Tobacco Dependence, Tobacco Smoking
Conditions
Brief summary
Comprehensive smoke-free policies have the potential to substantially reduce tobacco-related disparities among populations in subsidized housing. This study fills this gap by identifying approaches to increase the implementation of smoke-free policies in all types of subsidized housing by increasing the voluntary adoption of smoke-free homes and promoting access to smoking cessation services.
Detailed description
OBJECTIVES: The investigators will build on previous studies, where a smoke-free home intervention to increase voluntary adoption of smoke-free homes in permanent supportive housing for formerly homeless adults was developed and evaluated. Aim 1: To estimate the effect of our adapted smoke-free home intervention on the primary outcome of residents' voluntary adoption of smoke-free homes and the secondary outcome of biochemically-verified tobacco abstinence at 6-months follow-up. Aim 2: To determine the cost of our adapted smoke-free home intervention and determine whether it is a cost-effective use of health care resources. Aim 3: To evaluate variation in stakeholders' perspectives on the adapted smoke-free home intervention's adaptability, scalability and sustainability.The proposed intervention can expand access to smoke-free policies and smoking cessation services in subsidized housing, thereby reducing racial/ethnic disparities in tobacco use, tobacco exposure and chronic disease in these populations. OUTLINE: A wait-list cluster randomized controlled trial of the adapted smoke-free home intervention compared to usual care among residents from subsidized housing sites in Northern California. Participants from twenty-four subsidized housing sites will be randomized into intervention and waitlist control arms
Interventions
BEHAVIORALSmoke-free home resident intervention
Study staff delivered intervention on how to adopt a smoke free home using a pamphlet
BEHAVIORALLay Health Worker coaching
Brief tobacco cessation coaching by lay health worker housing staff with residents within 2 weeks of the smoke-free home resident intervention, and on a monthly schedule as part of their routine encounters with residents (total 6 sessions).
Sponsors
National Institute on Minority Health and Health Disparities (NIMHD)
University of California, San Francisco
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Intervention model description
Cluster randomized controlled groups
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Eligible resident participants * Current smokers defined as: * Smoked at least 100 cigarettes in lifetime * Smoked daily in the past 7 days, and at least 5 cigarettes per day, verified by expired CO ≥ 5 parts per million \[ppm\] Smokerlyzer CO+ monitor), * Smoke in their home * Expect to live in the subsidized housing site for at least 12 months * Age ≥ 18 years * Speak Chinese (Cantonese or Mandarin), English, Spanish, or Vietnamese * Able to provide informed consent.
Exclusion criteria
* Contraindication to any study-related procedures or assessment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of participants adopting a smoke-free home for ≥90 days | 6 months | The percentage of participants who reported to adopt a smoke-free home in the past 90 days will be reported |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of participants with point prevalent abstinence (PPA) | 6 months | The percentage of participants with carbon dioxide (CO)-verified tobacco abstinence will be reported at the 6 month follow-up visit. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Percentage of participants adopting a cannabis-free home among cannabis users | 6 months | The percentage of participants who reported to adopt a cannabis-free home in the past 90 days will be reported |
Countries
United States
Contacts
Primary ContactAna Martinez
Backup ContactWeijie Wang
Outcome results
None listed