Case Management for Reaching and Treating Underserved Latino Smokers

描述（由申请人提供）：本K 01申请的目的是为Ana-Paula库比蒂诺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，重点是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指导研究经验。她提出的培训将扩大她的研究剧目定性方法，烟草依赖研究，行为改变模型，文化剪裁和临床试验设计。一份出版物时间轴列出了她将在获奖过程中完成的手稿。该研究计划包括五年内的三项研究，重点是安全网诊所中拉丁美洲人的戒烟。研究1是一个多方法的案例研究，在3个安全网诊所进行，采用定性和定量的研究方法。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是一项随机试点研究的个案管理干预，促进戒烟的拉丁美洲人在安全网诊所。它采用了一种新的方法，不仅可以识别诊所中的吸烟者，还可以识别家中的其他吸烟者。吸烟者（N=90）将被随机分配至病例管理CM组或对照组。CM和对照组的参与者将收到描述社区可用戒烟资源的教育传单。分配到CM的参与者还将获得基于电话的病例管理，以提高戒烟资源的利用率。主要结果包括资源利用（国家戒烟热线和戒烟药物治疗的利用）和6个月时的戒烟。研究3包括与研究2参与者和安全网诊所卫生保健提供者的结构化访谈。面谈将确定案件管理办法的长处、短处和需要改进的地方。这项研究将支持库比蒂诺博士开发R 01应用程序来测试这种干预措施。这个NCI K 01指导职业发展奖，以促进多样性将促进博士库比蒂诺的成长为一个富有成效的，独立的科学家，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.