The purpose of this proposal is to build a mentored, clinical research training experience to foster independent professional development in cancer control research. This application is being submitted from the University of Pennsylvania Cancer Center, which provides a setting with excellent opportunities to work with Dr. Caryn Lerman, the Transdisciplinary Tobacco Use Research Center (TTURC), and my co-sponsors, Drs. Charles O'Brien and J. Sanford Schwartz. Sound career development in cancer control research requires broad exposure to research methodologies and intensive research training in order to make significant, independent contributions to this field. Therefore, this K07 Career Development Award application seeks to achieve these goals in the area of tobacco control and maternal and child health. General plans for the career development program include: (a) expanding working knowledge of areas relevant to cancer/tobacco control research; (b) refining skills in the application of behavioral science to cancer/tobacco control; (c) increasing knowledge of maternal health issues related to cancer/tobacco control; (d) expanding understanding of the biobehavioral mechanisms of tobacco addiction; (e) improving skills in designing, implementing, and analyzing cancer/tobacco control interventions; and (f) learning effective ways to disseminate research findings to impact upon public health practices. Specifically, the research project aims to develop a low-cost, primary-care intervention to reduce children's Environ- mental Tobacco Smoke exposure and maternal smoking rates targeting under- served mothers with children ages 0-2. The effectiveness of this intervention will be tested by comparing it with a standard care control-group intervention using a two-group, repeated measures randomized design. The intervention will be modeled after more intensive, home-based counseling programs, the feasibility of which has been demonstrated. However, as these interventions were labor intensive and costly, the proposed intervention presents an innovative, comprehensive, albeit streamlined primary-care approach to an emerging issue in the tobacco control field. This intervention will also set the groundwork for an eventual R01 that will test the treatment and prevention efficacy of this intervention on other populations (e.g., adolescent smokers and their younger, nonsmoking siblings).

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Academic/Teacher Award (ATA) (K07)
Project #
5K07CA093756-02
Application #
6620718
Study Section
Subcommittee G - Education (NCI)
Program Officer
Gorelic, Lester S
Project Start
2002-03-27
Project End
2006-12-31
Budget Start
2003-01-01
Budget End
2003-12-31
Support Year
2
Fiscal Year
2003
Total Cost
$126,586
Indirect Cost
Name
University of Pennsylvania
Department
Psychiatry
Type
Schools of Medicine
DUNS #
042250712
City
Philadelphia
State
PA
Country
United States
Zip Code
19104
Lavery, Amy M; Nair, Uma; Bass, Sarah Bauerle et al. (2016) The Influence of Health Messaging Source and Frequency on Maternal Smoking and Child Exposure among Low-Income Mothers. J Commun Healthc 9:200-209
Collins, Bradley N; Nair, Uma S; Hovell, Melbourne F et al. (2015) Reducing Underserved Children's Exposure to Tobacco Smoke: A Randomized Counseling Trial With Maternal Smokers. Am J Prev Med 49:534-44
Collins, Bradley N; Nair, Uma S; Shwarz, Michelle et al. (2013) SHS-Related Pediatric Sick Visits are Linked to Maternal Depressive Symptoms among Low-Income African American Smokers: An Opportunity for Intervention in Pediatrics. J Child Fam Stud 22:
Collins, Bradley N; Ibrahim, Jennifer (2012) Pediatric Secondhand Smoke Exposure: Moving Toward Systematic Multi-Level Strategies to Improve Health. Glob Heart 7:161-165
Collins, Bradley N; DiSantis, Katherine Isselmann; Nair, Uma S (2011) Longer previous smoking abstinence relates to successful breastfeeding initiation among underserved smokers. Breastfeed Med 6:385-91
Collins, Bradley N; Wileyto, E Paul; Hovell, Melbourne F et al. (2011) Proactive recruitment predicts participant retention to end of treatment in a secondhand smoke reduction trial with low-income maternal smokers. Transl Behav Med 1:394-9
DiSantis, Katherine Isselmann; Collins, Bradley N; McCoy, Andrea C S (2010) Associations among breastfeeding, smoking relapse, and prenatal factors in a brief postpartum smoking intervention. Acta Obstet Gynecol Scand 89:582-6
Collins, Bradley N; Ibrahim, Jennifer K; Hovell, Melbourne et al. (2010) Residential smoking restrictions are not associated with reduced child SHS exposure in a baseline sample of low-income, urban African Americans. Health (Irvine Calif) 2:1264-1271
Collins, Bradley N; Nair, Uma; Hovell, Melbourne F et al. (2009) Smoking-related weight concerns among underserved, black maternal smokers. Am J Health Behav 33:699-709
Mueller, Darryl T; Collins, Bradley N (2008) Pediatric otolaryngologists'actions regarding secondhand smoke exposure: pilot data suggest an opportunity to enhance tobacco intervention. Otolaryngol Head Neck Surg 139:348-52

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