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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >A randomized trial of a family-based smoking prevention intervention in managed care.
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A randomized trial of a family-based smoking prevention intervention in managed care.

机译：一项基于家庭的吸烟预防干预措施在管理治疗中的随机试验。

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BACKGROUND: Each day more than 2000 youth under age 18 become daily smokers and the age of tobacco initiation has been going down. Health care settings can partner with families to encourage parent-child interactions that prevent youth tobacco use. This study evaluates a smoking prevention intervention package for parents and children (aged 10-12) provided through their managed care organization. METHODS: A two-arm (usual care vs intervention) randomized trial was employed. The intervention included a mailed parental smoking prevention kit, outreach follow-up telephone calls to the parent by a health educator, child materials, medical record cues for physicians to deliver prevention messages, and parent newsletter. Outcome measures were susceptibility to smoking, experimentation with smoking, and smoking in the past 30 days as assessed by 20-month follow-up surveys of children. RESULTS: A total of 4,026 families enrolled in the study. The response rate to the 20-month follow-up was 88%. There were no significant effects of the intervention on any of the primary outcomes. The intervention was associated with modest but statistically significant increases in parent-child discussions of smoking related topics. CONCLUSIONS: A minimal-intensity family-based prevention program did not significantly reduce rates of susceptibility or tobacco use among youth aged 10-12 at baseline and 11 to 14 at follow-up. Development and evaluation of innovative approaches to tobacco use prevention must continue, despite our disappointing results. Parents and health care systems are too important to abandon as channels for prevention messages.
机译：背景：每天有2000多名18岁以下的青年每天吸烟，而吸烟的年龄在下降。卫生保健机构可以与家庭合作，鼓励亲子互动，以防止青少年吸烟。这项研究评估了通过其托管医疗组织为父母和儿童（10至12岁）提供的吸烟预防干预措施。方法：采用两组（通常护理与干预）随机试验。干预措施包括邮寄父母预防吸烟的工具包，健康教育者给父母的外展跟进电话，儿童材料，医生提供预防信息的病历线索以及父母通讯。通过对儿童进行20个月的追踪调查，结果指标为吸烟易感性，吸烟实验以及过去30天内的吸烟情况。结果：共有4026个家庭参与了这项研究。 20个月随访的回应率为88％。干预对任何主要结局均无明显影响。干预与吸烟相关主题的亲子讨论温和但有统计学意义的增加有关。结论：基于家庭的最低强度的预防计划并未显着降低基线时10-12岁和随访时11-14岁的青少年的易感性或吸烟率。尽管我们的结果令人失望，但必须继续开发和评估预防吸烟的创新方法。父母和卫生保健系统非常重要，不能放弃作为预防信息的渠道。

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