A family intervention to reduce smoking among Chinese and Vietnamese men

减少中国和越南男性吸烟的家庭干预

• 批准号: 8231376
• 负责人: Janice Y Tsoh
• 金额: $ 19.31万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-03-01 至 2014-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8231376
• 关键词: Address; Adult; Age; American; Asian Americans; Asians; California; Chinese American; Chinese People; Communities; Conflict (Psychology); Counseling; Data; Development; Device or Instrument Development; Ethnic group; Family; Family member; Focus Groups; Foundations; Future; Goals; Health; Health Personnel; Household; Immigrant; Individual; Intention; Intervention; Interview; Knowledge; Language; Latina; Life; Literature; Methods; Modeling; Network-based; Not Hispanic or Latino; Outcome Measure; Pharmaceutical Preparations; Phase; Population; Public Health; Recruitment Activity; Reporting; Research; Research Design; Resources; Role; Series; Services; Smoke; Smoker; Smoking; Social Network; Subgroup; Surveys; Telephone; Testing; Time; Tobacco; Tobacco Dependence; Tobacco use; base; burden of illness; cigarette smoking; experience; health economics; innovation; male; men; nicotine replacement; outreach; peer; pilot trial; post intervention; primary outcome; programs; public health relevance; quitline; randomized trial; secondary outcome; smoking cessation; smoking prevalence; social; social cognitive theory; social implication; theories; therapy design

DESCRIPTION (provided by applicant): A Family Intervention to Reduce Smoking in Chinese and Vietnamese Men Tobacco use disparities remain in subgroups of Asian men, particularly among those of low English proficiencies and immigrants from cultures where smoking prevalence is high, including Chinese- and Vietnamese-American men. The 2007 California Health Interview Survey estimates that nearly half (47.3 percent) of Asian male smokers in California are either Chinese or Vietnamese. Chinese and Vietnamese smokers underutilize state telephone quitline services, smoking cessation medications, and health providers' advice. Our recent research has shown the feasibility of recruiting Chinese smokers into a smoking cessation program through their families. Among Vietnamese men, having smoking-related family conflicts was a strong correlate with having intention to quit smoking and having quit successfully within the past 5 years. Involving smokers' families to promote intention to quit and to utilize cessation resources among Chinese and Vietnamese has enormous potential to reduce smoking in these populations. This study will use a mixed methods research design to develop and pre-test a family intervention using lay health worker (LHW) outreach to involve both smokers' families and smokers to promote smoking cessation in Chinese- and Vietnamese-American men. We aim to: 1) develop a culturally and linguistically appropriate family intervention targeting Chinese and Vietnamese smokers; and 2) conduct a pilot trial to examine feasibility of the proposed intervention. The development of the proposed family intervention will be guided by qualitative individual and dyadic interviews of Chinese and Vietnamese smokers and their families, community input (advisory boards and focus groups), and literature integrating 3 theories: Social Network Theory, Social Cognitive Theory, and the Transtheoretical Model. We will conduct a pilot trial using a one-group pre- and post- intervention design with 48 smoker-family dyads. Self-identified Chinese and Vietnamese males who smoke daily during the past 7 days and one family member from the same household will be recruited by LHW outreach. The primary outcomes measured are recruitment feasibility, attendance, and acceptability of the intervention. Secondary outcomes measured are comparisons of pre- and post-intervention changes in: family members' provision of support for their smokers, smokers' perceived support from their family, smokers' utilization of resources, quit intentions, and quit attempts made during the intervention period. The long-term goal is to effectively utilize family- based and outreach strategies that involve multiple individual, familial, and social levels to reduce smoking in hard-to-reach populations. PUBLIC HEALTH RELEVANCE: The public health and economic consequences of cigarette smoking are well established. This project addresses gaps in knowledge about effective strategies for treating tobacco dependence in underrepresented populations where smoking prevalence is disproportionately high such as among Chinese- and Vietnamese-American men. The proposed study will examine the use of an innovative strategy that involves lay health worker outreach to mobilize the families and the smokers to promote smoking cessation in Chinese- and Vietnamese-American men.

描述（申请人提供）：一种家庭干预措施，以减少中国和越南男性烟草使用差异的家庭干预仍然存在于亚洲男人的亚组中，尤其是在较低的英国熟练工人和来自吸烟流行的文化的移民中，包括中国和越南人的培养物。 - 美国人。 2007年加利福尼亚健康访谈调查估计，在加利福尼亚州，亚洲男性吸烟者中有将近一半（47.3％）是中国人或越南人。中国和越南吸烟者将州戒烟线服务，戒烟药物和健康提供者的建议降低了。我们最近的研究表明，招募中国吸烟者通过其家人招募吸烟计划的可行性。在越南人中，与吸烟有关的家庭冲突与戒烟的意图有很强的相关，并在过去5年中成功戒烟。涉及吸烟者的家庭促进戒烟和利用中国和越南戒烟资源的意图具有巨大的潜力，有可能减少这些人群的吸烟。这项研究将使用混合方法研究设计来开发和预测试家庭干预措施，使用外行健康工作者（LHW）宣传，以吸烟者的家庭和吸烟者促进中国和越南裔美国人的戒烟。我们的目标是：1）针对中国和越南吸烟者的文化和语言上适当的家庭干预； 2）进行试点试验，以检查拟议干预的可行性。拟议的家庭干预的发展将由中国和越南吸烟者及其家人的定性个人和二元采访，社区投入（咨询委员会和焦点小组），以及整合3种理论的文献：社会网络理论，社会认知理论以及社会认知理论以及跨理论模型。我们将使用48个吸烟者家庭二元组进行一组前后干预设计的试点试验。 LHW Outreach将招募自我识别的中国和越南男性，在过去的7天中每天抽烟，同一家庭中的一名家庭成员将被招募。测得的主要结果是招聘可行性，出勤率和干预措施的可接受性。测量的次要结果是干预前和干预后变化的比较：家庭成员为吸烟者提供支持，吸烟者的家庭支持，吸烟者对资源的利用，戒烟意图以及在干预期间进行的戒烟尝试。长期目标是有效利用涉及多个个人，家庭和社会水平的家庭和外展策略，以减少难以到达的人群中的吸烟。 公共卫生相关性：吸烟的公共卫生和经济后果已建立。该项目解决了有关在代表性不足的人群中治疗烟草依赖的有效策略的知识差距，在这种情况下，在中国和越南裔美国人中，吸烟流行率不成比例高。拟议的研究将研究一种创新策略的使用，该战略涉及卫生工作者外展活动，以动员家庭和吸烟者促进中国和越南裔美国人的戒烟。