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（由申请人提供）：美国印第安人 (AI) 的吸烟率是美国所有种族/族裔群体中最高的（测试中白人和黑人的吸烟率分别为 41% 和 23%），他们因烟草相关死亡率最高。任何种族/族裔群体都患有这种疾病；每五个人工智能青年中就有两人死于与烟草相关的疾病，其中吸烟率略低于 37%。 11-18. 烟草预防工作包括阻止个人开始吸烟或鼓励个人戒烟的教育材料和规划，但是，我们不知道教育工作是否得到目标人群的充分理解和共鸣，正如其高流行率所表明的那样。人工智能人群。这可以部分解释，因为烟草对许多人工智能来说是一种神圣的植物，因此不能像大多数初级和二级预防计划那样完全消极地对待。我们建议创建健康素养（HL）工具。我们认为这是特定于烟草知识和风险的。这是一级和二级预防工作中的必要步骤，以确定干预尚未开始吸烟、吸烟并想戒烟和吸烟但不想戒烟的人的行为的适当方法。我们的长期目标是改善烟草教育和规划，从而在 AI 社区中开展更好的烟草预防工作。自 2003 年以来，我们的团队已成功利用基于社区的参与性研究 (CBPR) 来解决 AI 社区的烟草使用问题。要求我们研究改善烟草预防的其他方法我们将实现以下具体工作目标： (1) 通过使用 CBPR 创建一个检查烟草 HL 知识和风险的文化相关工具，制定针对 AI 人群烟草使用的 HL 衡量标准； (2) 确定可靠性和有效性；通过对 AI 成人进行测试来确定 AI 人群中的烟草 HL 测量值（长格式，n=250；短格式，n=100） 我们将聘请专家来估计内容有效性并对参与者的反应进行因子分析，以估计工具的维度和范围。我们开展该项目的理由是，使用烟草 HL 工具将有助于设计出更好的一级和二级预防工具，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