Smoking Cessation Intervention in Public Housing

NCT01035151 | Completed Results DMC

• 2 other identifiers: MUS08022834R01HL090951
• Study Type: interventional
• Target: 420
• Locations: 1 country
• Sites: 2

Brief Summary

The major aim of this study is to test the effectiveness of a bundled, multi-level intervention (Sister to Sister) on smoking cessation outcomes in female smokers residing in public housing neighborhoods. Hypothesis 1.1: As compared to the control group, women receiving the Sister to Sister Intervention will have higher 7-day point prevalence quit rates at 6- and 12-months as validated by salivary cotinine. Hypothesis 1.2: As compared to the control group, women receiving the Sister to Sister Intervention will have higher 6- and 12-month prolonged smoking abstinence as validated by salivary cotinine.

Conditions

Cigarette Smoking

Keywords

randomized cluster design; tobacco cessation; smoking cessation; African American

Outcome Measures

Primary Outcomes (1)

• Number of Participants Abstinent From Smoking

  Reported abstinence validated by exhaled CO and saliva cotinine

  12 month

Study Arms (2)

Delayed Control

ACTIVE COMPARATOR

Women in the delayed control condition received culturally sensitive smoking cessation written materials at week 1, and mailed materials at week 6, 12, and 18. At the end of the study (i.e., after the 12 month data collection), participants were offered counseling, nicotine patches, and community health worker contacts.

Behavioral: Control

Experimental

EXPERIMENTAL

Women in neighborhoods randomized to the S2S received 24-week bundled multi-level intervention. Individual-led strategies were led by paid community health workers (CHWs). The CHWs provided 1:1 contact to reinforce social support, and enhanced self-efficacy with cessation attempts. A certified smoking cessation counselor led behavioral group sessions using the S2S handbook based on the PHS Guidelines. The weekly group sessions were initiated during the 1st week of the intervention, with a total of 6 group sessions over a 6-week period. Transdermal nicotine patches were offered to participants who set a quit date. Within the 24-week study period, the neighborhood tenant association, in partnership with study staff, implemented at least two neighborhood level anti-smoking activities

Behavioral: Experimental

Interventions

Experimental BEHAVIORAL

Neighborhood level interventions, peer group (counseling, NRT), and individual level (Coach/CHW)

Experimental

Control BEHAVIORAL

Written Cessation Materials

Delayed Control

Eligibility Criteria

• Age: 18 Years+
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• yrs of age and older,
• female, resident of public housing, daily smoker

You may not qualify if:

• pregnant,
• breastfeeding,
• no intentions to quit smoking

Sponsors & Collaborators

• Medical University of South Carolina: lead
• National Heart, Lung, and Blood Institute (NHLBI): collaborator

Study Sites (2)

Medical College of Georgia

Augusta, Georgia, 30901, United States

Location

Medical University of South Carolina

Charleston, South Carolina, 29425, United States

Location

Related Publications (7)

• Andrews JO, Mueller M, Newman SD, Magwood G, Ahluwalia JS, White K, Tingen MS. The association of individual and neighborhood social cohesion, stressors, and crime on smoking status among African-American women in southeastern US subsidized housing neighborhoods. J Urban Health. 2014 Dec;91(6):1158-74. doi: 10.1007/s11524-014-9911-6.

  PMID: 25316192 BACKGROUND

• Spruill IJ, Leite RS, Fernandes JK, Kamen DL, Ford ME, Jenkins C, Hunt KJ, Andrews JO. Successes, Challenges and Lessons Learned: Community-engaged research with South Carolina's Gullah population. Gateways. 2013;6:10.5130/ijcre.v6i1.2805. doi: 10.5130/ijcre.v6i1.2805. No abstract available.

  PMID: 25364473 BACKGROUND

• Andrews JO, Newman SD, Heath J, Williams LB, Tingen MS. Community-based participatory research and smoking cessation interventions: a review of the evidence. Nurs Clin North Am. 2012 Mar;47(1):81-96. doi: 10.1016/j.cnur.2011.10.013. Epub 2011 Dec 14.

  PMID: 22289400 BACKGROUND

• Andrews JO, Tingen MS, Jarriel SC, Caleb M, Simmons A, Brunson J, Mueller M, Ahluwalia JS, Newman SD, Cox MJ, Magwood G, Hurman C. Application of a CBPR framework to inform a multi-level tobacco cessation intervention in public housing neighborhoods. Am J Community Psychol. 2012 Sep;50(1-2):129-40. doi: 10.1007/s10464-011-9482-6.

  PMID: 22124619 BACKGROUND

• Magwood GS, Andrews JO, Zapka J, Cox MJ, Newman S, Stuart GW. Institutionalization of community partnerships: the challenge for academic health centers. J Health Care Poor Underserved. 2012 Nov;23(4):1512-26. doi: 10.1353/hpu.2012.0161.

  PMID: 23698666 BACKGROUND

• Newman SD, Andrews JO, Magwood GS, Jenkins C, Cox MJ, Williamson DC. Community advisory boards in community-based participatory research: a synthesis of best processes. Prev Chronic Dis. 2011 May;8(3):A70. Epub 2011 Apr 15.

  PMID: 21477510 BACKGROUND

• Andrews JO, Mueller M, Dooley M, Newman SD, Magwood GS, Tingen MS. Effect of a smoking cessation intervention for women in subsidized neighborhoods: A randomized controlled trial. Prev Med. 2016 Sep;90:170-6. doi: 10.1016/j.ypmed.2016.07.008. Epub 2016 Jul 14.

  PMID: 27423320 RESULT

MeSH Terms

Conditions

Cigarette Smoking; Tobacco Use Cessation; Smoking Cessation

Condition Hierarchy (Ancestors)

Tobacco Smoking; Smoking; Behavior; Tobacco Use; Health Behavior

Results Point of Contact

• Title: Jeannette Andrews
• Organization: University of South Caroina

j.andrews@sc.edu

803 777 3862

Study Officials

• Jeannette Andrews, PhD

  University of South Carolina

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 17, 2009
• First Posted: December 18, 2009
• Study Start: July 1, 2009
• Primary Completion: May 15, 2018
• Study Completion: May 15, 2018
• Last Updated: December 13, 2018
• Results First Posted: December 13, 2018

Record last verified: 2018-11

Locations

US (2)