Development of a Tobacco Health Literacy Instrument

烟草健康素养工具的开发

• 批准号: 9042323
• 负责人: CHRISTINE Makosky DALEY
• 金额: $ 17.65万
• 依托单位: UNIVERSITY OF KANSAS MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-04-01 至 2018-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9042323
• 关键词: Address; Adult; American Indians; Assessment tool; Behavior; Cancer Etiology; Cardiovascular Diseases; Cause of Death; Cessation of life; Communication; Communities; Community Health; Community Participation; Comprehension; Data; Decision Making; Development; Dimensions; Education; Ensure; Ethnic group; Factor Analysis; Faculty; Goals; Grant; Health; High Prevalence; Individual; Internet; Intervention; Kansas; Knowledge; Lead; Learning; Literature; Lung; Malignant Neoplasms; Malignant neoplasm of lung; Measurement; Measures; Medical center; Medicine; Methods; Nature; Oral; Outcome; Participant; Plants; Population; Premature Mortality; Prevention; Prevention program; Preventive Intervention; Primary Prevention; Printing; Qualifying; Race; Readability; Reporting; Research; Research Methodology; Risk; Risk Factors; Secondary Prevention; Smoke; Smoker; Smoking; Surveys; Target Populations; Testing; Tobacco; Tobacco use; Underserved Population; United States; Universities; Validity and Reliability; Work; Youth; aged; base; cigarette smoking; community based participatory research; design; functional health literacy; health disparity; health equity; health literacy; high risk; improved; instrument; literacy; mathematical ability; member; mortality; northern plains; prevent; programs; racial and ethnic; reduce tobacco use; response; skills; smoking cessation; tobacco control; tobacco prevention; tool; tribal college; university student

 DESCRIPTION (provided by applicant): American Indians (AI) have the highest rates of smoking of any racial/ethnic group in the US (41% versus 23% for whites and blacks). Consequently, they suffer the highest mortality from tobacco-related illnesses of any racial/ethnic group; two of every five AI die from a tobacco-related illness. AI youth have a high prevalence of tobacco use as well, where cigarette smoking is reported just below 37% for youth aged 11-18. Tobacco prevention efforts include education materials and programming that deter individuals from starting smoking or encourage individuals to quit smoking. However, we do not know if education efforts are fully understood and resonate with target populations, as indicated by high prevalence rates among AI populations. This may be explained, in part, because tobacco is a sacred plant to many AI and, as such, cannot be treated completely negatively, as most primary and secondary prevention programs do. We propose to create health literacy (HL) instrument that is specific to tobacco knowledge and risk. We believe this is a necessary step in primary and secondary prevention efforts in order to determine the appropriate way to intervene upon behaviors among those who have yet to start smoking, those who smoke and want to quit, and those that smoke and do not want to quit. Therefore, our long-term goal is to improve tobacco education and programming that will lead to better tobacco prevention efforts among AI communities. Our team has successfully used community-based participatory research (CBPR) to address tobacco use with AI communities since 2003. Our community partners requested that we examine additional ways to improve tobacco prevention efforts. We will address the following specific aims: (1) Develop a HL measure that is specific to tobacco use among AI populations by using CBPR to create a culturally relevant instrument that examines tobacco HL knowledge and risk; (2) Determine the reliability and validity of a tobacco HL measure among AI populations by testing it with AI adults (long form, n=250; short form, n=100). We will use experts to estimate content validity and factor analysis on participants' responses to estimate instrument's dimension and reliability. Our rationale for this project is tha the use of a tobacco HL instrument will lead to the design of better primary and secondary prevention tools, thus reducing tobacco-related disparities.

 描述（由适用提供）：美国印第安人（AI）在美国任何种族/族裔群体的吸烟率最高（白人和黑人为41％，为23％）。因此，他们因任何种族/族裔的烟草相关疾病而遭受最高的死亡。每五个AI中有两个死于与烟草有关的疾病。 AI青年的烟草使用率也很高，在11-18岁的青年中，吸烟量低于37％。烟草预防工作包括教育材料和编程，这些材料和节目确定个人无法开始吸烟或鼓励个人戒烟。但是，我们不知道教育工作是否完全理解并与目标人群产生共鸣，这表明AI人群的高患病率很高。这可以部分地解释，因为烟草是许多人AI的神圣植物，因此不能像大多数主要和次要预防计划那样完全对待造成负面影响。我们建议创建针对烟草知识和风险的健康素养（HL）工具。我们认为，这是预防初级和二级预防努力的必要步骤，以确定那些尚未开始吸烟的人之间的行为，吸烟和戒烟的人，以及那些吸烟和不想戒烟的人。因此，我们的长期目标是改善烟草教育和编程，这将导致AI社区之间更好的预防烟草。自2003年以来，我们的团队已成功使用基于社区的参与研究（CBPR）来解决与AI社区的烟草使用。我们的社区合作伙伴要求我们研究改善预防烟草的其他方法。我们将解决以下具体目的：（1）通过使用CBPR创建一种与文化相关的仪器来研究烟草HL知识和风险的文化相关仪器，开发针对AI种群中烟草使用的HL测量； （2）通过用AI成人测试AI种群（长形式，n = 250;短形式，n = 100），确定AI种群中烟草HL测量的可靠性和有效性。我们将使用专家来估算参与者对估计工具的维度和可靠性的反应的内容有效性和因素分析。我们对该项目的理由是使用烟草HL仪器将导致设计更好的初级和次要预防工具，从而减少与烟草相关的差异。

项目成果

It's not just about recruitment: An exploratory look at tobacco education sessions to increase participation into smoking cessation programs among American Indians.

这不仅仅是招募人员：对烟草教育课程进行探索性研究，以增加美洲印第安人对戒烟计划的参与。

• DOI: 10.15761/hec.1000137
• 发表时间: 2018
• 期刊: Health education and care
• 作者: Lumpkins,CY;Filippi,MK;Nazir,N;Pacheco,CM;Hester,CM;Daley,SM;Choi,WS;Daley,CM
• 通讯作者: Daley,CM