노숙 청소년을 위한 금연 중재 개발

실험적: MOST STEP Ia (인터뷰)

참가자들은 노숙 청소년을 위한 상황에 맞는 금연의 이론적 모델을 확립하는 데 도움을 주기 위해 60분 동안 반구조화된 인터뷰에 참석합니다.

다른: 회견

반구조화된 인터뷰에 참여하세요

실험적: MOST STEP Ib(설문조사)

참가자들은 노숙 청소년을 위한 상황에 맞는 금연의 이론적 모델을 확립하는 데 도움이 되는 설문조사를 완료합니다.

다른: 설문조사 관리

설문 조사 완료

실험적: MOST STEP II(타당성 조사)

중재 구성 요소는 포커스 그룹에서 식별되고 선택됩니다. 참가자들은 연구에 참여하여 노숙자 청소년 서비스와 협력하여 구현하는 데 있어 이러한 구성 요소의 타당성을 평가하고 향후 연구를 위한 주요 효과 추정치를 결정합니다.

행동: 금연 중재

개입 구성요소의 타당성 조사에 참여

다른 이름들:

• 흡연 및 담배 사용 중단 개입

실험적: MOST STEP II(포커스 그룹)

참가자들은 포커스 그룹에 참석하여 노숙 청소년을 위한 일련의 중단 중재 구성 요소를 식별하고 구성 요소의 수용 가능성과 타당성을 결정하는 데 도움을 줍니다.

행동: 포커스 그룹

포커스 그룹에 참여

Youth's Psychological and Physical Capacity

Factors associated with participant's psychological and physical capacity which have prompted them to smoke in the past were captured during semi-structured interviews. In-person interviews followed a semi-structured interview guide. Questions were grounded in the Capability-Opportunity-Motivation for Behavior model, a theoretical framework that describes how intersecting psychosocial and environmental factors influence behavior. Questions were designed to elicit data on factors influencing tobacco use at a specific moment in time (participants' "last smoke") with the intent to optimize supportive cessation interventions for this population.

Youth's Physical and Social Factors

Coping with homelessness was assessed using the Brief COPE to examine strategies used for coping or regulating cognition in response to stressors; participants were specifically asked to focus on their housing situation. This measure includes 28 items combined to form 14 subscales. Scores on each subscale range from 2 to 8 with higher scores indicating greater use of the strategy.

Motivation to Quit

Interest in quitting in the next 30 days is an exemplar Phase-Based Model (PBM) for Cessation Research motivation phase treatment outcome measure. Participants reported if and when they planned to quit, derived from, "Do you plan to quit for good?" and "When do you plan to quit for good? In the next (7 days, 30 days, 6 months, year, more than a year from now)."

Past Quit Attempts

Number of past year quit attempts: a proxy for past willingness to quit. Participants reported the number of quit attempts in the past year: "In the past 12 months, how many times have you quit smoking for at least 24 hours in a serious attempt to quit?"

Confidence in Ability to Quit in Next 6 Months

Confidence in ability to quit in the next 6 months was measured with: "If you did try quitting smoking altogether in the next 6 months, how likely do you think you would be to succeed - not at all, a little likely, somewhat likely or very likely?"

Motivations for Smoking

The Tobacco Motives Inventory was used; 15 questions, each scored on a 5-point Likert scale, were combined into four sub-scales: social motives, self enhancement motives, boredom relief motives, and affect regulation motives. Higher scores on each sub-scale indicate a higher motivation to smoke.

Social motives: Sum of 4 items, scores range from 4 to 20 Self enhancement motives: Sum of 4 items, scores range from 4 to 20 Boredom relief motives: Sum of 2 items, scores range from 2 to 10 Affect regulation motives: Sum of 5 items, scores range from 5 to 25

Rewards From Quitting Smoking

We measured 15 different rewards from smoking: "What are the benefits of smoking to you? Check all that apply"