Sustaining Tobacco Abstinence after Incarceration

监禁后维持戒烟

• 批准号: 7730453
• 负责人: Jennifer Grace Clarke
• 金额: $ 63万
• 依托单位: MEMORIAL HOSPITAL OF RHODE ISLAND
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-08-15 至 2011-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7730453
• 关键词: AIDS prevention; Abstinence; Address; Alcohol or Other Drugs use; American; Area; Back; Behavior Therapy; Cardiovascular Diseases; Cessation of life; Cigarette; Communities; Correctional Institutions; Cotinine; Data; Effectiveness; Environment; Environmental Tobacco Smoke; Feedback; Funding; HIV; Health; Imprisonment; Individual; Intervention; Jail; Lead; Mentally Ill Persons; Military Personnel; Minority; Persons; Population; Prevalence; Prisoner; Prisons; Randomized; Randomized Clinical Trials; Relapse; Research; Rhode Island; Risk; Self Determination; Self Efficacy; Smoke; Smoker; Smoking; Smoking Cessation Intervention; Substance abuse problem; Techniques; Telephone; Testing; Time; Tobacco; Tobacco use; Training; Underserved Population; Vulnerable Populations; Woman; base; community intervention; follow-up; high risk; improved; men; motivational enhancement therapy; primary outcome; secondary outcome; skills; smoking cessation; smoking intervention; success; theories; tobacco abstinence; urinary

With approximately 9 million Americans passing through correctional institutions annually and an average daily population of over 2 million, there are multiple opportunities to address the smoking cessation needs of this high risk and underserved population.1 Tobacco use among prisoners is approximately three times that of the general population2 and minorities, poor, mentally ill and illicit substance using individuals are all overrepresented in correctional facilities. Since the announcement of the negative health consequences of second hand smoke, correctional facilities are increasingly becoming tobacco free. The Rhode Island Department of Corrections (RI DOC) has been tobacco free since February 2003 with no tobacco products allowed anywhere on grounds by inmates or staff. However the majority of inmates return to smoking as soon as they are released back into the community. Motivational Interviewing (MI) can be conceptualized and informed by the self-determination theory. 3. 4 MI utilizes specific techniques for providing feedback based on an individual's risk, and self efficacy. CBT provides the skills necessary to maintain abstinence after release. We aim to capitalize on these periods of forced abstinence by modifying and evaluating an Intensive Behavioral Intervention (6 sessions of in jail MIICBT and two post release telephone booster sessions) compared to a CONcise Iapes Reviewing Obstacles to healthy biving (CONTROL) in a randomized clinical trial. We propose to randomly assign to Intensive ~ehavioral Intervention (lBI) or time equivalent CONTROL eight weeks before release from incarceration. Those randomized to IBI will receive two MI and four CBT sessions in prison and two booster telephone sessions after release. For this two year proposal we will limit follow-up to 12-weeks after release and censor follow-up for those who have relapsed to smoking.

每年大约有900万美国人通过惩教机构，平均每天有200多万人，有多种机会来解决这一高风险和服务不足人群的戒烟需求。精神病患者和使用非法药物的人在教养设施中所占比例过高。 自宣布二手烟对健康的负面影响以来，教养设施越来越成为无烟场所。自2003年2月以来，罗得岛惩教部（RI DOC）一直是无烟的，囚犯或工作人员不允许在任何地方使用烟草产品。然而，大多数囚犯一旦被释放回到社区，就会重新吸烟。 自我决定理论可以对动机性面试进行概念化和信息化。3. 4 MI利用特定的技术，根据个人的风险和自我效能提供反馈。CBT提供了释放后保持禁欲所需的技能。我们的目标是利用这些时期， 在一项随机临床试验中，通过修改和评估强化行为干预（6次监狱MIICBT和两次释放后电话助推器会议）与简明Iapes回顾健康生活障碍（对照）相比，强制禁欲。我们建议随机分配给 在从监禁中释放前8周，进行强化的口服干预（lBI）或时间相当的对照。那些被随机分配到IBI的人将在监狱中接受两次MI和四次CBT会议，并在释放后接受两次电话会议。对于这项为期两年的提案，我们将限制随访至释放后12周，并审查那些复吸者的随访。