An Intervention for Promoting Smoke-free Policy in Rural Kentucky

促进肯塔基州农村无烟政策的干预措施

• 批准号: 7587331
• 负责人: Ellen J Hahn
• 金额: $ 61.98万
• 依托单位: UNIVERSITY OF KENTUCKY
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-04-01 至 2012-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7587331
• 关键词: Affect; Air; Cessation of life; Clip; Communities; Controlled Study; County; Diffusion of Innovation; Disease; Elements; Environment; Experimental Designs; Exposure to; Goals; Health; Intervention; Kentucky; Knowledge; Laws; Life; Maintenance; Measures; Modeling; NIH Program Announcements; Newspapers; Outcome; Policies; Printed Media; Public Health; Public Health Practice; Readiness; Research; Resources; Rural; Rural Community; Science; Smoke; Staging; Telephone Interviews; Testing; Time; Tobacco use; Translating; community intervention; contextual factors; evidence base; implementation research; informant; innovation; non-smoker; outreach; population based; premature; public education; public policy on tobacco; tobacco control; trend; urban area

DESCRIPTION (provided by applicant): The purpose of this study is to test the effects of a community intervention on smoke-free policy outcomes in rural underserved communities. The intervention combines assessment of community readiness with tailored, evidence-based dissemination and implementation strategies. Rural residents are more likely to be exposed to secondhand smoke than those living in urban areas, reflecting a major rural-urban disparity in smoke-free laws. The overall goal of the study is to accelerate the 'diffusion-of-innovations curve' in rural communities through tailored, evidence-based dissemination and implementation efforts. The long-term goal is to develop a best practices framework for disseminating scientific knowledge about the effects of secondhand smoke and smoke-free laws and implementing effective community policy change and maintenance strategies in rural underserved communities. A pretest posttest, three-group quasi- experimental design will be used to test the primary hypotheses: Controlling for contextual factors, (a) the overall change in stage of readiness for smoke-free policy will be greater for Treatment than Control communities; (b) media coverage will be more favorable toward smoke-free environments in Treatment than Control communities; and (c) Treatment communities will be more likely than Control communities to demonstrate smoke-free policy outcomes. Guided by a community readiness model, the Intervention will have two components: (1) assessment of community stage of readiness; and (2) stage-specific, tailored dissemination and implementation strategies. The main elements of Component II of the Intervention include translating and disseminating knowledge, and building capacity and demand for smoke-free policy. The Treatment communities (n = 20) will participate in both components of the Intervention. Control I communities (n = 10) will participate in the community assessment of readiness at baseline and annually. The Control II communities (n = 10) will participate in community assessment of stage of readiness at the end of the study only. Community stakeholders will participate in key informant telephone interviews to assess community readiness for smoke-free policy. Print media clippings from all 51 daily and non-daily newspapers in study counties will be evaluated for pro/con slant related to smoke-free environments. Initial, intermediate, and final smoke-free policy outcomes will be measured. The potential influence of secular trends on the impact of this community intervention will be analyzed. The proposal is directly relevant to public health in that it has the potential to protect residents in rural, underserved communities from premature death and disease from exposure to secondhand smoke.

描述（由申请人提供）：本研究的目的是测试社区干预对农村服务不足社区无烟政策结果的影响。该干预措施将对社区准备就绪的评估与量身定制的，基于证据的传播和实施策略相结合。与居住在城市地区的居民相比，农村居民更有可能暴露于二手烟雾，这反映了无烟法的主要农村居民差异。该研究的总体目标是通过量身定制的，基于证据的传播和实施工作来加速农村社区的“扩散曲线”。长期目标是开发一个最佳实践框架，以传播有关二手烟和无烟法律影响的科学知识，并在农村服务不足的社区中实施有效的社区政策变更和维护策略。预测试后的三组准确设计将用于测试主要假设：控制上下文因素，（a）治疗阶段无烟政策阶段的总体变化将比控制社区更大； （b）媒体覆盖范围比对照​​社区更适合治疗中的无烟环境； （c）治疗社区比控制社区更有可能表现出无烟政策结果。在社区准备模型的指导下，干预将有两个组成部分：（1）评估社区准备阶段； （2）特定于阶段的，量身定制的传播和实施策略。干预组件II的主要要素包括翻译和传播知识，以及建立无烟政策的能力和需求。治疗界（n = 20）将参与干预的两个组成部分。控制I社区（n = 10）将在基线和每年的社区评估。对照II社区（n = 10）将仅在研究结束时参与对准备阶段的社区评估。社区利益相关者将参加关键的线人电话面试，以评估社区无烟政策的准备。将评估研究县中所有51个每日51次非每日报纸的印刷媒体剪报，以评估与无烟环境相关的专业/解决方案。将测量初始，中间和最终无烟政策结果。将分析世俗趋势对这种社区干预影响的潜在影响。该提案与公共卫生直接相关，因为它有潜力保护农村，服务不足的社区免受早期死亡和疾病的侵害，免于暴露于二手烟。