Telephone E-Health Communication For Improving Glaucoma Treatment Compliance
Karen Glanz, Professor
Behavioral Scis & Hlth Educ (bshe)emory University
Grant 5R01EY016997-03 from National Eye Institute, IRG: ZEY1
Abstract: Despite recent advancements in the prevention and treatment of glaucoma, many patients remain at risk for glaucoma-induced impairment because they fail to comply with prescribed medications and other components of their treatment regimen. Recent research from the field of health communication has shown great potential for improving health behaviors, such as treatment compliance, by applying information technology to well-established behavioral change strategies. By applying the state-of-the-art in e-health communication to glaucoma treatment compliance, we propose to develop, implement, and evaluate an innovative intervention among 250 patients recruited from two eye clinics in metro-Atlanta. Our "ACTIVE" Intervention will be Automated, Computerized, Tailored, Interactive, Voice-recognizing, and Empowering, to comprehensively and simultaneously use multiple e-health communication strategies in one telephone based intervention. Intervention messages will be individually-tailored to participants´ compliance knowledge, attitudes, and behaviors; psychosocial predictors of compliance; health literacy; race and culture; and call schedule and frequency preferences. Each intervention call also will utilize interactive voice recognition technology to facilitate interest, participation, and interaction with call recipients. We will evaluate our 12-month intervention in a randomized controlled trial with computer-assisted telephone interviews administered to all participants every six months for 18 months. Outcome measures of treatment compliance include administrative data on prescription drug renewals and appointment compliance; medical record data on diagnosis, treatment, and condition; and self-report data on compliance knowledge, attitudes, and behaviors. Findings from this study can inform the development and widespread dissemination of innovative communication efforts to improve eye health. The proposed research can have a significant impact on public health by demonstrating a generalizable and affordable health promotion and disease prevention strategy to increase treatment compliance among patients at risk for disease-related impairment. The findings from this study can inform future public health interventions for improving treatment compliance in vision health and other chronic conditions that require compliance with medication and other treatments
Project start date: 2006-09-30
Project end date: 2010-08-31
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Telephone E-Health Communication For Improving Glaucoma Treatment Compliance
Karen Glanz, Professor
Emory University 1599 Clifton Road, 4th Floor Atlanta, Ga 30322
Grant 5R01EY016997-02 from National Eye Institute, IRG: ZEY1
Abstract: Despite recent advancements in the prevention and treatment of glaucoma, many patients remain at risk for glaucoma-induced impairment because they fail to comply with prescribed medications and other components of their treatment regimen. Recent research from the field of health communication has shown great potential for improving health behaviors, such as treatment compliance, by applying information technology to well-established behavioral change strategies. By applying the state-of-the-art in e-health communication to glaucoma treatment compliance, we propose to develop, implement, and evaluate an innovative intervention among 250 patients recruited from two eye clinics in metro-Atlanta. Our "ACTIVE" Intervention will be Automated, Computerized, Tailored, Interactive, Voice-recognizing, and Empowering, to comprehensively and simultaneously use multiple e-health communication strategies in one telephone based intervention. Intervention messages will be individually-tailored to participants compliance knowledge, attitudes, and behaviors; psychosocial predictors of compliance; health literacy; race and culture; and call schedule and frequency preferences. Each intervention call also will utilize interactive voice recognition technology to facilitate interest, participation, and interaction with call recipients. We will evaluate our 12-month intervention in a randomized controlled trial with computer-assisted telephone interviews administered to all participants every six months for 18 months. Outcome measures of treatment compliance include administrative data on prescription drug renewals and appointment compliance; medical record data on diagnosis, treatment, and condition; and self-report data on compliance knowledge, attitudes, and behaviors. Findings from this study can inform the development and widespread dissemination of innovative communication efforts to improve eye health. The proposed research can have a significant impact on public health by demonstrating a generalizable and affordable health promotion and disease prevention strategy to increase treatment compliance among patients at risk for disease-related impairment. The findings from this study can inform future public health interventions for improving treatment compliance in vision health and other chronic conditions that require compliance with medication and other treatments.
Project start date: 2006-09-30
Project end date: 2010-08-31
5R01EY016997-02 (2007): $338471
Grants awarded to Karen Glanz
Cancer Control Research Training In Multiethnic Hawaii
Karen Glanz, Professor
University Of Hawaii At Manoa 2530 Dole Street, Sak D-200 Honolulu, Hi 96822
Grant 1R25CA090956-01A1 from National Cancer Institute, IRG: NCI
Abstract: This cancer control training program is aimed at training doctorally prepared scientists to conduct independent cancer control research. It will be led by population researchers representing the disciplines of behavioral sciences, epidemiology, nutrition, and biostatistics; and based at the Cancer Research Center of Hawaii (CRCH) at the University of Hawaii. Postdoctoral trainees will complete a two year training program, which will include multiple mentors, formal curricular activities, research seminars, journal clubs, and hands-on research activity. Individualized training program objectives and plans will be developed based on the trainee s prior academic preparation and career goals. Interaction with the interdisciplinary program faculty, and with other trainees, will be integral to the training experience. Methodological and substantive topics related to cancer control research in ethnic minorities will be emphasized throughout the program. A special Asian/Pacific Islander/Native Hawaiian Studies track will be available to trainees who are pursuing careers where they will work mainly with these ethnic groups. The training experience will culminate in development of a mock NIH application for a career development award or a research project grant, and an accompanying mock peer review experience. The program faculty are engaged in conducting population science research in Hawaii and with collaborating research sites elsewhere in the United States and abroad. Their work emphasizes understanding cancer causation, prevention, and control in Hawaii s ethnically diverse population; and identifying and evaluating strategies for reducing cancer-related health disparities in incidence, morbidity, and mortality. This training environment, together with the proposed Program plan, provides an ideal opportunity for quality career development for cancer control scientists in the twenty-first century.
Keywords: cancer prevention, health science research, neoplasm /cancer, neoplasm /cancer therapy, training program /project, education evaluation /planning, neoplasm /cancer education, postdoctoral investigator, postgraduate education, training, Hawaii, clinical research, human subject
Project start date: 2002-02-08
Project end date: 2007-01-31
1R25CA090956-01A1 (2002): $283390
Emory University Prevention Research Center
Karen Glanz, Professor
Behavioral Scis & Hlth Educ (bshe)emory University
1599 Clifton Road, 4th Floor
atlanta, Ga 30322
Grant 5U48DP000043-04 from National Center For Chronic Disease Prev And Health Promo, IRG: ZDP1
Abstract: The Emory University Prevention Research Center (EPRC) is submitting this application for a new Prevention Research Center, which will focus on community-based cancer prevention and reducing health disparities in rural Southwest Georgia. We are requesting funding to accomplish seven interrelated Specific Aims that will enable the EPRC to become established as a hub of interdisciplinary chronic disease prevention research, training, and practice at Emory; strengthen community partnerships; implement a research agenda to understand and improve healthy social-environmental contexts; and extend collaborative training, education, communication and dissemination activities in rural, underserved Southwest Georgia. In brief, our Specific Aims are AIM 1. Establish the EPRC as a hub of interdisciplinary, community-based chronic disease prevention research, training, and practice at Emory University. AIM 2. Strengthen community, health department, and campus partnerships using participatory planning approaches to community-based cancer prevention and reducing health disparities. AIM 3. Implement a five-year plan to build evaluation capacity in Southwest Georgia, and to assess PRC progress and outcomes using performance indicators. AIM 4. Implement a 5-year research agenda in collaboration with our partners at the Southwest Georgia Cancer Coalition (SWGCC), with an emphasis on understanding and improving social-environmental contexts in rural communities that influence the major risk factors of tobacco use, nutrition, physical activity, and obesity. AIM5. Conduct Communication and Dissemination activities by updating a communications audit, developing effective technology links between Emory and Southwest Georgia and within the SWGCC region, disseminating research results, and evaluating the reach and initial impact on communities in Southwest Georgia. AIM 6. Establish the Emory PRC infrastructure, and develop a long-term plan to maximize the productivity and sustainability of the PRC within Emory and in communities across Georgia. AIM 7. Develop a unified learning community through design, implementation, and evaluation of training and educational activities to meet the needs of academic and community partners
Keywords: biomedical resource, cancer prevention, health /scientific organization, health care service availability, health care service planning, health disparity, medically underserved population, neoplasm /cancer diagnosis, neoplasm /cancer therapy, patient care planning, rural area adult human (21+), cancer risk, community health service, health science research, interdisciplinary collaboration, medical outreach /case finding, neoplasm /cancer education behavioral /social science research tag, clinical research, data collection methodology /evaluation, health services research tag, human subject
Project start date: 2004-09-30
Project end date: 2009-09-29
Diffusion Of An Effective Skin Cancer Prevention Program
Karen Glanz, Professor
Emory University 1599 Clifton Road, 4th Floor Atlanta, Ga 30322
Grant 5R01CA092505-06 from National Cancer Institute, IRG: ZRG1
Abstract: Skin cancer is one of the most common cancers in the United States, and it is also one of the most preventable. Preventive behaviors include reducing peak sun exposure, wearing sunscreen, seeking shade, wearing protective clothing, and avoiding sunburn. Few skin cancer prevention programs in outdoor settings have been evaluated in controlled trials, and as with many preventive interventions, little is known about how to successfully disseminate those that are found efficacious. The efficacy of the Pool Cool program in aquatic settings (swimming pools) was demonstrated in a previous trial, and a Dissemination Pilot Study with 186 swimming pools was completed. The aims of this study are to evaluate the effects of two strategies for diffusion of the Pool Cool skin cancer prevention program on program implementation, maintenance, and sustainability; organizational and environmental supports for sun protection; and sun protection habits and sunbums among children. Ancillary aims are to examine predictors of diffusion, examine the mediating role of lifeguards and aquatic instructors; characterize correlates of participation in a diffusion trial and rates of spontaneous diffusion; and investigate longitudinal patterns of sun protection behaviors over multiple years. The study will use a three-level nested experimental design; the three levels are Field Coordinators, swimming pools, and children ages 5 to 10 years in swimming lessons. 32 Field Coordinators will be randomized into Basic and Enhanced (reinforcement + feedback) diffusion conditions. Intervention materials for the children, and strategies for the Field Coordinators, are based principally on Social Cognitive Theory and Diffusion of Innovations. Each Field Coordinator will work with 10 pools for three years (n=320 pools final sample). A sample of 20 parents per pool will be surveyed about their children at baseline and at the end of each summer (n= 6,400 final sample); a cohort sub-sample will be followed over multiple years. The main outcomes of interest will be pool level diffusion endpoints, organizational/environmental change at pools, and child sun protection habits and sunburns. Process evaluation will supplement outcome data. The results of this research will increase our knowledge of the diffusion of evidence-based cancer prevention programs in community settings, and of their long term maintenance and sustainability. The findings will make a significant contribution to our understanding of skin cancer prevention behaviors of individuals and aquatics organizations.
Keywords: cancer prevention, health behavior, neoplasm /cancer education, recreation, skin neoplasm, longitudinal human study, behavioral /social science research tag, clinical research, human subject
Project start date: 2003-05-01
Project end date: 2008-12-31
5R01CA092505-06 (2007): $590748
5R01CA092505-05 (2006): $911619
3R01CA092505-04S1 (2005): $133077
5R01CA092505-04 (2005): $836610
7R01CA092505-03 (2004): $860212
5R01CA092505-02 (2004): $6000
1R01CA092505-01A2 (2003): $753872
EVALUATION OF TAILORED SKIN CANCER PREVENTION STRATEGIES
Karen Glanz, Professor
University Of Hawaii At Manoa
2530 Dole Street, Sak D-200
honolulu, Hi 96822
Grant 5R01CA076419-04 from National Cancer Institute, IRG: ZRG2
Abstract: Skin cancer is among the most common cancers in the United States, and it is also one of the most preventable and survivable if detected early. Risk factors for skin cancer include excess sun exposure, family history, personal history of skin cancer or precancerous lesions, and physical characteristics. Novel approaches for improving preventive and early detection behaviors need to be developed and evaluated among high-need and high risk groups. The aims of this study are to 1) Evaluate the impact of a mailed, tailored intervention including risk feedback and self-monitoring, on the skin cancer prevention and skin self-examination behaviors of high-risk and moderate-risk adults; and 2) Evaluate the impact of a mailed, tailored, family-based intervention including risk feedback, UV radiation exposure self-monitoring, and interactive parent-child activities, on skin cancer prevention and parental skin examination behaviors for children in grades one through three. Ancillary aims are to 1) evaluate the process and impact of the interventions on diverse ethnic groups in two regions; 2) advance the development of valid, reliable, and precise behavioral measures; and 3) refine skin cancer risk assessment methodologies. The study design involves two randomized controlled trials, one with adults and the other with children and parents. Intervention materials will be mailed. The trials will have parallel methodologies and will compare tailored, theory-based intervention materials and UV monitoring aids with a control condition using standard information on sun safety and early detection. The results of this research will increase our knowledge of effective, low-cost, cancer control strategies that can be implemented in public health, managed care, school, and recreation settings. The findings will advance the science of risk assessment and of methods for measuring skin cancer prevention practices in adults and families. The project will also make significant contributions to our understanding of the responses of geographically and ethnically diverse groups to skin cancer preventive interventions
Keywords: behavior therapy, cancer prevention, disease /disorder proneness /risk, early diagnosis, human therapy evaluation, neoplasm /cancer diagnosis, outcomes research, skin neoplasm clinical trial, education evaluation /planning, geographic site, health care cost /financing, middle childhood (6-11), neoplasm /cancer education, parent offspring interaction, preschool child (1-5), racial /ethnic difference, solar radiation, sunscreen clinical research, human subject
Project start date: 1998-09-30
Project end date: 2004-01-31
5R01CA076419-04 (2001): $325210
5R01CA076419-03 (2000): $370355
1R01CA076419-01A1 (1998): $407138
GENETIC TESTING FOR COLON CANCER IN MULTIETHNIC HAWAII
Karen Glanz, Professor
University Of Hawaii At Manoa
2530 Dole Street, Sak D-200
honolulu, Hi 96822
Grant 1R01HG001241-01 from National Human Genome Research Institute, IRG: SRC
Abstract: Recent scientific advances have led to the identification of two hereditary non-polyposis colon cancer genes. The imminent availability of genetic testing for colon cancer risk raises important questions about the knowledge, beliefs, and intentions of individuals at increased risk, the general public, and health care providers, with respect to such genetic testing. This study aims to (1) identify ethnocultural and psychosocial factors related to intentions to obtain genetic testing for heritable forms of colon cancer in increased-risk and control adults of Caucasian, Japanese, and Hawaiian ethnicity who are living in Hawaii; and (2) identify and describe ethical and social issues and attitudes that may affect intentions to offer genetic testing for colon cancer among health professionals in Hawaii. The first part of the study uses case-control methodology. We will use a mail questionnaire to survey first-degree relatives (FDRs) of patients diagnosed with colon cancer (n=750) and FDRs of age, sex, and ethnicity-matched population-based controls living in Hawaii (n=750). The primary outcome variable will be intentions to undergo genetic testing for colon cancer risk. We will examine the associations of predisposing, enabling, and reinforcing factors with intentions in both cases and controls. Assessment will include sociodemographic variables, as well as knowledge and attitudes about colon cancer and genetic testing, psychological and emotional factors, social support, ethical and social-legal concerns, and risk reduction and early detection practices. The second part of the study will survey physicians (n=875) and nurses (n=875) in Hawaii through mailed questionnaires. The survey will examine factors influencing intentions to offer genetic testing for cancer, including personal and practice characteristics, views about ethical and social-legal issues, and attitudes toward genetic testing. This study is unique and timely because of its multiethnic population, the use of case control methodology, and the potential to establish a foundation for planning culturally appropriate and effective counseling programs related to genetic testing for cancer
Keywords: Hawaii, colon neoplasm, ethnic group, genetic disorder diagnosis, genetic marker, neoplasm /cancer genetics Hawaiian, Japanese American, attitude, cancer risk, caucasian American, culture, early diagnosis, emotion, ethics, neoplasm /cancer diagnosis, patient care personnel attitude, social psychology, social support network health survey, human subject, questionnaire
Project start date: 1994-09-30
Project end date: 1997-07-31
1R01HG001241-01 (1994): $181286
Telephone E-Health Communication For Improving Glaucoma Treatment Compliance
Karen Glanz, Professor
Behavioral Scis & Hlth Educ (bshe)emory University
Grant 5R01EY016997-03 from National Eye Institute, IRG: ZEY1
Abstract: Despite recent advancements in the prevention and treatment of glaucoma, many patients remain at risk for glaucoma-induced impairment because they fail to comply with prescribed medications and other components of their treatment regimen. Recent research from the field of health communication has shown great potential for improving health behaviors, such as treatment compliance, by applying information technology to well-established behavioral change strategies. By applying the state-of-the-art in e-health communication to glaucoma treatment compliance, we propose to develop, implement, and evaluate an innovative intervention among 250 patients recruited from two eye clinics in metro-Atlanta. Our "ACTIVE" Intervention will be Automated, Computerized, Tailored, Interactive, Voice-recognizing, and Empowering, to comprehensively and simultaneously use multiple e-health communication strategies in one telephone based intervention. Intervention messages will be individually-tailored to participants´ compliance knowledge, attitudes, and behaviors; psychosocial predictors of compliance; health literacy; race and culture; and call schedule and frequency preferences. Each intervention call also will utilize interactive voice recognition technology to facilitate interest, participation, and interaction with call recipients. We will evaluate our 12-month intervention in a randomized controlled trial with computer-assisted telephone interviews administered to all participants every six months for 18 months. Outcome measures of treatment compliance include administrative data on prescription drug renewals and appointment compliance; medical record data on diagnosis, treatment, and condition; and self-report data on compliance knowledge, attitudes, and behaviors. Findings from this study can inform the development and widespread dissemination of innovative communication efforts to improve eye health. The proposed research can have a significant impact on public health by demonstrating a generalizable and affordable health promotion and disease prevention strategy to increase treatment compliance among patients at risk for disease-related impairment. The findings from this study can inform future public health interventions for improving treatment compliance in vision health and other chronic conditions that require compliance with medication and other treatments
Project start date: 2006-09-30
Project end date: 2010-08-31
1R01EY016997-01 (2006): $369250
COLON CANCER RISK COUNSELING FOR AT RISK RELATIVES
Karen Glanz, Professor
University Of Hawaii At Manoa
2530 Dole Street, Sak D-200
honolulu, Hi 96822
Grant 5R01HG001241-06 from National Human Genome Research Institute, IRG: ZRG2
Abstract: Colorectal cancer is the second most common cause of cancer death in the United States. Early detection and intervention can significantly reduce morbidity and mortality from colorectal cancer (CRC). Individuals with a family history of CRC are at increased risk for the disease, and should have screening at younger ages and/or with increased frequency than the population at large. They also may benefit from personalized cancer risk counseling. This proposal is a competing continuation application that builds on an exploratory study of psychosocial and ethnocultural factors related to intentions to obtain genetic testing for heritable colon cancer, and a pilot study of genetic counseling for intermediate-risk CRC family members. The specific aims of the study are to (1) evaluate the impact of a culturally sensitive program of Colon Cancer Risk Counseling (CCRC) on a) adherence to guidelines for early detection for CRC, b) comprehension of personal colorectal cancer risk, and c) psychological adaptation to familial cancer, among individuals with family history of colorectal cancer (CRC); (2) evaluate the impact of CCRC on subgroups of persons at different levels of risk, various ages and educational levels, males vs. females, and persons of different ethnic groups; and (3) examine the extent to which risk comprehension and psychological adaptation mediate the impact of CCRC on adherence to screening. Subjects will be 700 siblings and children, aged 40 and over, who have a positive history of colorectal cancer (CRC) in one first-degree relative. Subjects will be randomly assigned to receive either (1) Colon Cancer Risk Counselling or (2) a General Health Counseling control. The theoretical foundation of the intervention and evaluation uses constructs from the Precaution Adoption Model and the Transactional Model of Stress and Coping. Both models concern how individuals perceive threatening situations, and which factors determine whether they take protective action or engage in adaptive coping behaviors. The CCRC intervention will be an individual face-to-face counseling session that emphasizes communication of individualized CRC risk, addresses perceived benefits of and barriers to early detection, and assists participants in developing action plans for appropriate screening; plus 2 follow-up phone calls. The General Health Counseling (GHC) control will address health promotion related to diet, exercise, tobacco use, and screening. Surveys at baseline, 4 months and one year post-intervention will assess the impact of the interventions on colorectal screening adherence, risk comprehension, and psychological adaptation. If effective, the CCRC interventions for these persons at increased risk for colorectal cancer, for whom predictive genetic testing and genetic counseling are usually not available, can be provided in primary care settings or family cancer risk programs
Keywords: Hawaii, colorectal neoplasm, ethnic group, genetic counseling, genetic screening, neoplasm /cancer genetics, psychological adaptation Hawaiian, Japanese American, attitude, cancer prevention, cancer risk, caucasian American, colon neoplasm, coping, culture, early diagnosis, family genetics, neoplasm /cancer diagnosis, psychological aspect of cancer clinical research, human subject, questionnaire
Project start date: 1994-09-30
Project end date: 2004-01-31
5R01HG001241-06 (2001): $314408
5R01HG001241-05 (2000): $335811
Increasing CRC Screening In Health Plan Members
Karen Glanz, Professor
Emory University 1599 Clifton Road, 4th Floor Atlanta, Ga 30322
Grant 5R01PH000018-04 from Public Health Practice Program Office, IRG: ZPH1
Abstract: Colorectal cancer is the second most common cause of cancer death in the United States. Early detection and intervention can significantly reduce morbidity and mortality from colorectal cancer (CRC), and current guidelines recommend that asymptomatic adults overage 50 periodically obtain screening by one of several modalities (FOBT, sigmoidoscopy,colonoscopy,or double contrast barium enema). However, CRC screening remains substantially underutilized in the U.S., and more than half of all adults do not adhere to these recommendations. Because key predictors of CRC screening utilization include a physician recommendation and having health insurance, and given the availability of evidence-based strategies for increasing screening uptake, it is important to conduct effectiveness studies in health plan member populations. Our research team proposes to conduct participatory research with a major health insurer, in order to test the transferability of community based behavioral interventions that can increase provision of colorectal cancer screening. We will conduct a cluster-randomized trial in health practices in Georgia and North Carolina, to test the effectiveness of a videotape-based decision aid and academic detailing for increasing adherence to CRC screening guidelines. 30 large group practices will be recruited and randomized to receive usual care (routine reminders) or a combined videotape decision aid and academic detailing intervention. In each practice, 30 patients between the ages of 52 and 75, without current CRC screening history, will be enrolled into the study. The intervention will continue for up to 2 years for still-unscreened participants. The main outcome will be provision (or receipt) of an evidence-based modality of CRC screening according to the US Preventive Services Task Force Guidelines (FOBT, flexible sigmoidoscopy, colonoscopy, or double contrast barium enema). The research team has already begun a participatory research process with key leaders in Quality Improvement and the Medical Economics Units at Aetna, one of the nation s largest health insurers. Unique features of the proposed study include its potential to establish systems to increase screening uptake that will help fulfill HEDIS requirements; improving our understanding of how screening promotion interventions work in both White and Black populations; and forging collaborative relationships between public health and health care researchers, and the affected communities of health plans and health care providers.
Keywords: cancer prevention, colorectal neoplasm, decision making, education evaluation /planning, health behavior, health care service utilization, mass screening, neoplasm /cancer education, African American, academic achievement, age difference, cancer risk, caucasian American, early diagnosis, gender difference, health insurance, income, neoplasm /cancer diagnosis, racial /ethnic difference, therapy compliance, behavioral /social science research tag, clinical research, health services research tag, human subject, interview
Project start date: 2004-09-01
Project end date: 2008-08-31
ACTIVATING MULTIETHNIC YOUTH FOR SMOKING PREVENTION
Karen Glanz, Professor
University Of Hawaii At Manoa
2530 Dole Street, Sak D-200
honolulu, Hi 96822
Grant 3R01CA077108-02S1 from National Cancer Institute, IRG: CPC
Abstract: Achieving significant reductions in tobacco use by children and youth is one of the most important challenges in cancer prevention today. There is a pressing need to develop and evaluate innovative strategies that stimulate youth involvement, link prevention programs with today´s dynamic tobacco control policy environment, and are effective in multiethnic populations. The aims of this study are to 1) Evaluate the impact of a school-based smoking prevention intervention that emphasizes active involvement of middle school students, on rates of regular smoking and smoking initiation in a multiethnic cohort of youth in Hawaii; 2) investigate cultural factors associated with tobacco use among Japanese, Chinese, Filipino, Native Hawaiian, and Caucasian youth; and 3) determine the relationships among access to tobacco products, youth smoking rates, and sources of tobacco among youth in Hawaii. We will conduct a randomized trial of a Student Involvement Intervention (SII) with its foundations in a conceptual framework that blends Social Cognitive Theory, Social Action Theory and the Sense of Coherence construct from Antonovsky´s salutogenic model of health behavior. Twenty middle schools in Hawaii will be randomly assigned to the SII or a Standard Prevention Program (SPP). The SII has three main components Virtual Tobacco-Free Classroom, Youth Drama Education, and Youth Advocacy Training. The 2 year intervention will be evaluated prospectively in a cohort of 7th graders, with surveys at baseline, one year, and two years. The main outcome will be mean 30 day smoking prevalence rates in each school. The final outcome will also be measured with biochemical assessments using saliva continine in a sub-sample of schools in both study arms. Cultural influences will be examined using both quantitative and qualitative methods. Access-use associations will be assessed by ecological analyses comparing individuals´ reports with compliance check findings. The proposed study fills important research gaps concerning young people´s smoking. It leads a new generation of prevention trials by testing innovative, creative, relevant strategies while increasing our understanding of cultural influences on youth smoking and of the impact of tobacco control policies
Keywords: Asian, adolescence (12-18), culture, health behavior, smoking, tobacco abuse prevention Chinese, Filipino, Hawaiian, Japanese, caucasian American, clinical trial, community health service, health care service, health related legal, longitudinal human study, outcomes research, self concept, social psychology, socioenvironment, tobacco abuse education behavioral /social science research tag, clinical research, health services research tag, human subject
Project start date: 1999-07-15
Project end date: 2003-04-30
3R01CA077108-02S1 (2001): $68136
3R01CA077108-03S1 (2001): $26240
5R01CA077108-03 (2001): $639441
3R01CA077108-01A2S1 (2000): $67037
5R01CA077108-02 (2000): $518787
Emory University Prevention Research Center
Karen Glanz, Professor
Emory University 1599 Clifton Road, 4th Floor Atlanta, Ga 30322
Grant 3U48DP000043-03S1 from National Center For Chronic Disease Prev And Health Promo, IRG: ZDP1
Project start date: 2004-09-30
Project end date: 2009-09-29
GENETIC TESTING FOR COLON CANCER IN MULTIETHNIC HAWAII
Karen Glanz, Professor
University Of Hawaii At Manoa 2530 Dole Street, Sak D-200 Honolulu, Hi 96822
Grant 5R01HG001241-03 from National Human Genome Research Institute, IRG: SRC
Project start date: 1994-09-30
Project end date: 1998-12-31
5R01HG001241-03 (1996): $209151
Related Publications
Impact of the food environment and physical activity environment on behaviors and weight status in rural U.S. communities. Prev Med. 2008 Oct 11. [Epub ahead of print] PMID: 18976684 Validity of Self-Reported Sunscreen Use by Parents, Children, and Lifeguards. Am J Prev Med. 2008 Oct 20. [Epub ahead of print] PMID: 18945582 Cancer Outcomes Research in a Rural Area: A Multi-Institution Partnership Model. J Community Health. 2008 Oct 11. [Epub ahead of print] PMID: 18850070 The use of theory in health behavior research from 2000 to 2005: a systematic review. Ann Behav Med. 2008 Jun; 35( 3): 358-62. Epub 2008 Jul 17. Review. PMID: 18633685 
How not to get lost in translation: implementing the recommendations and identifying research gaps. Am J Prev Med. 2008 Jul; 35( 1 Suppl): S3-5. No abstract available. PMID: 18541186 Development and reliability testing for measures of psychosocial constructs associated with adolescent girls' calcium intake. J Am Diet Assoc. 2008 May; 108( 5): 857-61. PMID: 18442511 Factors influencing teachers' implementation of an innovative tobacco prevention curriculum for multiethnic youth: Project SPLASH. J Sch Health. 2008 May; 78( 5): 264-73. PMID: 18387026 Measures of sun exposure and sun protection practices for behavioral and epidemiologic research. Arch Dermatol. 2008 Feb; 144( 2): 217-22. PMID: 18283179 Medical outreach following a remote disaster: lessons learned from Hurricane Katrina. Am J Disaster Med. 2007 May-Jun; 2( 3): 121-32. PMID: 18274045 A pilot study of the validity of self-reported ultraviolet radiation exposure and sun protection practices among lifeguards, parents and children. Photochem Photobiol. 2008 May-Jun; 84( 3): 774-8. Epub 2008 Jan 7. PMID: 18179624 Creating healthy food and eating environments: policy and environmental approaches. Annu Rev Public Health. 2008; 29: 253-72. Review. PMID: 18031223 Process evaluation of the Pool Cool Diffusion Trial for skin cancer prevention across 2 years. Health Educ Res. 2008 Aug; 23( 4): 732-43. Epub 2007 Oct 22. PMID: 17956884 The impact of HIPAA authorization on willingness to participate in clinical research. Ann Epidemiol. 2007 Nov; 17( 11): 899-905. Epub 2007 Aug 6. PMID: 17689261 
Reducing ultraviolet radiation exposure among outdoor workers: state of the evidence and recommendations. Environ Health. 2007 Aug 8; 6: 22. Review. PMID: 17686155 
Effects of colon cancer risk counseling for first-degree relatives. Cancer Epidemiol Biomarkers Prev. 2007 Jul; 16( 7): 1485-91. PMID: 17627015 Identifying latent classes of adults at risk for skin cancer based on constitutional risk and sun protection behavior. Cancer Epidemiol Biomarkers Prev. 2007 Jul; 16( 7): 1422-7. PMID: 17627007 Activating multi-ethnic youth for smoking prevention: design, baseline findings, and implementation of project SPLASH. J Cancer Educ. 2007 Spring; 22( 1): 56-61. PMID: 17570811 Using wireless handheld computers and tailored text messaging to reduce negative consequences of drinking alcohol. J Stud Alcohol Drugs. 2007 Jul; 68( 4): 534-7. PMID: 17568957 How major restaurant chains plan their menus: the role of profit, demand, and health. Am J Prev Med. 2007 May; 32( 5): 383-8. PMID: 17478263 Tobacco use among Native Hawaiian middle school students: its prevalence, correlates and implications. Ethn Health. 2007 Jun; 12( 3): 227-44. PMID: 17454098