Respiratory diseases are both prevalent and often preventable. A comprehensive and coordinated preventive pulmonary curriculum does not presently exist at the University of Washington's School of Medicine. The design, development, implementation, and evaluation of a curriculum focused on preventive pulmonary concepts is proposed. The contribution of the preventive pulmonary curriculum during each year of medical school is described. In addition, these concepts will be incorporated into internal medicine, family medicine and pediatric residency training, continuing medical education, and will also involve the Schools of Nursing and Public Health and Community Medicine. The research component of the application has two components. Phase I will characterize the behavioral determinants of smoking cessation among a cohort of smoking asbestos-exposed patients. Based on this characterization an educational intervention will be developed. Phase II will investigate whether the intervention will increase the rate of quit attempts and long-term abstinence among those receiving the information. One hundred and eighty subjects will be randomized to receive either a specific educational intervention and """"""""generic"""""""" smoking cessation advice or """"""""generic"""""""" advice alone. Measures of efficacy will include self-reported quit attempts and long-term abstinence validated by exhaled breath carbon monoxide levels. Finally, behavioral predictors of smoking cessation will be assessed and compared between groups.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Academic/Teacher Award (ATA) (K07)
Project #
5K07HL002321-04
Application #
3077473
Study Section
Special Emphasis Panel (SRC (KS))
Project Start
1990-06-01
Project End
1995-05-31
Budget Start
1993-06-01
Budget End
1994-05-31
Support Year
4
Fiscal Year
1993
Total Cost
Indirect Cost
Name
University of Washington
Department
Type
Schools of Medicine
DUNS #
135646524
City
Seattle
State
WA
Country
United States
Zip Code
98195
Barnhart, S; Sheppard, L; Beaudet, N et al. (1997) Tuberculosis in health care settings and the estimated benefits of engineering controls and respiratory protection. J Occup Environ Med 39:849-54