Optimizing Treatment for Brazilian Smokers through Community-Based Primary Care

通过基于社区的初级保健优化巴西吸烟者的治疗

• 批准号: 8305501
• 负责人: Ana Paula Cupertino
• 金额: $ 5.57万
• 依托单位: UNIVERSITY OF KANSAS MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-07-01 至 2014-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8305501
• 关键词: Address; Adult; Attitude; Brazil; Case Management; Cessation of life; Cities; Clinic; Clinical; Clinical Research; Collaborations; Communities; Continuing Education; Counseling; Country; Data; Dentists; Developing Countries; Development; Educational workshop; Effectiveness; Faculty; Family Practice; Future; Grant; Health; Health Personnel; Health Services Accessibility; Healthcare Systems; Home environment; Home visitation; House Call; Household; Institution; International; Intervention; K-Series Research Career Programs; Knowledge; Latino; Link; Low income; Mentors; Modeling; Morbidity - disease rate; Nurses; Parents; Physicians; Pilot Projects; Population; Prevalence; Primary Health Care; Principal Investigator; Procedures; Recommendation; Recording of previous events; Registries; Relapse; Research; Research Infrastructure; Research Methodology; Research Personnel; Research Project Grants; Resources; Role; Rural; Services; Smoke; Smoker; Smoking Behavior; Social Workers; Structure; Surveys; Telemedicine; Telephone; Testing; Tobacco; Tobacco Use Cessation; Treaty; Universal Coverage; Universities; Work; World Health Organization; base; basica; cost; cost effectiveness; design; evidence base; global health; graduate student; improved; instrument; interest; lectures; mortality; parent grant; pilot trial; population based; preference; programs; randomized trial; respiratory; service utilization; skills; smoking cessation; smoking prevalence; therapy design; tobacco control; trend

PROJECT SUMMARY/ABSTRACT By 2030, over 8 million people will die annually from tobacco, and 80% of these deaths will occur in developing countries. Many countries are attempting to contravene this trend by becoming signatories to the World Health Organization's international tobacco treaty-the Framework Convention on Tobacco Control (FCTC). Helping smokers quit is a core article of the FCTC. Although Brazil provides universal coverage for evidence-based tobacco treatments, it continues to have disparities in tobacco prevalence and access to treatment. The twofold purpose of this project is to 1) conduct a research project to understand and enhance access to tobacco treatment for Brazilian smokers, and 2) build a research collaboration between the U.S. and Brazil. The research project involves collaborating with community-based primary care clinics in Juiz de Fora, Brazil to achieve the following specific aims: 1) create a representative registry of smokers to determine tobacco prevalence and attitudes toward treatment; 2) describe health care provider perspectives on how best to reach low-income smokers; 3) develop and pilot test a community agent intervention to enhance access to tobacco treatment services. The Parent R01 for this project tests the effectiveness of telemedicine to increase access to evidence-based tobacco treatment among rural Anglo and Latino smokers in the U.S. through rural primary care facilities. The project also relies on a K-Award that tests the effects of a U.S.-based lay health worker intervention designed to increase access to tobacco treatment among unban Latinos. The project utilizes the multiple-P.I. mechanism to take advantage of the complementary strengths of the Principal Investigators of these projects. The project will be conducted in collaboration with Brazilian P.I. Dr. Oscarina da Silva Ezequiel and her staff at the Universidade Federal de Juiz de Fora (UFJF). Research capacity building activities include formal course offerings, mentored research projects, and community lectures designed to build knowledge and skills for conducting applied clinical research. The project addresses a significant global health problem and it is a highly relevant project for Brazil, which has a large population of very poor smokers. It also capitalizes on the unique structure of the Brazilian health care system to identify and link every smoker in the population to existing services. As such, it represents a paradigm shift from reactive to proactive treatment. Research project findings will be used to support an application for a large scale, definitive trial of the pilot intervention. If effective, the approach could achieve significant reductions in tobacco-related morbidity and mortality in Brazil and provide a model for population- based intervention internationally.

项目摘要/摘要 到2030年，每年有超过800万人死于烟草，其中80％的死亡将发生在发展中 国家。许多国家试图通过成为世界卫生的签署者来违反这种趋势 组织的国际烟草条约 - 烟草控制框架公约（FCTC）。帮助 吸烟者退出是FCTC的核心文章。 尽管巴西为基于证据的烟草疗法提供了普遍的覆盖范围，但它仍然具有 烟草患病率和获得治疗的差异。该项目的双重目的是1） 一个研究项目，以了解和增强巴西吸烟者获得烟草治疗的机会，以及2）建造 美国和巴西之间的研究合作。研究项目涉及与 巴西胡兹德福拉的基于社区的初级保健诊所，以实现以下特定目的：1）创建一个 吸烟者的代表注册表确定烟草患病率和对治疗的态度； 2） 描述有关如何最好地吸引低收入吸烟者的卫生保健提供者的观点； 3）开发和试点测试 社区代理干预措施，以增强获得烟草治疗服务的机会。 该项目的父r01测试远程医疗增加获得基于证据的有效性 美国农村初级保健机构在美国农村盎格鲁和拉丁裔吸烟者中的烟草治疗。这 项目还依靠K-award测试了总部位于美国的外行卫生工作者设计的影响 增加拉丁美洲人的烟草治疗的机会。该项目利用了多p.i。 利用这些项目主要研究人员的互补优势的机制。 该项目将与巴西P.I.合作进行。 Oscarina Da Silva Ezequiel博士和她的员工在 联邦联邦大学（UFJF）。研究能力建设活动包括正式课程 旨在建立知识和技能的产品，指导的研究项目和社区讲座 进行应用临床研究。 该项目解决了一个重大的全球健康问题，对于巴西来说，这是一个高度相关的项目 大量吸烟者人口。它还利用巴西医疗保健的独特结构 系统以识别并将人群中的每个吸烟者与现有服务联系起来。因此，它代表 范式从反应性转向主动治疗。研究项目发现将用于支持 对飞行员干预的大规模，确定性试验的申请。如果有效，方法可以实现 巴西与烟草相关的发病率和死亡率的显着降低，为人口提供了模型 国际干预。

项目成果

Cigarette smoking among patients with chronic diseases.

• DOI: 10.1016/j.ijcard.2014.04.150
• 发表时间: 2014-07-01
• 期刊: International journal of cardiology
• 影响因子: 3.5
• 作者: Campos Tda S;Richter KP;Cupertino AP;Galil AG;Banhato EF;Colugnati FA;Bastos MG
• 通讯作者: Bastos MG

Effectiveness of a smoking cessation decision-making electronic tool (Pare de Fumar Conosco): A randomized clinical trial.

戒烟决策电子工具（Pare de Fumar Conosco）的有效性：一项随机临床试验。

• DOI: 10.1177/14604582221105450
• 发表时间: 2022
• 期刊: Health informatics journal
• 影响因子: 3
• 作者: daSilvaTeixeira,Roberta;GarciadeSiqueiraGalil,Arise;Cupertino,AnaPaula;Cartujano-Barrera,Francisco;BasileColugnati,FernandoAntônio
• 通讯作者: BasileColugnati,FernandoAntônio