Case Management for Reaching and Treating Underserved Latino Smokers

描述(申请人提供)：这份K01申请的目的是为安娜-保拉·库比蒂诺博士提供必要的研究技能和出版记录，以启动专注于减少拉美裔和大多数美国人口之间与烟草相关的健康差距的独立职业生涯。职业发展活动包括正式培训和有指导的研究经验。她提议的培训将把她的研究范围扩展到定性方法、烟草依赖研究、行为改变模型、文化定制和临床试验设计。出版时间表列出了她将在颁奖过程中完成的手稿。研究计划包括三项为期五年的研究，重点是在安全网诊所戒烟的拉美裔人。研究1是一个多方法的个案研究，在3个安全网诊所进行，采用定性和定量的研究方法。它将提供丰富的描述，说明目前如何在诊所处理烟草问题，并深入了解如何最好地将病例管理干预措施整合到临床实践中。研究2是一项在安全网诊所促进拉美裔戒烟的病例管理干预的随机试点研究。它采用了一种新的方法，不仅可以识别诊所的吸烟者，还可以识别家里的其他吸烟者。吸烟者(N=90)将被随机分为病例管理CM组或对照组。CM和CONTROL的参与者都将收到介绍社区可用戒烟资源的教育传单。被分配到CM的参与者还将接受基于电话的案例管理，以提高戒烟资源的利用率。主要结果包括资源利用(使用国家烟草戒烟药物和戒烟药物治疗)和6个月后戒烟。研究3包括对研究2参与者和安全网诊所卫生保健提供者的结构化访谈。访谈将确定案例管理方法的优势、劣势和需要改进的领域。这项研究将支持库比蒂诺博士开发的R01应用程序来测试这种干预。这项旨在促进多样性的NCI K01指导职业发展奖将促进库比蒂诺博士成长为一名多产的独立科学家，致力于缩小拉美裔美国人之间的健康差距。

DESCRIPTION (provided by applicant): The purpose of this K01 Application is to provide Dr. Ana-Paula Cupertino with the necessary research skills and publication track record to launch an independent career focused on reducing tobacco-related health disparities between Latinos and the majority U.S. population. Career Development activities include formal training as well as mentored research experiences. Her proposed training will expand her research repertoire to qualitative methods, tobacco dependence research, models for behavior change, cultural tailoring, and clinical trial design. A publication timeline lists manuscripts she will complete over the course of the award. The Research Plan consists of three studies over five years and focuses on smoking cessation among Latinos in safety net clinics. Study 1 is a multi-method case study, conducted in 3 safety net clinics, that employs qualitative and quantitative research methods. It will provide rich descriptions of how tobacco is currently addressed in clinics and insight into how best to integrate a case management intervention into clinic practices. Study 2 is a randomized pilot study of a case management intervention for promoting smoking cessation among Latinos in safety net clinics. It employs a novel approach for identifying not only smokers in clinics but also other smokers at home. Smokers (N=90) will be randomized to either case management CM or control. Participants in both CM and control will receive educational flyers describing smoking cessation resources available in the community. Participants assigned to CM will also receive telephone-based case management to enhance utilization of cessation resources. Main outcomes include resource utilization (utilization of the state tobacco quitline and smoking cessation pharmacotherapy) and smoking cessation at 6 months. Study 3 consists of structured interviews with Study 2 participants and safety net clinic health care providers. The interviews will identify strengths, weaknesses, and areas for improvement for the case management approach. This research will support Dr. Cupertino's development of an R01 application to test this intervention. This NCI K01 Mentored Career Development Award to Promote Diversity will facilitate Dr. Cupertino's growth into a productive, independent scientist dedicated to reducing health disparities among Latinos.