A Novel Worksite Smoking Cessation intervention for Hispanic Construction Workers

 描述（由申请人提供）：建筑工人在所有职业中吸烟率最高，并且经常暴露于各种工作场所危害（例如毒素），这些危害与吸烟相互作用，增加了他们的健康风险。特别是少数族裔建筑工人，与其他群体相比，吸烟率更高，戒烟率更低，而且他们通常获得和参与戒烟和健康促进服务的机会更少。在过去十年中，美国建筑业雇用的西班牙裔工人数量增加了两倍，达到260万人（占所有建筑工人的23%）。鉴于建筑行业仍然以男性为主，西班牙裔男性工人构成了一个需要戒烟和促进健康的庞大且不断增加的群体。然而，这一群体的戒烟努力受到以下因素的阻碍：1）高流动性/周转率，2）获得戒烟和健康促进服务的机会有限，以及3）缺乏针对西班牙裔建筑的困难工作/生活环境的文化敏感的戒烟干预措施 工人我们的团队最近试行了一种新方法，即与定期访问建筑工地的午餐车合作，提供基于工作现场的简短有效的健康促进干预措施。我们提出的探索性研究旨在通过以下方式解决西班牙裔建筑工人戒烟的主要障碍：1）通过使用建筑工地作为干预场所，使用午餐车作为干预交付方式，以接触和招募他们，2）让他们参与开发和评估适合其独特文化和工作环境的试点戒烟干预措施。因此，我们的具体目标是：1）为西班牙裔建筑工人制定一个简短的、文化上敏感的戒烟干预措施，围绕探索性焦点小组进行，2）与午餐车一起，招募100名西班牙裔男性建筑业吸烟者进行试点随机对照试验，以测试增强护理干预的可行性和潜在功效（包括在午餐车上提供的一次面对面的行为咨询会议，两次简短的后续电话咨询，传真转介到佛罗里达戒烟热线（QL），并提供8周的免费NRT），与标准护理相比（包括传真转介至QL，并提供8周的免费NRT），以及3）在入组3个月后进行干预后评估访谈，以评估他们对戒烟干预的几个特征的有用性和适当性的看法，并进一步完善-调整干预措施，以进行更广泛的测试和传播。这项研究将是第一个开发和评估一种新的，低成本的招聘和干预策略，在一个难以达到和服务不足的人口西班牙裔男性建筑工人。我们的数据将为一项更大规模的研究提供信息，研究停止方法的有效性，这些方法具有很大的潜力，可以翻译和传播给美国各地的少数民族建筑工人。

 DESCRIPTION (provided by applicant): Construction workers have the highest rate of smoking among all occupations, and are frequently exposed to a wide range of workplace hazards (e.g. toxins), which interact with smoking to increase their health risks. Minority construction workers, in particular, have higher smoking and lower cessation rates compared to other groups, and they generally show lower access and participation in cessation and health promotion services. The number of Hispanic workers employed in the construction industry in the US has tripled in the past decade to 2.6 million (23% of all construction workers). Given that construction trades remain overwhelmingly male dominated, male Hispanic workers constitute a large and increasing group in need for smoking cessation and health promotion. Cessation efforts amongst this group however, are hindered by their: 1) high mobility/ turnover, 2) limited access to cessation and health promotion services, and 3) lack of culturally-sensitive smoking cessation interventions tailored for the difficult work/life circumstances of Hispanic construction workers. A novel approach that was recently piloted by our team is to partner with the lunch truck that routinely visits construction sites to deliver brief worksite-based, effective health promotion interventions. Our proposed exploratory study aims to tackle these major barriers to smoking cessation in Hispanic construction workers, by: 1) increasing their access to cessation through the use of the construction site as the intervention setting and the lunch truck as the intervention delivery modality to reach and recruit them, and 2) involving them in the development and evaluation of a pilot smoking cessation intervention adapted to their unique cultural and work circumstances. Therefore, our Specific Aims are: 1) Develop a brief, culturally sensitive smoking cessation intervention for Hispanic construction workers, built around exploratory focus groups, 2) In conjunction with the lunch truck, recruit 100 Hispanic male construction smokers to conduct a pilot randomized controlled trial to test the feasibility and potential efficacy of enhanced care intervention (consists of a single face-to-face behavioral counseling session delivered at the lunch truck, two brief follow-up phone counseling calls, fax referral to the Florida tobacco quitline (QL), and provision of eight weeks of free NRT), compared to standard care (consists of fax referral to the QL, and provision of eight weeks of free NRT), and 3) Conduct a post- intervention evaluation interview after 3-months of enrolment to assess their views on the usefulness and appropriateness of several features of the cessation intervention and to further fine-tune the intervention for wider testing and dissemination. This study will be the first to develop and evaluate a novel, low cost recruitment and intervention strategy in a hard-to-reach and underserved population of Hispanic male construction workers. Our data will inform a larger study of the effectiveness of cessation approaches that have great potential for translation and dissemination to minority construction workers throughout the US.