School Nurse-delivered Smoking Cessation Intervention

学校护士提供戒烟干预

基本信息

批准号：
7548121
负责人：
LORI PBERT
金额：
$ 54.25万
依托单位：
UNIV OF MASSACHUSETTS MED SCH WORCESTER
依托单位国家：
美国
项目类别：
财政年份：
2006
资助国家：
美国
起止时间：
2006-03-08 至 2011-01-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7548121
关键词：
Abstinence Academy Address Adolescence Adolescent Adult American Attention Awareness Behavior Biochemical Cessation of life Characteristics Childhood Cigarette Clinical Practice Guideline Cognitive Consumption Counseling Dependence Disease Effectiveness Effectiveness of Interventions Enrollment Ethnic Origin Frequencies Gender Health Health Personnel Health Professional Individual Intervention Intervention Studies Interview Knowledge Letters Maintenance Manuals Massachusetts Measures Methodology Nicotine Dependence Nurses Nursing Protocols Pamphlets Participant Patient Self-Report Patients Pediatrics Play Population Protocols documentation Randomized Randomized Controlled Trials Recruitment Activity Reporting Research Research Design Research Personnel Risk Role School Nursing Schools Self Efficacy Series Smoke Smoker Smoking Smoking Behavior Smoking Cessation Intervention Smoking Status Social Environment Social support Students Subgroup Surveys Target Populations Testing Tobacco use Training United States United States Public Health Service Validation Work adolescent smoking base cost follow-up high school intervention effect loris patient oriented post intervention premature programs smoking cessation smoking intervention social willingness

项目摘要

Smoking is the largest preventable cause of disease and premature death in the United States. Adolescent smoking is the greatest predictor of adult smoking and is associated with adverse health effects during adolescence. Twenty-two percent of high school students report current smoking (past 30 days). As the primary health professional in the school setting, school nurses have a tremendous opportunity to play a key role in treating adolescent smokers. A randomized controlled trial (RCT) conducted by the investigators in 71 high schools in Massachusetts demonstrated the feasibility of school nurses delivering a four-session individual counseling intervention to adolescents who want to stop smoking and its potential efficacy in increasing self-reported short term (6-week and 3-month) quit rates. Although promising, the preliminary study lacked biochemical validation and long-term follow-up on the maintenance of the intervention effects, and was conducted with a primarily white student population. This application seeks to evaluate the effectiveness of the intervention using a more rigorous methodology, including biochemical validation of self-reported smoking behavior and longer-term follow-up (6 and 12 months post-intervention), a study design that compares the intervention to an information only attention-control condition, and recruitment from ethnically diverse schools to increase the generalizability of our findings. The overall aim of the proposed study is to conduct a randomized controlled school-based trial (RCT) to evaluate the effectiveness of a school nurse-delivered smoking cessation intervention in increasing 30 day abstinence rates among high school students who smoke. Forty high schools serving a diverse student population will be recruited and randomly assigned to one of two conditions: (1) Special Intervention (SI) - four 30-minute individual patient-centered smoking cessation counseling intervention sessions based on the Public Health Service (PHS) clinical practice guideline delivered by school nurses; or (2) Information Only (IO) attention-control comparison condition - four individual sessions with the school nurse to check smoking status and deliver a standardized series of informational pamphlets on smoking and cessation. Participant assessments will occur at study entry (baseline) and at 6-week, 3-, 6-, and 12-month follow-up. Thirty students enrolled in grades 9 through 12 who report smoking within the past 30 days and willingness to participate in a smoking cessation intervention study will be recruited from each school (n=1200) to provide 25 completed assessments per school at 12-month follow-up (n=1000). If found effective, the study products (i.e., intervention protocol, student materials, training manual, and estimated costs of intervention implementation) will facilitate dissemination of the intervention to school nurses nationally.

吸烟是美国疾病和过早死亡的最大预防原因。青春期吸烟是成人吸烟的最大预测指标，并且在青春期内与不利的健康效应有关。 22％的高中生报告了当前的吸烟（过去30天）。作为学校环境中的主要卫生专业人员，学校护士有很大的机会在治疗青少年吸烟者中发挥关键作用。调查人员在马萨诸塞州71所中学进行的一项随机对照试验（RCT）表明，学校护士对想要停止吸烟及其在增加自我报告的短期有效性的青少年进行四阶段的个人咨询干预的可行性（ 6周和3个月）退出率。尽管很有希望，但初步研究缺乏生化验证和对维持干预效应的长期随访，并且主要是白人学生人口进行的。该申请旨在使用更严格的方法来评估干预措施的有效性，包括对自我报告的吸烟行为的生化验证和长期随访（干预后6个月和12个月），该研究设计将干预措施与该研究设计，将干预措施与信息仅注意力控制条件，以及从种族多样化的学校招募，以提高我们的发现的普遍性。拟议的研究的总体目的是进行一项随机对照的学校试验（RCT），以评估学校护士终止戒烟干预措施的有效性，以提高吸烟的高中生的30天节制率。为多元化学生群体服务的40所高中将被招募并随机分配到两个条件之一：（1）特殊干预（SI） - 基于公共卫生服务（PHS）的四个30分钟的个人以患者为中心的戒烟咨询干预课程）学校护士提供的临床实践指南；或（2）仅信息（IO）注意力控制比较条件 - 与学校护士的四个单独会议检查吸烟状况并提供一系列标准化的有关吸烟和停止的信息小册子。参与者评估将在研究条目（基线）以及为期6周，3日，6个月和12个月的随访中进行。参加9至12年级的30名学生将在过去30天内举报吸烟，并愿意参加一项戒烟干预研究的意愿（n = 1200）（n = 1200），以提供25个完整的评估，每学校以12个月的后续评估 - 向上（n = 1000）。如果发现有效，则研究产品（即干预方案，学生材料，培训手册以及估计实施的估计成本）将有助于将干预措施传播给全国学校护士。

项目成果

期刊论文数量（2）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

A school nurse-delivered adolescent smoking cessation intervention: a randomized controlled trial.

学校护士提供青少年戒烟干预：一项随机对照试验。

DOI：
10.1016/j.ypmed.2006.04.006
发表时间：
2006
期刊：
Preventive medicine
影响因子：
5.1
作者：
Pbert,Lori;Osganian,StavroulaK;Gorak,Diane;Druker,Susan;Reed,George;O'Neill,KatherineM;Sheetz,Anne
通讯作者：
Sheetz,Anne