Community Based Training Models for Tobacco Cessations

基于社区的戒烟培训模式

• 批准号: 6801144
• 负责人: MYRA L. MURAMOTO
• 金额: $ 119.75万
• 依托单位: UNIVERSITY OF ARIZONA
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-09-26 至 2006-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6801144
• 关键词: Internet; behavioral /social science research tag; clinical research; community; curriculum; education evaluation /planning; educational resource design /development; health care personnel; human subject; smoking; smoking cessation; tobacco abuse; tobacco abuse prevention; training; Internet; behavioral /social science research tag; clinical research; community; curriculum; education evaluation /planning; educational resource design /development; health care personnel; human subject; smoking; smoking cessation; tobacco abuse; tobacco abuse prevention; training

Description (provided by applicant): Cessation programs are a key component of comprehensive tobacco control, producing public health benefits more quickly, and with greater magnitude, than any other component. Currently states have spent or are preparing to spend significant dollars on training models to develop and/or expand tobacco cessation programs as part of their investment in statewide tobacco control, and discussion has already begun at the national level regarding the need for training and certification programs. The PHS guidelines for treatment of tobacco dependence reaffirmed earlier meta-analyses demonstrating the effectiveness of brief interventions for tobacco cessation, and the effectiveness of a range of provider types as interventionists. While extended counseling and pharmacotherapy can generate higher long term quit rates, the gain in efficacy is insufficient to offset the higher cost, leading to costs p e r quitter that are several times higher than those found under low-intensity, brief intervention. To maximize the reduction in smoking attained under a given tobacco control budget, the cost-effectiveness advantages of low-intensity treatments suggest that brief interventions should be extended to as many smokers as possible. The emphasis on healthcare providers and systems for broad dissemination of brief interventions at the community level has been insufficient, missing opportunities to activate the broad range of human service providers (e.g. social services, education, human resources, law and corrections, clergy, and community outreach workers) as interventionists. There is an urgent need to examine training models a p p licable to large-scale community-based implementation in terms of effectiveness, cost, accessibility and acceptability. This project will compare two models of brief intervention training to each other and to a usual practice control group within the target population of human services providers. The primary outcome is the rate of brief interventions for tobacco cessation performed in the community. As a secondary measure, this project will test the effect of each model of training on rates of referral to more intensive tobacco cessation programs, and the attitudes and behaviors of training participants with regard to: reduction of environmental tobacco smoke (ETS) in personal spaces and support of tobacco control policies in the workplace and community. The project will be accomplished in four-phases: Phase I will focus on revision of traditional in-person (IP) training curriculum for use with a population of human services providers, followed by design and production of analogous interactive, multimedia Internet (Web) curriculum. Phase II: Beta testing of Web curriculum through the World Wide Web (WWW) in preparation for randomized controlled effectiveness trial. Phase III: Randomized controlled study testing the relative effectiveness (and cost effectiveness) of the IP and Web models to each other and to a usual practice control group. Phase IV: Dissemination study of the training model shown to be most effective though participating community partners.

描述（由申请人提供）： 戒烟计划是综合烟草控制的关键组成部分， 产生公共卫生的福利更快，更大程度地 比任何其他组件。目前已经花费或准备 在培训模型上花费大量美元来开发和/或扩展烟草 戒烟计划是他们在全州烟草控制中投资的一部分， 关于对需要的讨论已经开始 培训和认证计划。 PHS治疗指南 烟草依赖性重申了早期的荟萃分析，证明了 简短干预烟草停止的有效性，以及 一系列提供商类型作为干预主义者的有效性。延长 咨询和药物治疗可以产生更高的长期退出率， 疗效的提高不足以抵消更高的成本，从而导致成本 戒烟比下面发现的戒烟数几倍 低强度，简短干预。最大程度地减少吸烟 根据给定的烟草控制预算获得成本效益 低强度治疗的优势表明，短暂的干预措施应 扩展到尽可能多的吸烟者。强调医疗保健 提供者和系统，用于广泛传播短暂干预措施 社区层面不足，缺少激活的机会 广泛的人类服务提供商（例如社会服务，教育，人类 资源，法律和更正，神职人员和社区外展工作者） 干预主义者。迫切需要检查培训模型 根据大规模社区实施的P P P P P P P P P P 有效性，成本，可访问性和可接受性。这个项目将 将两种简短干预培训的模型相互比较 在人类服务的目标人群中实践对照组 提供者。主要结果是烟草简短干预措施的速度 戒烟在社区中进行。作为次要措施，这个项目 将测试每个培训模型对转介速率的影响 密集的烟草戒烟计划，以及 培训参与者关于：减少环境烟草烟雾 （ET）在个人空间中，并支持烟草控制政策 工作场所和社区。该项目将以四个范围来完成： 第一阶段将重点介绍传统的面对面（IP）培训课程，以与人类服务提供商一起使用，然后 类似互动的多媒体互联网（Web）的设计和生产 课程。第二阶段：通过万维网对Web课程的Beta测试 Web（www）为随机控制有效性试验做准备。阶段 III：随机对照研究测试相对有效性（成本和成本 IP和Web模型的有效性彼此以及通常的实践 对照组。第四阶段：训练模型的传播研究 尽管有参与的社区合作伙伴最有效。