Intervention Study to Increase Smoking Cessation Rates Among Public Housing Residents

NCT01651611 | Completed DMC

• 2 other identifiers: H-283861R01CA141587-03
• Study Type: interventional
• Target: 330
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to determine whether public housing residents trained in Tobacco Cessation and Motivational Interviewing Techniques to become Tobacco Treatment Advocates(TTA) will be effective in increasing the quit rate of smokers in Boston Public Housing. The investigators hypothesize that smokers that receive multiple TTA visits will be more likely to (1) use smoking cessation resources and (2) quit compared to smokers who receive a single visit.

Conditions

Tobacco Cessation

Keywords

Tobacco Cessation; Public Housing; Community Health Workers; Motivational Interviewing; Patient centered; Low-income; Tobacco Treatment Advocates; Social Epidemiology; Smoking cessation predictors; Behavioral Intervention; Non-pharmacologic

Outcome Measures

Primary Outcomes (1)

• Point prevalence smoking abstinence

  7 and 30-day abstinence from smoking by self-report with verification by carbon monoxide breath test

  7 months

Secondary Outcomes (1)

• Utilization of smoking cessation resources

  7 months

Other Outcomes (1)

• Medication use

  3 months, 7 months, 12 months

Study Arms (2)

Extensive TTA interaction

EXPERIMENTAL

Persons interested in quitting smoking will receive multiple in-person visits from a peer Tobacco Treatment Advocate (TTA) who will provide motivational interviewing, basic smoking cessation counseling assistance, navigation to smoking cessation resources, and social support.

Behavioral: Motivational interviewing; Behavioral: Smoking cessation counseling; Behavioral: Navigation to smoking cessation resources; Behavioral: Social support

Minimal TTA interaction

ACTIVE COMPARATOR

Persons interested in quitting smoking will receive a single in-person visit from a peer Tobacco Treatment Advocate (TTA) who will provide basic smoking cessation counseling assistance.

Behavioral: Smoking cessation counseling

Interventions

Motivational interviewing BEHAVIORAL

The TTA will use motivational interviewing (MI) techniques to assess the participant's motivation and readiness to quit, suggest plans, and assist the participant in selecting a method of treatment.

Extensive TTA interaction

Smoking cessation counseling BEHAVIORAL

The TTA will provide information to the participant regarding evidence-based treatments for smoking cessation, including counseling and nicotine replacement therapy (NRT); assist in a quit plan; and discuss issues such as obtaining social support, staying in treatment, and dealing with lapses.

Extensive TTA interaction; Minimal TTA interaction

Navigation to smoking cessation resources BEHAVIORAL

The TTA will assist participants in obtaining NRT and getting connected to smoking cessation counseling services, such as the Smokers' Quitline and clinic-based programs.

Extensive TTA interaction

Social support BEHAVIORAL

Meetings with the TTA will be a source of social support for the participant as they attempt to quit or stay quit.

Extensive TTA interaction

Eligibility Criteria

• Age: 18 Years - 79 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Current smoker, defined as having smoked in last 100days
• Housing Sites: Sites are eligible for the study if they have 50+ smokers determined by synthetic estimates based on citywide survey data.
• Age 18-79
• Current everyday or someday smokers
• Planning to quit smoking in 30 days or thinking about quitting in next 6 months,
• Have smoked 100 cigarettes in lifetime
• Speak English or Spanish
• Plan to live in Public Housing for next 12 months
• Able and willing to provide consent

You may not qualify if:

• Smokers less than 18 years of age at time of consent.
• Unable to communicate orally in English or Spanish.
• Currently using pharmacological treatment for smoking cessation
• Currently working with the Smokers Quitline or other Community Health Center based cessation program
• Cognitive/ psychiatric conditions that would interfere with ability to understand and participate in the study
• Have been abstinent for 7 or more days.

Sponsors & Collaborators

• Boston University: lead
• Harvard School of Public Health (HSPH): collaborator
• The Miriam Hospital: collaborator
• Boston Housing Authority: collaborator

Study Sites (1)

Boston University School of Public Health

Boston, Massachusetts, 02118, United States

Location

MeSH Terms

Conditions

Tobacco Use Cessation

Interventions

Motivational Interviewing

Condition Hierarchy (Ancestors)

Health Behavior; Behavior

Intervention Hierarchy (Ancestors)

Directive Counseling; Counseling; Mental Health Services; Behavioral Disciplines and Activities; Health Services; Health Care Facilities Workforce and Services

Study Officials

• Daniel R Brooks, DSc

  Boston University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 24, 2012
• First Posted: July 27, 2012
• Study Start: September 1, 2011
• Primary Completion: September 1, 2014
• Study Completion: September 1, 2014
• Last Updated: August 29, 2016

Record last verified: 2015-01

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)