Linking Cessation & Prevention to Stop Intergenerational Transmission of Smoking

链接停止

• 批准号: 8633420
• 负责人: CHRISTINE JACKSON
• 金额: $ 29.26万
• 依托单位: RESEARCH TRIANGLE INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-04-01 至 2016-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8633420
• 关键词: Accounting; Active Learning; Adult; Age; Antismoking; Attitude; Behavioral; Child; Child Development; Cigarette; Cognitive; Control Groups; Counseling; Data Collection; Enrollment; Ethnic Origin; Female; Home environment; Household; Intervention; Interview; Link; Maintenance; Mediator of activation protein; Methods; Modeling; Morbidity - disease rate; Outcome; Parent-Child Relations; Parenting behavior; Parents; Participant; Predisposition; Prevention; Prevention program; Printing; Protocols documentation; Public Health; Race; Randomized; Randomized Controlled Trials; Regression Analysis; Reporter; Reporting; Sampling; Series; Services; Smoke; Smoking; Smoking Behavior; Smoking Prevention; Socialization; Staging; Stepparent; Surveys; Survival Analysis; Telephone; Testing; Tobacco use; United States; base; cigarette smoking; cost; cost effectiveness; design; evidence base; follow-up; improved; innovation; intergenerational; intervention effect; male; mortality; post intervention; prevent; programs; public health relevance; quitline; smoking cessation; transmission process; young adult

DESCRIPTION: (provided by applicant). Multi-generational studies provide conclusive evidence for the transmission of smoking behavior from parent to child. The proposed study will test a strategy for preventing intergenerational transmission of smoking. An evidence-based parenting program for child smoking prevention will be disseminated to parents who smoke as they initiate use of evidence-based telephone (Quitline) smoking cessation services. A two-group, randomized controlled trial will test the effects of combining the evidence-based parenting program for child smoking prevention, called Smoke-free Kids, with the evidence-based adult smoking cessation services of state Quitlines. Smoke-free Kids is a home-based, self-directed program that engages parents who smoke in anti-smoking socialization of children. All of the anti-smoking socialization activities recommended by this program are equally relevant to parents who are making a quit attempt. The trial will examine program effects on child initiation of smoking and on parent maintenance of smoking cessation. Summary. Eligible children will be eldest male or female children from single- or two-parent households, of any race/ethnicity, who will be ages 7 to 9 at baseline, in the pre-initiation stage of smoking, and enrolled with a parent, stepparent, or other guardian who lives with the child and who has begun using Quitline cessation services. In partnership with state Quitlines, rolling recruitment will be used to enroll 1,294 eligible children and their parents. Participants will be assigned randomly within states to either the treatment (adult cessation services plus child smoking prevention program), or control (adult cessation services only) group. Participants will follow a 36-month protocol between random assignment and final follow-up. Parents will complete baseline assessments plus follow-up interviews 1 and 6 months post-intervention and annually thereafter; in addition, treatment group parents will complete program implementation surveys. Children will complete baseline assessments plus follow-up interviews 1 and 6 months post-intervention and annually thereafter; they will be ages 10 to 12 at final follow-up. The study hypotheses posit reduced odds of child initiation of smoking (first instance of puffing on a cigarette), lower child susceptibility to smoking, and increased likelihood that parents will maintain smoking cessation. Survival analysis will test the effects of the intervention on initiation of smoking among children and on maintenance of cessation among parents. A proportional odds model will test the effects of the intervention on susceptibility to smoking among children who do not initiate smoking. Regression analyses and latent variable modeling will be used to identify mediators and moderators of intervention effects. Cost-effectiveness analyses will also be conducted.

描述：（由申请人提供）。多代研究为吸烟行为从父母到孩子的传播提供了确凿的证据。拟议的研究将测试预防吸烟代际传播的策略。当吸烟的父母开始使用循证电话（戒烟热线）戒烟服务时，将向他们传播预防儿童吸烟的循证育儿计划。一项两组随机对照试验将测试将预防儿童吸烟的循证育儿计划（名为“无烟儿童”）与州戒烟热线循证成人戒烟服务相结合的效果。无烟儿童是一项以家庭为基础的自我导向计划，让吸烟的父母参与儿童反吸烟社会化活动。该计划推荐的所有反吸烟社会化活动都与正在尝试戒烟的父母同样相关。该试验将检查项目对儿童开始吸烟和父母维持戒烟的影响。概括。符合资格的儿童是来自单亲或双亲家庭、任何种族/族裔的最大男性或女性儿童，基线时年龄为 7 至 9 岁，处于开始吸烟前阶段，并与父母、继父母一起登记或与孩子同住且已开始使用戒烟热线戒烟服务的其他监护人。将与州戒烟热线合作，采用滚动招募的方式招募 1,294 名符合条件的儿童及其家长。参与者将在各州内被随机分配到治疗组（成人戒烟服务加儿童吸烟预防计划）或对照组（仅限成人戒烟服务）。参与者将遵循随机分配和最终随访之间为期 36 个月的方案。家长将在干预后 1 个月和 6 个月以及此后每年完成基线评估和后续访谈；此外，治疗组家长将完成计划实施情况调查。儿童将在干预后 1 个月和 6 个月以及此后每年完成基线评估和后续访谈；最终随访时他们的年龄将在 10 至 12 岁之间。该研究假设降低了儿童开始吸烟（第一次吸烟）的几率，降低了儿童对吸烟的敏感性，并增加了父母坚持戒烟的可能性。生存分析将测试干预措施对儿童开始吸烟和父母维持戒烟的影响。比例优势模型将测试干预措施对不开始吸烟的儿童吸烟易感性的影响。回归分析和潜在变量建模将用于识别干预效果的中介因素和调节因素。还将进行成本效益分析。