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Helping Young Smokers Quit: Preliminary Results from Phase I and Phase II
Susan J. Curry, PhD, Amy K. Sporer, MS, Sherry Emery, PhD, Jerell Chua, MPH, on behalf of the HYSQ team
Institute for Health Research and Policy, University of Illinois at Chicago Poster presented at the annual meeting of the Society for Research on Nicotine and Tobacco held jointly with the 7th Annual SRNT European Conference in Prague, March 20-23, 2005 Overview
Program Selection
Profiles from Phase II
The Helping Young Smokers Quit initiative (HYSQ) is a four-year, two-phase project that addresses the HYSQ selected 42 program sites in 18 states for evaluation. Approximately 1000 youth critical need to develop and disseminate effective, developmentally appropriate cessation programs for are expected to participate in the evaluation. Preliminary data from the first 347 The overarching question for Phase II is: “what program components, processes, and contextual interviews during the Baseline Survey provide an early snapshot of participating youth.
factors are associated with increased recruitment, retention, and quit rates.” HYSQ wil conduct While a growing number of teen cessation programs are available, little is known about: longitudinal evaluations of practices now being used by youth cessation programs across the country. HYSQ opened the application to all youth cessation programs in the US. Two modes of The Programs
communication were used to reach potential applicants. Characteristics
Recruitment Type
Moreover, only a handful of such programs have been evaluated.
Outreach:
In-reach:
The HYSQ initiative fills a gap in knowledge about the numbers and distribution of youth cessation • 14% are located in counties with low • 756 youth tobacco cessation programs programs, as well as the types of treatment approaches and program components that are currently • Key contacts were called and asked to identified in Phase I were directly contacted offered across the US. It will identify effective program models and promising directions for future by letter to inform of the Phase II application research. Results will help states, communities, schools, and other community-based and youth-serving communication channels: web sites, organizations adopt and implement programs that work, and provide standards and tools for self- listservs, email lists, newsletters, etc.
• At the application period mid-point, targeted HYSQ is a national program of The Robert Wood Johnson Foundation with support from the National programs that met the Phase II eligibility Cancer Institute, and the Centers for Disease Control and Prevention.
The Participants
Characteristics
Using a snowball sampling process, the Phase I of the HYSQ initiative identified and characterized 591 - 58 program leaders were reached directly youth smoking cessation program offerings, in a nationally representative sample of 408 counties in 48 Smoking Behavior
Quitting Attempts & Plans
• Participants reported first smoking a whole • 83% of participants previously smoked daily • Contacts were identified at the local level who Once the application process was completed, programs were initially reviewed for the following • 79% are participating in the stop-smoking • 65% see themselves as a regular smoker cessation programs in their community, or could • Has been implemented at least once in the past year • 55% reported smoking every day for the past • 56% of participants want to quit smoking for • Minimum number served annual y is 15 or greater • Snowball sampling progressed through two ‘tiers’ • On average, participants smoked 5 days in the • Participants are moderately motivated and and ended with the identification of an individual • Primarily serves youth aged 14-18 years • The availability of a person who can act as a liaison who administered a youth cessation program in the • Has a written guide that is used by the staff who provide cessation treatment • 37% smoke their first cigarette of the day within • 23% report they will definitely not be smoking 5 • Wil ing to insert an extra session for baseline data collection • Snowball sampling continued with newly identified key informants until no new key • 30% have attended a smoking cessation group The remaining applicants were further screened and finalists were interviewed via teleconferences • In the past 12 months, most have tried to quit… informants were gathered in a given county.
which probed substantative and logistical issues, and provided applicants an opportunity to inquire # of times stopped smoking because they wanted to quit • Attempted to contact 10,157 individuals Phase II Applicant Characteristics
• 1/8 of calls resulted in direct contact with a • ~60% of screened programs were eligible • 78% of eligible programs were surveyed • 22% from rural counties• 9% from counties with “low” Phase I Program Characteristics
socioeconomic status (>20% living below • 62% of surveyed counties had at least one program • 56% reported voluntary recruitment and only 9% described themselves as Mandatory only • Phase I provided the first specifics about the availability and characteristics of youth cessation • 90% of programs reported a school-based setting • There is a surprising degree of homogeneity among the programs identified and characterized in • 95% of programs offered their program with in-person groups meetings • 87% use externally developed programs • There are many similarities between Phase I and Phase II programs • At Baseline, participants were heavy smokers but many have tried to quit on their own • 8 = median # of contacts (30-60 minutes) www.HYSQ.org

Source: http://www.hysq.org/media/file/SRNT_05_PhaseII_PreliminaryResultsPhaseIandPhaseII.pdf

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