{"id":47801,"date":"2004-03-24T00:00:00","date_gmt":"2004-03-24T06:00:00","guid":{"rendered":"https:\/\/www.unmc.edu\/newsroom\/2004\/03\/24\/unmc-researchers-receive-nearly-2-2-million-grant-tostudy-smoking-cessation-model-in-24-high-schools-in-omaha-lincoln-councilbluffs-using-teen-peers-as-counselors\/"},"modified":"2022-08-29T10:42:06","modified_gmt":"2022-08-29T15:42:06","slug":"unmc-researchers-receive-nearly-2-2-million-grant-tostudy-smoking-cessation-model-in-24-high-schools-in-omaha-lincoln-councilbluffs-using-teen-peers-as-counselors","status":"publish","type":"post","link":"https:\/\/www.unmc.edu\/newsroom\/2004\/03\/24\/unmc-researchers-receive-nearly-2-2-million-grant-tostudy-smoking-cessation-model-in-24-high-schools-in-omaha-lincoln-councilbluffs-using-teen-peers-as-counselors\/","title":{"rendered":"UNMC researchers receive nearly $2.2 million grant to\n\nstudy smoking cessation model in 24 high schools in Omaha, Lincoln, Council\n\nBluffs, using teen peers as counselors"},"content":{"rendered":"

Researchers at the University of Nebraska Medical Center have been awarded<\/p>\n

a grant for nearly $2.2 million to study a smoking cessation model that<\/p>\n

addresses the unique challenges of teenage smokers. The four-year grant<\/p>\n

was awarded by the U.S. Department of Health and Human Services Public<\/p>\n

Health Services.<\/p>\n

The main objective of the UNMC study is to determine the effectiveness<\/p>\n

of peer counseling to assist high school students to quit or reduce smoking,<\/p>\n

become more ready to quit and have more favorable attitudes about quitting.<\/p>\n

Part of the study also will assess the effectiveness of the peer counselor<\/p>\n

training program and examine the role of peer counselors.<\/p>\n

Teen smoking is a significant problem that is inadequately addressed,<\/p>\n

say researchers. Smoking cessation among teens is different than among<\/p>\n

adults. Researchers say teens make frequent, spontaneous quit attempts<\/p>\n

that involve little or no planning and attempts to quit often fail after<\/p>\n

a short time because the smokers were not prepared to deal with temptations<\/p>\n

to smoke or with withdrawal symptoms.<\/p>\n

A total of 900 smokers in 24 Omaha, Lincoln and Council Bluffs high<\/p>\n

schools will be recruited for the study and be assigned randomly to an<\/p>\n

intervention group or control group. Its estimated about 22 percent of<\/p>\n

high school students in the schools are regular smokers.<\/p>\n

We have developed an innovative program using peer counselors to deliver<\/p>\n

smoking cessation messages. Our pilot studies have been promising and shown<\/p>\n

the potential to help large numbers of teens in an efficient way, said<\/p>\n

Kristine McVea, M.D., associate professor, UNMC Department of Family Medicine<\/p>\n

and principal investigator of the grant.<\/p>\n

Statistics say smoking, the leading preventable cause of cancer mortality<\/p>\n

in the United States, contributes to 87 percent of lung cancers, and is<\/p>\n

associated with cancer of the mouth, pharynx, larynx, esophagus, pancreas,<\/p>\n

cervix, kidney and bladder. Most smokers begin using tobacco in early adolescence,<\/p>\n

and almost all users start before the age of high school graduation. The<\/p>\n

U.S. Centers for Disease Control and Prevention has estimated that 5 million<\/p>\n

children in the United States ultimately will die a premature death due<\/p>\n

to smoking related illnesses unless this trend is dramatically reversed.<\/p>\n

Dr. McVea said although smoking rates among adults have been declining,<\/p>\n

little progress has been made with adolescents as the prevalence of smokers<\/p>\n

has increased by one third since 1991. Recent surveys indicate that by<\/p>\n

the time of high school graduation, more than 39 percent of students are<\/p>\n

using cigarettes and 19 percent are regular smokers.<\/p>\n

She said the challenge for adolescents is though they want to quit smoking,<\/p>\n

they receive little social support, dont properly prepare for quit attempts,<\/p>\n

and often fail. In addition, cessation programs have difficulty attracting<\/p>\n

and retaining young smokers, and strong evidence demonstrating the effectiveness<\/p>\n

of existing youth programs is currently lacking.<\/p>\n

In addition, she said physicians have fewer opportunities to interact<\/p>\n

with adolescents than any other age group and tend to offer them less smoking<\/p>\n

cession counseling than adults. Without help, 80 percent of self-initiated<\/p>\n

quit attempts by teens end in failure within one month. Little support<\/p>\n

is currently available for self-initiated quit attempts by adolescents.<\/p>\n

Many students who smoke frequently talk to their friends about quitting,<\/p>\n

Dr. McVea said. One large study found that 57 percent of high school students<\/p>\n

had tried to influence their peers not to smoke, including 29 percent of<\/p>\n

smokers. Among adolescent smokers trying to stop smoking, 14 percent said<\/p>\n

their friends were the reason they had made a quit attempt, and 39 percent<\/p>\n

reported that their friends helped them in their attempts.<\/p>\n

Researchers will collect data from two groups — an intervention group<\/p>\n

and a control group.<\/p>\n

In the intervention group, 265 non-smoking, high school students between<\/p>\n

the age of 15 and 18 will be recruited to be peer counselors who know at<\/p>\n

least two smoking friends of high school age. The peer counselors will<\/p>\n

receive training then recruit about 450 smokers between the age of 15 and<\/p>\n

18, who had smoked at least one cigarette every day for the past 30 days,<\/p>\n

and are enrolled in the same high school as the peer counselor.<\/p>\n

The intervention peer counselor and smoker will interact daily to address<\/p>\n

smoking cessation, assess their friends readiness to change, explore the<\/p>\n

pros and cons of smoking and provide advice, support and encouragement<\/p>\n

in stopping smoking. The sessions also will include negotiating a quit<\/p>\n

date and a cessation plan.<\/p>\n

In the control group, 265 untrained peer counselors will be recruited<\/p>\n

from control schools but will receive no training in smoking cessation<\/p>\n

skills. This control group of counselors will be asked to recruit up<\/p>\n

to four smoking friends into the control group for a total of 450 smokers.<\/p>\n

After data from the study is collected, counselors will receive smoking<\/p>\n

cessation training to offer their group of smokers help in quitting smoking.<\/p>\n

Each smoker with be assessed at one month, three months, and six months<\/p>\n

to measure successful smoking cessation. Successful smoking cessation is<\/p>\n

defined as abstinence from smoking for six months. Nicotine replacement<\/p>\n

products or those prescribed by private physicians will be presented as<\/p>\n

an option to help the teens quit.<\/p>\n

We expect to learn important findings regarding the effectiveness of<\/p>\n

a new smoking cessation intervention targeting adolescents, Dr. McVea<\/p>\n

said. This innovative program addresses scientific gaps regarding methods<\/p>\n

of reaching teen smokers and providing relevant, tailored cessation messages.<\/p>\n

This program shows the potential to be an effective intervention that could<\/p>\n

be disseminated in a school setting to reach large numbers of young smokers.<\/p>\n<\/div><\/div>","protected":false},"excerpt":{"rendered":"

Researchers at the University of Nebraska Medical Center have been awarded a grant for nearly $2.2 million to study a smoking cessation model that addresses the unique challenges of teenage smokers. The four-year grant was awarded by the U.S. Department of Health and Human Services Public Health Services. The main objective of the UNMC study […]<\/p>\n","protected":false},"author":79,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[1],"tags":[],"class_list":["post-47801","post","type-post","status-publish","format-standard","hentry","category-uncategorized","department-press-release"],"yoast_head":"\nUNMC researchers receive nearly $2.2 million grant to study smoking cessation model in 24 high schools in Omaha, Lincoln, Council Bluffs, using teen peers as counselors<\/title>\n<meta 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