FRESH: Dual Home Screening for Lung Cancer Prevention

FRESH：预防肺癌的双重家庭筛查

• 批准号: 8536671
• 负责人: Ellen J Hahn
• 金额: $ 42.1万
• 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/8536671
• 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; 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; screening; 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）： 本随机对照试验的目的是测试自由氡暴露和吸烟在家里（FRESH），双重家庭筛选和定制的环境反馈干预，旨在减少肺癌的环境风险，并确定与氡缓解的货币激励相关的因素的有效性。一手烟、二手烟（SHS）和氡暴露的结合使肺癌的风险增加近十倍。长期目标是通过减少家庭接触氡和SHS来促进环境正义，并通过政策变化提供税收抵免来促进氡减排的公平性。一项随机对照试验招募了550名初级保健患者，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）的背景因素：1）与对照组相比，接受FRESH的人更有可能采取行动来测试和减轻氡，并制定和执行无烟家庭政策; 2）与对照组相比，接受FRESH的人在干预后15个月的氡和家庭SHS水平较低; 3）接受FRESH的人将有更大的肺癌感知风险和协同风险感知增加（SHS x氡），健康相关的自我概念，准备改变，自我效能感，以防止肺癌，并在肺癌的担心，在干预后15个月的控制相比，更大的下降; 4）家中至少有一名吸烟者的人不太可能采取行动减少氡和SHS的暴露。治疗组（n = 275）将在初级保健诊所获得免费的测试工具包，以测量基线时家中的氡和SHS，获得测试结果和定制的环境反馈干预，并参加基线和三次随访在线调查以及干预后15个月的家庭测试。那些氡含量高的人将获得一张代金券，金额为氡减排费用的30%，最高可达600美元。对照组（n = 275）将收到有关如何请求氡气和SHS测试套件的信息以及有关氡气和SHS的小册子，并参加所有研究调查。两组的参与者将被要求在干预后15个月对他们的房屋进行氡和SHS测试。项目 该提案与公共卫生直接相关，因为它有可能通过减少家中氡和二手烟的暴露来预防肺癌。