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Impact of an educational interventio...

Moe, Esther L.

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Impact of an educational intervention on a cohort of alpha-1 antitrypsin deficient teenagers.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Impact of an educational intervention on a cohort of alpha-1 antitrypsin deficient teenagers./
Author:	Moe, Esther L.
Description:	147 p.
Notes:	Source: Dissertation Abstracts International, Volume: 50-11, Section: A, page: 3491.
Contained By:	Dissertation Abstracts International50-11A.
Subject:	Education, Health. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9010136

Impact of an educational intervention on a cohort of alpha-1 antitrypsin deficient teenagers.
Moe, Esther L.

Impact of an educational intervention on a cohort of alpha-1 antitrypsin deficient teenagers. - 147 p.

Source: Dissertation Abstracts International, Volume: 50-11, Section: A, page: 3491.

Thesis (Ph.D.)--University of Oregon, 1989.

Alpha-1 antitrypsin deficiency (AAT) is a health condition which places an individual at high risk for the early onset of emphysema, with the risk being greatly increased if an AAT deficient person smokes cigarettes. The high risk condition creates a situation where a determined effort for a smoking prevention/cessation intervention is critical. This study was designed to evaluate a one-on-one smoking prevention and educational intervention administered to a cohort of healthy AAT adolescents. Subjects were 22 AAT deficient teenagers identified at birth through a unique neonatal screening program conducted in Oregon from 1971 and 1974. Subjects responded to the PHS Teenage Cigarette Smoking Self Test which assesses smoking attitudes, modified to include questions concerning smoking behaviors and knowledge of AAT. The educational intervention included a half-hour one-on-one presentation about AAT, with particular emphasis on its interaction with smoke. For the AAT group lung and liver function tests were obtained at the time of the intervention. Posttest surveys 6 months after the educational intervention included the Smoking Self-Test (PHS) plus questions to assess reasons for nonsmoking behavior and an evaluation by both AAT teens and parents. A comparison group of 130 similarly aged students were given the attitudinal and behavioral surveys. Overall, the AAT cohort and the comparison group scored very high on the questionnaire regarding knowledge of the health effects of smoking, and both tended to have negative attitudes toward smoking. No significant differences were found between the two groups in smoking behavior, attitudes, and knowledge at pretest time. The AAT group pre-post test analysis resulted in significant differences in the positive direction in 3 of 6 subscales in the PHS, and an increase in AAT knowledge. Additionally the AAT group was more knowledgeable and more positive in attitude when compared to the comparison after the intervention. Health risks were the strongest reasons for not smoking by the AAT cohort. Physiologically, lung and liver function tests were normal. Recommendations include a neonatal screening program for detection of AAT followed by intensive family centered smoking and educational intervention, and longitudinal follow-up of the current cohort of AAT individuals.Subjects--Topical Terms:

1017668
Education, Health.

Impact of an educational intervention on a cohort of alpha-1 antitrypsin deficient teenagers.
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100 1 $a Moe, Esther L. $3 1950884
245 1 0 $a Impact of an educational intervention on a cohort of alpha-1 antitrypsin deficient teenagers.
300 $a 147 p.
500 $a Source: Dissertation Abstracts International, Volume: 50-11, Section: A, page: 3491.
500 $a Co-Chairs: Wesley Hawkins; Robert E. Kime.
502 $a Thesis (Ph.D.)--University of Oregon, 1989.
520 $a Alpha-1 antitrypsin deficiency (AAT) is a health condition which places an individual at high risk for the early onset of emphysema, with the risk being greatly increased if an AAT deficient person smokes cigarettes. The high risk condition creates a situation where a determined effort for a smoking prevention/cessation intervention is critical. This study was designed to evaluate a one-on-one smoking prevention and educational intervention administered to a cohort of healthy AAT adolescents. Subjects were 22 AAT deficient teenagers identified at birth through a unique neonatal screening program conducted in Oregon from 1971 and 1974. Subjects responded to the PHS Teenage Cigarette Smoking Self Test which assesses smoking attitudes, modified to include questions concerning smoking behaviors and knowledge of AAT. The educational intervention included a half-hour one-on-one presentation about AAT, with particular emphasis on its interaction with smoke. For the AAT group lung and liver function tests were obtained at the time of the intervention. Posttest surveys 6 months after the educational intervention included the Smoking Self-Test (PHS) plus questions to assess reasons for nonsmoking behavior and an evaluation by both AAT teens and parents. A comparison group of 130 similarly aged students were given the attitudinal and behavioral surveys. Overall, the AAT cohort and the comparison group scored very high on the questionnaire regarding knowledge of the health effects of smoking, and both tended to have negative attitudes toward smoking. No significant differences were found between the two groups in smoking behavior, attitudes, and knowledge at pretest time. The AAT group pre-post test analysis resulted in significant differences in the positive direction in 3 of 6 subscales in the PHS, and an increase in AAT knowledge. Additionally the AAT group was more knowledgeable and more positive in attitude when compared to the comparison after the intervention. Health risks were the strongest reasons for not smoking by the AAT cohort. Physiologically, lung and liver function tests were normal. Recommendations include a neonatal screening program for detection of AAT followed by intensive family centered smoking and educational intervention, and longitudinal follow-up of the current cohort of AAT individuals.
590 $a School code: 0171.
650 4 $a Education, Health. $3 1017668
690 $a 0680
710 2 0 $a University of Oregon. $3 958250
773 0 $t Dissertation Abstracts International $g 50-11A.
790 1 0 $a Hawkins, Wesley, $e advisor
790 1 0 $a Kime, Robert E., $e advisor
790 $a 0171
791 $a Ph.D.
792 $a 1989
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9010136