Implementing Evidence-Based Tobacco Cessation Strategies in Campus Health Clinics

在校园健康诊所实施循证戒烟策略

• 批准号: 8294610
• 负责人: Erin L Sutfin
• 金额: $ 16.03万
• 依托单位: WAKE FOREST UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-07-01 至 2013-12-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8294610
• 关键词: Address; Adopted; Adoption; Adult; Area; Attention; Behavior; Caring; Characteristics; Cigar; Cigarette; Cigarette Smoker; Clinic; Clinical; Communities; Counseling; Data; Diffusion of Innovation; Elements; Evaluation; Evidence based practice; Future; Goals; Guidelines; Health; Health Personnel; Healthcare; Healthcare Systems; Intervention; Interview; Knowledge; Motivation; NIH Program Announcements; North Carolina; Patients; Pharmacotherapy; Pilot Projects; Population; Provider; Publications; Randomized; Readiness; Research; Research Personnel; Resources; Sample Size; Sampling; Scanning; Self Efficacy; Site; Smokeless; Smoker; Staging; Students; Surveys; System; Testing; Time; Tobacco; Tobacco Dependence; Tobacco Use Cessation; Tobacco use; Training; Underserved Population; Uninsured; United States Public Health Service; Visit; Withholding Treatment; Work; base; clinical practice; college; design; dissemination research; efficacy trial; evidence base; follow-up; hookah; implementation research; informant; knowledge base; member; motivational enhancement therapy; nicotine replacement; programs; quitline; research study; screening and brief intervention; smoking cessation; theories; therapy design; tobacco control; tobacco screening; university student

DESCRIPTION (provided by applicant): The United States Public Health Services (PHS) provides clinicians and healthcare systems with evidence- based practices for tobacco control and treatment through widely disseminated guidelines ("PHS Guidelines"). Interventions as brief as three minutes can significantly increase quit rates among adult daily smokers. Despite an estimated three million college student smokers in the U.S., the majority of who have made at least one quit attempt, little research exists on college students and smoking cessation. Although the PHS Guidelines have been widely disseminated and are intended to be implemented in a variety of clinical settings, student health clinics do not appear to have fully adopted these strategies. Student health clinics provide care to a large number of students, making them an ideal setting to encourage tobacco cessation in this population. This proposal seeks to provide formative data testing the implementation of evidence-based tobacco cessation strategies in student health clinics on college campuses in North Carolina. Specific aims are to: (1) Increase student health centers' organizational adoption and implementation of the PHS Guidelines through system- level changes; and (2) Increase college student health care providers' adoption and implementation of the PHS Guidelines to promote tobacco cessation behaviors among college student tobacco users. A Secondary Aim is to preliminarily assess the efficacy of implementing the PHS Guidelines in student health centers on students' readiness to quit to estimate sample sizes for a future larger efficacy trial. Using a clinic-level randomized design, the intervention targets both organizations providing healthcare and clinicians within those organizations through system-level changes and increased provider training. The intervention will be evaluated using key informant interviews, environmental scans, provider surveys, and patient exit surveys. The proposed pilot study will mark the first time implementation of the PHS Guidelines has been tested in a college student health center setting. Results will be used to: (1) estimate effect sizes for a future trial that will test both implementation and efficacy in a larger sample; and (2) inform implementation of this intervention in other clinical settings, including community colleges. The proposed research study responds to an unmet need for the successful implementation of evidence-based tobacco cessation strategies for college students. The overall intent of this research is to ultimately close the gap between research discovery and program delivery in the area of tobacco control.

描述（由申请人提供）：美国公共卫生服务部 (PHS) 通过广泛传播的指南（“PHS 指南”）为临床医生和医疗保健系统提供基于证据的烟草控制和治疗实践。只需三分钟的干预措施就可以显着提高成年吸烟者的戒烟率。尽管美国估计有 300 万大学生吸烟者，其中大多数人至少尝试过一次戒烟，但关于大学生和戒烟的研究却很少。尽管 PHS 指南已广泛传播并旨在在各种临床环境中实施，但学生健康诊所似乎并未完全采用这些策略。学生健康诊所为大量学生提供护理，使其成为鼓励该人群戒烟的理想场所。该提案旨在提供形成性数据，测试北卡罗来纳州大学校园学生健康诊所实施循证戒烟策略的情况。具体目标是： (1) 通过系统层面的变革，提高学生健康中心对 PHS 指南的组织采用和实施； (2) 加强大学生医疗保健提供者对 PHS 指南的采用和实施，以促进大学生烟草使用者的戒烟行为。第二个目标是初步评估在学生健康中心实施 PHS 指南对学生戒烟准备情况的有效性，以估计未来更大规模疗效试验的样本量。该干预措施采用临床级随机设计，通过系统级变革和增加提供者培训，针对提供医疗保健的组织和这些组织内的临床医生。将通过关键知情人访谈、环境扫描、提供者调查和患者退出调查来评估干预措施。拟议的试点研究将标志着 PHS 指南的实施首次在大学生健康中心进行测试。结果将用于：（1）估计未来试验的效果大小，该试验将在更大的样本中测试实施情况和功效； (2) 告知在其他临床环境（包括社区学院）实施该干预措施。拟议的研究响应了大学生成功实施循证戒烟策略的未满足的需求。这项研究的总体目的是最终缩小烟草控制领域的研究发现和项目实施之间的差距。

项目成果

Motivational interviewing intervention with college student tobacco users: providers' beliefs and behaviors.

对大学生烟草使用者的动机访谈干预：提供者的信念和行为。

• 发表时间: 2015
• 作者: McNamara, Robert S;Y Song, Eunyoung;Reboussin, Beth A;Spangler, John;Pockey, Jessica R;Kimes, Caroline;Foley, Kristie L;Sutfin, Erin L
• 通讯作者: Sutfin, Erin L