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Exploring a Cessation Intervention for Low Income Smokers in an Emergency Setting

探索紧急情况下低收入吸烟者的戒烟干预措施

基本信息

批准号：
8337391
负责人：
E. Melinda Mahabee-Gittens
金额：
$ 19.25万
依托单位：
CINCINNATI CHILDRENS HOSP MED CTR
依托单位国家：
美国
项目类别：
财政年份：
2011
资助国家：
美国
起止时间：
2011-09-22 至 2014-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8337391
关键词：
Abstinence Accident and Emergency department Acute Address Adult Affect Cancer Control Carbon Monoxide Child Child health care Childhood Clinical Practice Guideline Counseling Data Development Development Plans Effectiveness Electronic Health Record Electronic Mail Emergency Situation Environmental Tobacco Smoke Focus Groups Future Goals Grant Growth Health Hospital Administrators Household Intervention Interview K-Series Research Career Programs Low income Malignant Neoplasms Methods Modeling Morbidity - disease rate Motivation Nurses Outcome Parents Patient Self-Report Phase Physicians Preparation Prevalence Randomized Controlled Trials Recruitment Activity Research Research Personnel Resources Scientist Smoke Smoker Smoking Cessation Intervention Telephone Testing Text Tobacco Tobacco Dependence Tobacco Use Cessation Tobacco use Training Translating Translations Visit Work base brief intervention career career development effective intervention efficacy testing financial incentive follow-up health belief health disparity improved innovation interest intervention effect nicotine replacement preference prevent primary outcome prospective public health relevance quitline randomized trial screening and brief intervention screening, brief intervention, referral, and treatment secondary outcome smoking cessation success tobacco screening trend

项目摘要

Exploring a Cessation Intervention for Low Income Smokers in an Emergency Setting An estimated 6.6 million parents who smoke visit pediatric emergency departments (PED) annually. Up to 50% of these parental smokers are from low-income, racially/ethnically diverse households in which a variety of tobacco-related disparities exist for both the parents and their children. The PED is an ideal and innovative setting in which to address these disparities, which include differences in tobacco use, pediatric second hand smoke exposure (SHSe), quit rates, access to cessation resources, and morbidity such as cancer. The proposed Career Development Award application will facilitate the candidate's growth as an independent cancer control physician scientist conducting research in the PED setting. The long-term career goal of the candidate is to become an effective independent researcher able to conduct parental cessation interventions in the PED that are readily translated into practice. The candidate's immediate career goal is to develop and test a cessation intervention for low-income smokers in the PED. To achieve this goal, the candidate proposes a career development plan that includes professional development, grant preparation, and a research plan to collect pilot data. The proposed research plan extends the candidate's prior smoking cessation work in the PED setting which indicates that parental smokers who visit the PED are aware of the pediatric effects of SHSe, motivated to quit, and eager to receive cessation counseling in this setting. The proposed research will be conducted in two phases. During Phase I, we will explore the types of interventions acceptable to low- income parental smokers via focus groups. Focused interviews of PED nurses, physicians, and hospital administrators will be conducted to explore barriers to intervention sustainability that will assist in future intervention planning. This data will be used to develop a PED-based parental cessation intervention. During Phase II, we will conduct a pilot prospective trial to examine the effectiveness of our screening, brief intervention, and referral to treatment (SBIRT) intervention on parental smoking cessation. Equal numbers of parental smokers who bring their child to the PED for either a SHSe-related illness or non SHSe-related illness will be given a brief intervention using an adapted form of the Clinical Practice Guideline: Treating Tobacco Use and Dependence. Intervention components may include brief cessation counseling using an "Advise, Assess, and Assist" approach; information on SHSe in children; direct connection to the Quitline (QL) in the PED; and/or free administration of nicotine replacement therapy (NRT). The Health Belief Model will be used to explore whether factors unique to this setting (e.g., child's acute illness) moderate the effect of the intervention on cessation outcomes. Outcomes will be assessed following the intervention via phone, email, or text messaging. If effective, this intervention could reduce health disparities related to tobacco use, by improving treatment and preventing tobacco-related morbidities in low-income, racially/ethnically diverse smokers.

探讨在紧急情况下低收入吸烟者的戒烟干预措施