Evaluation of a brief tobacco intervention in the US military

对美军短暂烟草干预的评估

基本信息

批准号：
9529952
负责人：
Melissa Ashley Little
金额：
$ 15.75万
依托单位：
UNIVERSITY OF VIRGINIA
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-08-01 至 2020-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9529952
关键词：
Abstinence Accounting Adult Air Alcohols Behavior Cessation of life Cigarette Cognitive Electronic cigarette Evaluation Future Gender Health High Prevalence Inherited Intervention Joints Measures Military Personnel Nicotine Pamphlets Participant Prevalence Prevention program Public Health Randomized Recording of previous events Recruitment Activity Relapse Reporting Research Risk Factors Risk-Taking Sampling Services Smokeless Smokeless Tobacco Smoker Smoking Tobacco Tobacco Industry Tobacco use Training Treatment Efficacy United States Vulnerable Populations Work Youth base brief intervention cigarette smoking cost effective demographics disability effective intervention high risk population hookah male motivational enhancement therapy population based primary outcome programs psychosocial public health research reduce tobacco use standard of care tobacco advertising young adult

项目摘要

While the military has taken steps to reduce tobacco use over the past two decades, over a quarter of new military recruits report regular tobacco and nicotine containing product (TNCP) use prior to enlistment.2 This rate is higher than the national prevalence of 21.3% of US adults.17 Brief health prevention programs may be particularly effective for Airmen in Technical Training, given that all Airmen have been tobacco free for 11 ½ weeks and nearly 2/3rds are confident that they won't return to TNCPs. We have developed and validated23 a Brief Tobacco Intervention (BTI) that is currently being implemented as part of Technical Training. We found that a motivational interviewing based, 40 minute BTI was efficacious in increasing perceived harm and decreasing intentions to use TNCPs in a sample of 1055 Air Force trainees. Although we obtained significant positive changes in latent cognitive constructs for tobacco behavior that are highly predictive of future TNCP use in youth and young adults,24-29 the Little et al study did not obtain measures of actual TNCP resumption following the ban on TNCPs in Air Force training. Given that 69.8% of all TNCP resumption/initiation occurs in Technical Training,18 a study that evaluates the short-term impact of our BTI on actual TNCP use is necessary prior to conducting the full scale R01 that would evaluate the long term efficacy of the BTI intervention. Thus, we propose the following Specific Aims: (1) To recruit approximately 2,000 Air Force trainees at the beginning of Technical Training at Joint Base San Antonio-Lackland Air Force in San Antonio, TX during the 11 ½ week involuntary cessation ban; (2) To randomize participants to either (a) receive our cigarette smoking military tailored pamphlet (HL095758), The Airmen's Guide to Remaining Tobacco Free (Airmen's Guide; which has been disseminated and is now the standard of care in the Air Force) or (b) the Airmen's Guide + Brief Tobacco Intervention (BTI); (3) To determine the short-term (3 month, end of Technical Training) efficacy of the intervention on TNCP abstinence. Our primary outcome is TNCP abstinence at the end of Technical Training to determine an estimated effect size as well as establish the requisite preliminary work for a subsequent R01. Given that over 220,000 new recruits enter the military annually in one of the service branches,30 the public health implications of an effective brief tobacco intervention targeting the most commonly used TNCPs for military personnel in Technical Training is considerable. If the BTI is proven efficacious it can be easily disseminated to other service branches that have similar tobacco bans during Technical Training.

尽管过去二十年来军方已采取措施减少烟草使用，但超过四分之一的新吸烟者新兵报告入伍前经常使用烟草和含尼古丁产品 (TNCP)。2 率高于美国成年人 21.3% 的全国患病率。 17 简短的健康预防计划可能是鉴于所有飞行员已在 11.5 年内不吸烟，因此对技术培训中的飞行员特别有效数周，近 2/3 的人确信他们不会返回 TNCP。我们已经制定并验证了23a。我们发现，目前正在实施的简短烟草干预（BTI）是技术培训的一部分。基于动机性访谈的 40 分钟 BTI 可有效增加感知伤害和尽管我们获得了显着的结果，但在 1055 名空军学员样本中，使用 TNCP 的意愿有所下降。烟草行为的潜在认知结构的积极变化高度预测未来的 TNCP 在青少年和年轻人中使用，24-29 Little 等人的研究没有获得实际 TNCP 恢复的衡量标准鉴于 69.8% 的 TNCP 恢复/启动发生在空军训练中。技术培训，18 有必要进行一项评估我们的 BTI 对实际 TNCP 使用的短期影响的研究在进行全面的 R01 之前，该 R01 将评估 BTI 干预的长期功效。我们提出以下具体目标：（1）初期招募约2000名空军学员第 11.5 周在德克萨斯州圣安东尼奥市圣安东尼奥-拉克兰空军联合基地进行技术培训非自愿戒烟禁令；(2) 将参与者随机分配为 (a) 接受我们的吸烟军队量身定制的小册子 (HL095758)，《飞行员保持无烟指南》（Airmen's Guide；其中有已传播，现已成为空军的护理标准）或 (b) 飞行员指南 + 简短烟草干预（BTI）；（3）确定短期（3 个月，技术培训结束）功效对 TNCP 戒断的干预我们的主要结果是技术培训结束时 TNCP 戒断。确定估计的影响大小并为后续 R01 建立必要的前期工作。鉴于每年有超过 220,000 名新兵在某一军种入伍，30 公众针对最常用的 TNCP 的有效简短烟草干预措施对健康的影响如果 BTI 被证明是有效的，那么军事人员的技术培训就很容易实现。在技术培训期间向具有类似烟草禁令的其他服务部门传播。

项目成果

期刊论文数量（3）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

The comparative effectiveness of two brief tobacco interventions in the U.S. Air Force: Perceived harm and intentions-to-use of tobacco products.

美国空军两项简短烟草干预措施的比较效果：感知危害和使用烟草产品的意图。

DOI：
发表时间：
2018
期刊：
影响因子：
3.7
作者：
Bursac, Zoran;Klesges, Robert C;Little, Melissa A;Linde, Brittany D;Popova, Lucy;Kaplan, Cameron M;Talcott, Gerald W
通讯作者：
Talcott, Gerald W

Evaluating the Effects of a Brief Tobacco Intervention in the US Air Force.

评估美国空军短暂烟草干预的效果。

DOI：
发表时间：
2020
期刊：
影响因子：
0
作者：
Little, Melissa A;Fahey, Margaret C;Klesges, Robert C;McMurry, Timothy;Talcott, Gerald W
通讯作者：
Talcott, Gerald W

When, How, & Where Tobacco Initiation and Relapse Occur During U.S. Air Force Technical Training.

几时？怎么样，

DOI：
发表时间：
2020-06-08
期刊：
影响因子：
1.2
作者：
Fahey, Margaret Celice;Talcott, G Wayne;McMurry, Timothy L;Klesges, Robert C;Tubman, David;Krukowski, Rebecca A;Little, Melissa A
通讯作者：
Little, Melissa A