FRESH: Dual Home Screening for Lung Cancer Prevention

FRESH：预防肺癌的双重家庭筛查

• 批准号: 8273992
• 负责人: Ellen J Hahn
• 金额: $ 45.08万
• 依托单位: UNIVERSITY OF KENTUCKY
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-01 至 2017-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8273992
• 关键词: Address; Adopted; Adoption; Age; Area; Behavior; Clinic; Clinical; Control Groups; Counseling; Effectiveness; Enrollment; Environmental Risk Factor; Environmental Tobacco Smoke; Event; Exposure to; Feedback; Fostering; Freedom; Gender; Goals; Government; Health; Home environment; Housing; Incentives; Institutes; Intervention; Malignant neoplasm of lung; Measures; Modeling; Pamphlets; Participant; Patients; Policies; Preventive; Primary Health Care; Process; Psychosocial Factor; Public Health; Radon; Randomized Controlled Trials; Readiness; Research; Risk; Risk Factors; Safety; Screening procedure; Secondary Prevention; Self Concept; Self Efficacy; Services; Simulate; Smoke; Smoker; Smoking; Socioeconomic Status; Staging; Surveys; Taxes; Test Result; Testing; Tobacco Use Cessation; Tobacco smoke; base; behavior change; cancer diagnosis; contextual factors; cost; environmental justice; follow-up; heuristics; high risk; innovation; intervention effect; lung cancer prevention; lung cancer screening; neglect; non-smoker; post intervention; prevent; prospective; remediation; risk perception; therapy design; voucher

DESCRIPTION (provided by applicant): The purposes of this randomized controlled trial are to test the effectiveness of Freedom from Radon Exposure and Smoking in the Home (FRESH), a dual home screening and tailored environmental feedback intervention designed to reduce environmental risks for lung cancer, and to identify factors associated with monetary incentives for radon mitigation. The combination of firsthand smoke, secondhand smoke (SHS), and radon exposure increases the risk of lung cancer nearly tenfold. The long-term goals are to foster environmental justice by reducing home exposure to radon and SHS and to promote equity in radon mitigation by policy change to provide tax credits. A randomized controlled trial enrolling 550 primary care patients will test four hypotheses, controlling for contextual factors of age, gender, home smoking, and socioeconomic status (SES): 1) Those who receive FRESH will be more likely to take action to test and mitigate for radon and institute and enforce a smoke-free home policy compared to the control group; 2) Those receiving FRESH will have lower radon and home SHS levels at 15 months post-intervention compared to the control group; 3) Those who receive FRESH will have greater increases in perceived risk of lung cancer and synergistic risk perception (SHS x radon), health-related self-concept, readiness to change, and self-efficacy to prevent lung cancer, and a greater decrease in lung cancer worry compared to controls at 15 months post-intervention; and 4) Those with at least one smoker in the home will be less likely to take action to reduce exposure to radon and SHS. The Treatment group (n = 275) will receive free test kits in the primary care clinic to measure their homes for radon and SHS at baseline, receive their test results and the tailored environmental feedback intervention, and take part in baseline and three follow up online surveys and home testing 15 months post-intervention. Those with high radon will receive a voucher for 30% of the cost up to $600 for radon mitigation. The Control group (n = 275) will receive information on how to request test kits for radon and SHS and a brochure on radon and SHS, and take part in all study surveys. Participants in both groups will be asked to test their homes for radon and SHS 15 months post-intervention. Project The proposal is directly relevant to public health in that it has the potential to prevent lung cancer by reducing exposure to radon and secondhand smoke in the home.

描述（由申请人提供）： 这项随机对照试验的目的是测试“在家中免于接触氡气和吸烟”(FRESH) 的有效性，这是一项双重家庭筛查和量身定制的环境反馈干预措施，旨在降低肺癌的环境风险，并确定与氡气减排货币激励相关的因素。一手烟、二手烟 (SHS) 和氡气暴露的结合使患肺癌的风险增加了近十倍。长期目标是通过减少家庭接触氡气和二手烟来促进环境正义，并通过政策变化提供税收抵免来促进氡气减排的公平性。一项招募 550 名初级保健患者的随机对照试验将测试四个假设，控制年龄、性别、家庭吸烟和社会经济地位 (SES) 等背景因素： 1) 与对照组相比，接受 FRESH 的人更有可能采取行动测试和减轻氡气，并制定和执行无烟家庭政策； 2) 与对照组相比，接受 FRESH 的患者在干预后 15 个月时的氡气和家庭二手烟水平较低； 3) 干预后 15 个月，与对照组相比，接受 FRESH 的患者患肺癌的感知风险和协同风险感知（SHS x 氡气）、健康相关的自我概念、改变的准备程度和预防肺癌的自我效能将有更大的增加，并且对肺癌的担忧有更大的减少； 4) 家中至少有一名吸烟者的人不太可能采取行动减少氡气和二手烟的暴露。治疗组 (n = 275) 将在初级保健诊所获得免费测试套件，以在基线时测量其家中的氡气和二手烟，接收测试结果和量身定制的环境反馈干预措施，并参加基线和三项后续在线调查以及干预后 15 个月的家庭测试。氡气含量高的人将获得一张抵用券，金额为氡气减排费用的 30%，最高可达 600 美元。对照组 (n = 275) 将收到有关如何索取氡气和二氧化硫测试套件的信息以及氡气和二氧化硫小册子，并参加所有研究调查。干预后 15 个月，两组参与者都将被要求测试其家中的氡气和二手烟。项目 该提案与公共健康直接相关，因为它有可能通过减少家中接触氡气和二手烟来预防肺癌。