Parental smoking behavior and a number of general parenting practices have been associated with the probability that an adolescent will become a.smoker. Early adolescence appears to be an optimal developmental time for targeting parental practices to reduce adolescent problem behavior. The proposed study is a randomized, controlled trial of a telephone counseling intervention designed to affect parenting practices previously demonstrated to influence a dolescent smoking. Working with 2000 families with 12-14 year old adolescents, this intervention seeks to adapt an effective school-based program (The Adolescent Transition Program--ATP) into a community setting, using a computer assisted telephone counseling structured protocol. We have previously demonstrated that this type of telephone counseling is an effective way to influence other types of health behavior. Both the ATP and our other telephone counseling programs are based on the principles of cognitive social learning theory and motivational interviewing. We will enroll households from a population-based representative survey of Californians. Intervention goals are that parents will maintain general protective parenting practices, such as monitoring and setting limits to autonomy within a responsive relationship with the adolescent through at least age 16 years. Further, the intervention will encourage parents actively partner with the California Tobacco Control Program in promoting nonsmoking norms and nonsmoking environment, and in increasing the rate of adoption of tobacco control related practices including, a) communicating strong parental expectations against smoking behavior, b) establishing a smoke-free home, c) monitoring and intervening when peers use or promote the use of tobacco, and d) promoting demand reduction strategies to reduce adolescent receptivity to tobacco industry promotional activity. The primary assessment of adherence to the intervention in both study groups as well as the effectiveness in changing smoking behavior will come from annual surveys of adolescents. Using these data, we will identify whether the intervention is associated with a significant reduction in the proportion of 15-16 year old adolescents who have experimented with smoking, as well as a reduction in the probability that they will be future dependent smokers. We will use surveys of both adolescents and parents to describe the natural history of protective parenting during the adolescent years. We will identify factors associated with these general protective parenting practices and barriers to implementing these practices. The surveys will also allow us to describe the natural history of how parents implement optimal tobacco control parenting practices, identify potential barriers to such practices, and develop potentially effective ways for overcoming these barriers.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Research Project (R01)
Project #
5R01CA093982-04
Application #
6898223
Study Section
Special Emphasis Panel (ZCA1-SRRB-K (01))
Program Officer
Vollinger, Robert
Project Start
2002-06-01
Project End
2008-05-31
Budget Start
2005-06-01
Budget End
2008-05-31
Support Year
4
Fiscal Year
2005
Total Cost
$1,282,570
Indirect Cost
Name
University of California San Diego
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
804355790
City
La Jolla
State
CA
Country
United States
Zip Code
92093
Strong, David R; Messer, Karen; Hartman, Sheri J et al. (2017) Pre-adolescent Receptivity to Tobacco Marketing and Its Relationship to Acquiring Friends Who Smoke and Cigarette Smoking Initiation. Ann Behav Med 51:730-740
Emory, Kristen T; Messer, Karen; Vera, Lisa et al. (2015) Receptivity to cigarette and tobacco control messages and adolescent smoking initiation. Tob Control 24:281-4
Nodora, Jesse; Hartman, Sheri J; Strong, David R et al. (2014) Curiosity predicts smoking experimentation independent of susceptibility in a US national sample. Addict Behav 39:1695-700
Pierce, John P; Messer, Karen; James, Lisa E et al. (2010) Camel No. 9 cigarette-marketing campaign targeted young teenage girls. Pediatrics 125:619-26
Pierce, John P; James, Lisa E; Messer, Karen et al. (2008) Telephone counseling to implement best parenting practices to prevent adolescent problem behaviors. Contemp Clin Trials 29:324-34
West, Joshua H; Romero, Romina A; Trinidad, Dennis R (2007) Adolescent receptivity to tobacco marketing by racial/ethnic groups in California. Am J Prev Med 33:121-3