Intergrating a Smoke-Free Home Intervention into the 5As to Support Cessation

将无烟家庭干预纳入 5A 以支持戒烟

• 批准号: 10219194
• 负责人: MICHELLE C KEGLER
• 金额: $ 66.36万
• 依托单位: EMORY UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-07-04 至 2025-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10219194
• 关键词: Address; Adoption; Advisory Committees; Alabama; Child; Communities; Data; Data Pooling; Environment; Evaluation; Evaluation Research; Federally Qualified Health Center; Florida; Home; Home environment; Household; Intervention; Intervention Studies; Low Income Population; Low income; Mind; Modeling; Ohio; Oklahoma; Outcome; Participant; Patients; Pharmacotherapy; Phase; Population; Population Analysis; Positioning Attribute; Prevention Research; Preventive service; Primary Health Care; Process; Provider; Randomized Controlled Trials; Reporting; Research; Rural; Rural Population; Site; Smoke; Smoke-free home; Smoker; Smoking; Testing; Time; Tobacco Control Research; Tobacco Use Cessation; Vulnerable Populations; cigarette smoke; cost; dissemination trial; effectiveness trial; efficacy testing; efficacy trial; environmental tobacco smoke exposure; follow-up; implementation outcomes; innovation; novel strategies; patient oriented; patient population; patient subsets; primary care setting; quitline; reduce tobacco use; safety net; service delivery; smoking cessation; smoking cue; social; socioeconomic disadvantage; treatment as usual

SUMMARY Establishing smoke-free homes may be a promising approach to support, and perhaps catalyze, smoking cessation. The inconvenience of going outside, combined with a reduction of environmental cues to smoke in the home, may result in less smoking and increased efforts to quit. Yet, no rigorous studies have tested the impact of creating smoke-free homes on cessation outside the context of protecting children from secondhand smoke exposure. We have developed a brief smoke-free homes intervention, “Some Things are Better Outside”, that is very effective in promoting the adoption of total smoking bans in low-income households. As part of NCI’s State and Community Tobacco Control research initiative, we conducted an efficacy trial, an effectiveness trial, a generalizability trial and a dissemination trial with positive outcomes in each phase of the research. Pooled data from our three RCTs, combined with results from a national dissemination study, document the potential of the intervention to support cessation. We propose to partner with two large federally qualified health centers (FQHCs) in rural south Georgia to rigorously test the efficacy and potential scalability of integrating a smoke-free homes intervention into the 5A (Ask, Advise, Assess, Assist, Arrange) approach for tobacco cessation recommended by the U.S. Preventive Services Task Force. FQHCs serve as the safety net of primary care for vulnerable populations in the U.S. Most FQHC patients are socioeconomically disadvantaged and represent a high priority for cessation. Developing and testing an approach for integrating the intervention into FQHCs from the outset should increase potential use of the intervention if proven effective. Our first aim is to adapt the intervention for integration into the 5As for tobacco cessation, followed by an RCT to test the efficacy of integrating the smoke-free homes intervention into the 5A approach for smoking cessation among FQHC patients. This approach may have broader reach than current approaches as it may appeal to those not yet ready to quit, as well as provide a social and physical personal environment that supports increased quit attempts and successful cessation. We also plan to conduct a multi-component process evaluation that examines implementation outcomes, cost and scalability potential. The proposed research will be the first to rigorously assess whether the integration of a strong smoke-free homes intervention into the 5As can encourage sustained smoking cessation in low-income patients.

概括 建立无烟的房屋可能是一种有前途的支持，也许是催化吸烟的方法 停止。外面的不便，结合减少环境线索吸烟 房屋可能导致吸烟减少，并增加了戒烟的努力。然而，尚无严格研究测试 在保护儿童免受二手侵害的背景之外制造无烟房屋的影响 烟雾暴露。我们已经开发了简短的无烟房屋干预措施，“有些事情更好 在外面”，这对于促进低收入家庭中的吸烟禁令非常有效。 NCI州和社区烟草控制研究计划的一部分，我们进行了一项有效的试验 有效性试验，一项普遍性试验和一项在每个阶段的积极结果的传播试验 研究。我们三个RCT的汇总数据，加上一项国家传播研究的结果， 记录干预措施的潜力。我们建议与两个大型联邦合作 佐治亚州南部农村的合格卫生中心（FQHC）严格测试效率和潜在的可扩展性 将无烟的房屋干预整合到5A中（询问，建议，评估，协助，安排）方法 美国预防服务工作队推荐的烟草戒烟。 FQHC充当安全网 美国对弱势群体的初级保健中，大多数FQHC患者在社会经济上是 处于弱势阶段，代表了停止的高度优先级。开发和测试一种整合的方法 如果证明 有效的。我们的第一个目的是调整干预措施以整合到5A中，以进行烟草戒烟，其次是 RCT测试将无烟房屋干预整合到5A吸烟方法中的效率 FQHC患者停止。这种方法可能比目前的方法更广泛 呼吁尚未准备退出的人，并提供一个社会和身体的个人环境 支持增加的戒烟尝试和成功停止。我们还计划进行多组分 过程评估，考试实施结果，成本和可伸缩性潜力。提议 研究将是第一个严格评估强大无烟房屋干预是否整合的人 进入5A可以鼓励低收入患者持续停止戒烟。