Promoting Smoking Cessation Among Youth Exiting Foster Care

促进离开寄养的青少年戒烟

• 批准号: 9250724
• 负责人: Jordan Michel Braciszewski
• 金额: $ 14.11万
• 依托单位: HENRY FORD HEALTH SYSTEM
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-08-01 至 2019-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9250724
• 关键词: Address; Adult; Adverse event; Age; Aging; Alcohol or Other Drugs use; Biochemical; Car Phone; Caring; Child; Cigar; Cigarette; Communication; Computers; Control Groups; Data; Development; Drops; Electronic cigarette; Employment; Evidence based intervention; Evidence based treatment; Face; Feasibility Studies; Feedback; Fostering; Foundations; Frequencies; Future; General Population; Goals; Grant; Health; Health Services; Health Services Accessibility; Health Services Needs; Home environment; Homelessness; Housing; Intervention; Interview; Mental Health; Mental disorders; Methods; Modeling; Motivation; Nicotine; Outcome; Participant; Pilot Projects; Plant Roots; Population; Populations at Risk; Preparation; Prevalence; Problem behavior; Public Health; Question Text; Readiness; Recruitment Activity; Reporting; Research; Resources; Risk; Security; Services; Smoking Cessation Intervention; Substance abuse problem; System; Testing; Text; Time; Tobacco; Tobacco Dependence; Tobacco Use Cessation; Tobacco Use Disorder; Tobacco use; Unemployment; Vulnerable Populations; Youth; abuse neglect; aged; arm; base; care systems; cigarette smoking; clinically significant; computerized; cost; design; diet and exercise; emerging adult; experience; follow-up; foster care; health care availability; health disparity; healthy lifestyle; high risk population; hookah; innovation; maltreatment; motivational enhancement therapy; neglect; novel; peer; physical conditioning; programs; prospective; public health relevance; response; satisfaction; screening and brief intervention; smoking cessation; smoking prevalence; social cognitive theory; success; tailored messaging; tobacco abstinence

 DESCRIPTION (provided by applicant): Each year, roughly 30,000 youth exit the foster care system due to "aging out" at age 18, losing access to support services while also becoming fully responsible for their own financial, health, employment, and housing needs. Progressing from homes disproportionately high in neglect and maltreatment, these emerging adults face independence with an increased likelihood of heavy tobacco use and, ultimately, the development of tobacco use disorders. Indeed, lifetime tobacco use is nearly ubiquitous among foster youth, while daily use rates are four times that of the general population. Services to curtail such use while young people remain in the foster care system are severely limited, if they are offered at all. Once removed from foster care, these youth have far less access to health services compared to their non-foster care peers. The proposed feasibility study seeks to address these gaps in availability, accessibility, and use of tobacco cessation services for youth aging out of the foster care system. Computer- and mobile phone-based interventions have the capacity to provide evidence-based treatment content while reducing many of the barriers relevant to tobacco cessation service delivery for foster youth. The proposed study will begin a program of research to synthesize the benefits of these approaches in a way that addresses the needs of a vulnerable population who experience tobacco-related health disparities. More specifically, this study seeks to test an adaptation of an existing substance use intervention (iHeLP: Interactive Healthy Lifestyle Preparation) for smoking cessation among youth aging out of foster care. Rooted in motivational interviewing, the transtheoretical model, and social cognitive theory, iHeLP is a one-time computerized screening and brief intervention (SBI), supplemented by six months of tailored text messaging based on participants' SBI results and subsequent fluctuations in their readiness to change. The goal of this pilot study is to obtain data on acceptability and feasibility of a novel intervention, as well as examine direction of effects on both overall motivation to change and actual tobacco use. As such, we will conduct a two-arm feasibility trial, testing iHeLP against a contact-control condition. The use of daily text messaging represents a novel method for delivering intervention boosters. Low-intensity, high-frequency interactions are a marked change from traditional interventions and have high potential for extending initial gains. In addition, tailoring of these messages through dynamic, text-based communication with participants is innovative. Given the potential of wide dissemination to multiple at-risk populations at low cost, the proposed study has high potential public health and clinical significance.

 描述（由申请人提供）：每年，大约有 30,000 名青少年因 18 岁时“超龄”而退出寄养系统，失去获得支持服务的机会，同时还要对自己的财务、健康、就业和住房需求承担全部责任这些新兴成年人从遭受忽视和虐待的家庭中成长起来，面临独立，大量吸烟的可能性增加，并最终发展为烟草使用障碍。事实上，终生吸烟在寄养家庭中几乎无处不在。青年人，而每日使用率是一般人口的四倍，而在年轻人留在寄养系统中时，减少此类使用的服务非常有限，即使提供这些服务，一旦脱离寄养系统，这些年轻人也将受到严重限制。与非寄养同龄人相比，他们获得卫生服务的机会较少。拟议的可行性研究旨在解决寄养系统之外的青少年在戒烟服务的可用性、可及性和使用方面的差距。基于证据的干预措施有能力提供基于证据的治疗内容，同时减少与寄养青少年提供戒烟服务相关的许多障碍 拟议的研究将启动一项研究计划，以综合这些方法的好处，以满足经历烟草相关健康差异的弱势群体的需求。更具体地说，本研究旨在测试现有物质使用干预措施（iHeLP：互动健康生活方式准备）对脱离寄养的青少年戒烟的适应性，该研究植根于动机访谈、跨理论模型和社会认知理论， iHeLP 是一项一次性计算机化筛查和简短干预 (SBI)，并根据参与者的 SBI 结果和随后的改变准备程度的波动，辅以六个月的定制短信。这项试点研究的目标是获取有关可接受性的数据。和新颖干预措施的可行性，以及检查对总体改变动机和实际烟草使用的影响方向因此，我们将进行双臂可行性试验，在接触控制条件下测试 iHeLP 的使用。每日文字 消息传递代表了一种提供干预助推器的新颖方法，低强度、高频率的互动是传统干预措施的显着变化，并且具有扩大初始收益的巨大潜力。此外，通过与参与者的动态、基于文本的沟通来定制这些消息。鉴于以低成本向多个高危人群广泛传播的潜力，拟议的研究具有很高的潜在公共卫生和临床意义。