Case Management for Reaching and Treating Underserved Latino Smokers

描述（由申请人提供）：本K01申请的目的是为Ana-Paula Cupertino博士提供必要的研究技能和出版记录，以开展独立的职业生涯，专注于减少拉丁美洲人和大多数美国人之间与烟草相关的健康差距。职业发展活动包括正式培训以及有指导的研究经验。她建议的培训将扩大她的研究范围，包括定性方法、烟草依赖研究、行为改变模型、文化定制和临床试验设计。出版时间表列出了她将在获奖期间完成的手稿。该研究计划包括为期五年的三项研究，重点关注安全网诊所拉美裔人的戒烟情况。研究1是一项多方法案例研究，在3个安全网诊所进行，采用定性和定量研究方法。它将提供关于目前如何在诊所处理烟草问题的丰富描述，并深入了解如何最好地将病例管理干预纳入诊所实践。研究2是一项病例管理干预的随机试点研究，旨在促进安全网诊所拉美裔人戒烟。它采用了一种新颖的方法，不仅可以识别诊所里的吸烟者，还可以识别家里的其他吸烟者。吸烟者（N=90）将随机分为病例管理组和对照组。CM和对照组的参与者都将收到教育传单，介绍社区中可用的戒烟资源。分配给CM的参与者也将接受基于电话的病例管理，以提高戒烟资源的利用。主要结局包括资源利用情况（国家戒烟热线和戒烟药物治疗利用情况）和6个月戒烟情况。研究3包括对研究2参与者和安全网诊所卫生保健提供者的结构化访谈。访谈将确定案例管理方法的优势、劣势和需要改进的领域。这项研究将支持库比蒂诺博士开发R01应用程序来测试这种干预。这个NCI K01指导职业发展促进多样性奖将促进库比蒂诺博士成长为一个富有成效的独立科学家，致力于减少拉丁美洲人之间的健康差距。

DESCRIPTION (provided by applicant): The purpose of this K01 Application is to provide Dr. Ana-Paula Cupertino with the necessary research skills and publication track record to launch an independent career focused on reducing tobacco-related health disparities between Latinos and the majority U.S. population. Career Development activities include formal training as well as mentored research experiences. Her proposed training will expand her research repertoire to qualitative methods, tobacco dependence research, models for behavior change, cultural tailoring, and clinical trial design. A publication timeline lists manuscripts she will complete over the course of the award. The Research Plan consists of three studies over five years and focuses on smoking cessation among Latinos in safety net clinics. Study 1 is a multi-method case study, conducted in 3 safety net clinics, that employs qualitative and quantitative research methods. It will provide rich descriptions of how tobacco is currently addressed in clinics and insight into how best to integrate a case management intervention into clinic practices. Study 2 is a randomized pilot study of a case management intervention for promoting smoking cessation among Latinos in safety net clinics. It employs a novel approach for identifying not only smokers in clinics but also other smokers at home. Smokers (N=90) will be randomized to either case management CM or control. Participants in both CM and control will receive educational flyers describing smoking cessation resources available in the community. Participants assigned to CM will also receive telephone-based case management to enhance utilization of cessation resources. Main outcomes include resource utilization (utilization of the state tobacco quitline and smoking cessation pharmacotherapy) and smoking cessation at 6 months. Study 3 consists of structured interviews with Study 2 participants and safety net clinic health care providers. The interviews will identify strengths, weaknesses, and areas for improvement for the case management approach. This research will support Dr. Cupertino's development of an R01 application to test this intervention. This NCI K01 Mentored Career Development Award to Promote Diversity will facilitate Dr. Cupertino's growth into a productive, independent scientist dedicated to reducing health disparities among Latinos.