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Helping the poor quit smoking: specialized quitlines and meeting basic needs

帮助穷人戒烟：专门的戒烟热线和满足基本需求

基本信息

批准号：
10463898
负责人：
MATTHEW W. KREUTER
金额：
$ 15.73万
依托单位：
WASHINGTON UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2016
资助国家：
美国
起止时间：
2016-07-01 至 2022-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10463898
关键词：
Abstinence Address American Behavioral Biochemical Costs and Benefits Counseling Disadvantaged Dissemination and Implementation Education Effectiveness Enrollment Evidence based intervention Face Food Food Safety Health Hour Housing Income Individual Industry Internet Intervention Laboratory Research Life Low Income Population Low income Methods Missouri Outcome Study Participant Patient Self-Report Personal Satisfaction Pharmacology Physicians Population Poverty Prevalence Provider Randomized Reporting Research Safety Sampling Services Smoke Smoker Smoking Social Work Telephone Testing Text Messaging Time Tobacco Training Use Effectiveness Validation Vulnerable Populations Work cancer health disparity demographics design economic evaluation evidence base follow-up health communication improved innovation meetings member navigator intervention nicotine replacement novel strategies programs psychological distress quitline self help service providers smoking cessation smoking-related cancer sociodemographic factors socioeconomics success telephone coaching

项目摘要

Smoking in the U.S. follows a clear socio-economic gradient: low-income Americans smoke more and quit less than those with more education and income. Evidence-based interventions like tobacco quitlines are designed to make effective smoking cessation services available on a population basis to all smokers, regardless of financial means. Yet these interventions were not designed specifically for economically vulnerable populations, and therefore don't address many of the unique challenges faced by low- income smokers. As the demographics of smoking in the U.S. continue to shift, so too must the strategies employed to control smoking, including helping smokers quit. The proposed study will test the effects of two innovations to help low-income smokers quit: a Specialized Quitline and Basic Needs navigation. In low-income populations, basic needs like food, housing, personal safety and money for necessities supersede health needs. We have demonstrated that among low-income smokers, those with multiple unmet basic needs are significantly less likely to contact a quitline referral they received, and less likely to remember even getting the referral. But when basic needs problems are resolved, the odds of calling a quitline increase. Addressing basic needs should therefore increase low-income smokers' participation in quit smoking programs. However, those programs will have limited effectiveness if they are not made relevant to economically vulnerable populations. Thus proven approaches like quitlines should be more beneficial when they are adapted to the context and life circumstances of the poor. Using a 2x2 randomized factorial design, we will compare the effects of Standard and Specialized Quitlines with and without a Basic Needs navigator on smoking cessation among 2000 low-income smokers. The primary study outcome is self-reported 7-day point prevalence abstinence at 6-month follow up, with biochemical validation. This statewide field trial will draw smokers from United Way 2-1-1 Missouri and refer them to the Missouri Tobacco Quitline, provided by Alere Wellbeing, Inc. Both are key members of the study team. Embedding the study in these practice agencies will accelerate the path to application should our findings support it.

在美国吸烟有明显的社会经济梯度：低收入美国人

项目成果

期刊论文数量（9）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Comparing two approaches to remote biochemical verification of self-reported cessation in very low-income smokers.

DOI：
10.1016/j.abrep.2021.100343
发表时间：
2021-06
期刊：
Addictive behaviors reports
影响因子：
0
作者：
Garg R;McQueen A;Wolff J;Butler T;Thompson T;Caburnay C;Kreuter MW
通讯作者：
Kreuter MW

Stress, depression, sleep problems and unmet social needs: Baseline characteristics of low-income smokers in a randomized cessation trial.

DOI：
10.1016/j.conctc.2021.100857
发表时间：
2021-12
期刊：
Contemporary clinical trials communications
影响因子：
1.5
作者：
Garg R;McQueen A;Roberts C;Butler T;Grimes LM;Thompson T;Caburnay C;Wolff J;Javed I;Carpenter KM;Wartts JG;Charles C;Howard V;Kreuter MW
通讯作者：
Kreuter MW

Examining Psychosocial Correlates of a Home Smoking Ban Among Low-income Smokers: Analysis of Social Support, Unmet Social Needs, Perceived Stress, and Depressive Symptoms.

DOI：
10.1007/s10900-022-01094-4
发表时间：
2022-12
期刊：
JOURNAL OF COMMUNITY HEALTH
影响因子：
5.9
作者：
Thompson, Tess;Evbuoma-Fike, Ebuwa, I;Garg, Rachel;McQueen, Amy;Caburnay, Charlene;Kreuter, Matthew W.
通讯作者：
Kreuter, Matthew W.

Expressed and unexpressed social needs in low-income adults in the U.S.