||5R01CA069425-09 Interpret this number
||University Of Tx Md Anderson Can Ctr
||Enhanced Smoking Cessation for University Students
The proposed 2-year feasibility study will continue our NCI-funded smoking cessation study (Project
SUCCESS) that used motivational interviewing and health-status feedback (respiratory symptoms, lung
function, and carbon monoxide in expired air) to reduce smoking prevalence among university students. This
continuation (Project SUCCESS-2) expands the original intervention program in many directions taking it on a
higher level and making it highly innovative, scientifically valuable, and generalizable. SUCCESS-2 will be
conducted on two large university campuses: University of Houston, Main Campus (the site of our original
project) and Texas A&M University. A smoking prevention component has been added to the study design.
The intervention will be guided by the transtheoretical model of change, social-cognitive perspective, and
addiction theory. The revised smoking cessation intervention will be enhanced to systematically address
depressive symptoms and alcohol use, which the original project identified as highly prevalent among the
target audience. The goals of the study are to examine the feasibility and preliminary impact of an enhanced
intervention combining motivational interviewing, health-status feedback, and Internet support in (1) inducing
higher cessation rates and (2) promoting progression through the stages of readiness to quit smoking.
The study will employ a pretest-posttest cohort design. Following prescreening and orientation, assessments
will be made at nine points: an in-person baseline session, a second in-person session one week postbaseline,
three Internet surveys, an in-person session at 3-months, two phone contacts (2 and 4 months postend
of treatment [PEOT]), and an in-person final session at 6 months PEOT. A total of 80 smokers, 40 from
each campus, 18-35 years of age will be recruited. Another 80 nonsmokers, 40 from each campus, at risk for
smoking initiation will be recruited in the on-line smoking prevention program. The experimental smoking
cessation intervention will take into account multiple lessons learned in Project SUCCESS and consist of inperson
sessions, personalized newsletters, Internet sessions, interactive blog, and telephone contacts.
Participants in smoking cessation component will be offered nicotine replacement therapy. The newly designed
prevention program will include proactive e-mail contacts accompanied by links to interactive multimedia
pieces adapted from our evidence-based smoking prevention program for high-school students. The proposed
study will significantly advance our understanding of the smoking prevention and cessation among culturally
diverse urban and rural university students. It will set the stage for a randomized, controlled trial of the smoking
prevention and cessation methods among this high-risk population.
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