Smoking cessation programs for teen smokers have had negligible effects on
quit rates, and the efficacy of these programs have been hindered by low
recruitment and high attrition rates. The goals of this three-year project
are to: 1) test on a larger scale a recruitment strategy, found promising
based on pilot data, that uses principles of social marketing, compliance
tactics (foot in the door), and science education to enlist teen smokers
in a low intensity smoking cessation program, and 2) develop a low
intensity self-help quit program for adolescent smokers ages 15-18 that
incorporates written self-help materials, a motivational cessation video,
and telephone counseling. During Phase 1 of the project, an advisory panel
of teen smokers and ex-smokers will be used in formative studies involving
work groups and one-on-one interviews to develop, test and refine
components of the recruitment and cessation intervention before their full
implementation in a randomized trial.
During Phase 2, as part of a randomized field trial, we will test a two-
step recruitment strategy and self-help quit program. For recruitment,
both teen smokers from certain communities and those teen smokers who
frequent malls will be asked to comply with a small behavior at a "mobile
booth" in malls across North Carolina (step 1), that engages them to think
about the benefits of quitting smoking and the effects of nicotine on
brain functioning via a 3D animated video, before asking them to join a
stop smoking program (step 2). Teens who participated in the "mobile
booth" activities will be called within a month and asked to join the low-
intensity smoking cessation program. Teens will be randomized to one of
three areas: 1) written self-help guide only, 2) written self-help guide
plus a motivational smoking cessation video, or 3) written self-help guide
plus telephone counseling. These less intensive programs are reported to
be the interventions of choice among adolescent smokers, are cost-
effective, offer potential for wide dissemination, and can reach truant
and out of school teen smokers. It is predicted that the self-help guide
with motivational adjuncts (video/telephone counseling) will be more
effective than the self-help guide alone at increasing 30-day and
continuous abstinence and readiness to quit at 3 and 9 months post-
baseline. Among the motivational adjuncts, it is expected that telephone
counseling will be more effective at increasing 30-day and continuous
abstinence and readiness to quit at 3 and 9 months post-baseline than will
be the motivational cessation video.
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