (TPEP) is a tobacco tax-funded intervention that supports school districts and their communities in implementing a prevention program. The components of the program include policies against tobacco use, school-based curricula, youth anti-tobacco activities, family communications about tobacco, and access reduction efforts. Using a group-randomized design, with a waitlist/ multiple design feature, 36 school districts, not previously receiving tobacco program funding, will be randomly assigned either to intervention 1, 3, or 4 years into the project or to a no-intervention control condition. Annual assessments of all 8th and 11th graders have been obtained for the past 3 years and will continue for the 5 years of this project. Data on implementation and mediators of program effects will be obtained from students, teachers, principals, prevention coordinators, access purchase surveys, and archival records from schools, police, and city councils. The primary aim of the study is to conduct a true experimental field trial of a state program. In doing so, it will provide evidence about the implementation and effectiveness of comprehensive tobacco prevention programs when administered by the state and delivered by non-research personnel. It is thus both an effectiveness and a dissemination trial. Given the comprehensive nature of our survey instrument, we will also be able to test whether a prevention program targeting tobacco use has an impact on young people's engagement in other problem behaviors. Finally, the proposed research will permit continuing our analyses of the relationship of adolescent smoking to other healthy and harmful behaviors and of the role played by social context factors in influencing the development of these behaviors.

描述（由申请人提供）：提出了俄勒冈州综合预防干预措施的随机对照试验。该项目将扩大国家机构与俄勒冈研究所之间的成功合作，该研究所已有3年的历史来衡量烟草控制实践，个人风险/保护因素，烟草使用的患病率以及在俄勒冈州中学和高中1/3的集群样本中的青少年的其他健康/有害行为。俄勒冈州的烟草预防和教育计划（TPEP）是烟草税收资助的干预措施，支持学区及其社区实施预防计划。该计划的组成部分包括针对烟草使用的政策，基于学校的课程，青少年反烟草活动，有关烟草的家庭沟通以及减少访问工作。使用候补名单/多重设计功能的组随机设计，36个学区（以前没有获得烟草计划资金）将被随机分配到项目的干预1、3或4年或无干预控制条件。在过去的3年中，已经获得了所有8年级和11年级学生的年度评估，并将继续进行该项目的5年。有关计划效果的实施和调解人的数据，将从学生，教师，校长，预防协调员，访问购买调查以及学校，警察和市议会的档案记录中获得。该研究的主要目的是对国家计划进行真正的实验现场试验。这样一来，它将提供有关国家管理并由非研究人员提供的全面预防计划的实施和有效性的证据。因此，这既是有效性，也是传播试验。鉴于我们的调查工具的全面性质，我们还将能够测试针对烟草使用的预防计划是否会影响年轻人参与其他问题行为。最后，拟议的研究将允许我们对青少年吸烟与其他健康有害行为的关系以及社会环境因素在影响这些行为发展中所起的作用的分析。