Brief Interventions to Create Smoke-Free Home Policies in Low-Income Households: Texas Effectiveness Trial

NCT02097914 | Completed

• 2 other identifiers: HSC-SPH-13-0902U10CA154282-03
• Study Type: interventional
• Target: 508
• Locations: 1 country
• Sites: 1

Brief Summary

The burden of tobacco use falls disproportionately on low-income populations, through high rates of primary smoking and exposure to secondhand smoke. The remarkable progress in creating smoke-free environments in the U.S over the past two decades has left smoker's homes as one of the primary sources of exposure to secondhand smoke for both children and nonsmoking adults. Intervention research that identifies effective and practical strategies for reaching the minority of households that still allow smoking in the home has considerable potential to reduce smoke exposure, but suitable channels to reach low-income families are limited. The proposed research will systematically test an intervention designed to create smoke-free homes in low income households among 2-1-1 callers. During this randomized control trial, researchers will disseminate and evaluate a brief smoke-free homes intervention through the established infrastructure of a Texas 2-1-1 call center. 2-1-1 is a nationally designated 3-digit telephone exchange, similar to 9-1-1 for emergencies or 4-1-1 for directory assistance, that links callers to community-based health and social services. The main hypothesis to be tested is that a higher proportion of households in the intervention group will establish and maintain a smoke-free home than in the measures-only control group.

Conditions

Chronic Disease

Keywords

Secondhand smoke exposure; Secondhand smoke; Environmental Tobacco Smoke; Smoke-free homes; Smoke-free homes ban

Outcome Measures

Primary Outcomes (1)

• Presence of a total home smoking ban

  Change from baseline in reported total home smoking bans at 3-month and 6-month follow-up

Secondary Outcomes (5)

• Weekly secondhand smoke exposure for non-smokers

  Change from baseline in reported secondhand smoke exposure for non-smokers at 3-month and 6-month follow-up

• Cessation attempts (for smokers)

  Change from baseline in reported cessation attempts (for smokers) at 3-month and 6-month follow-up

• Number of cigarettes smoked (for smokers)

  Change from baseline in reported number of cigarettes smoked (for smokers) at 3-month and 6-month follow-up

• Stage of change to quit smoking (for smokers)

  Change from baseline in stage of change to quit smoking (for smokers) at 3-month and 6-month follow-up

• Cessation (for smokers)

  Change from baseline in cessation (for smokers) at 3-month and 6-month follow-up

Study Arms (2)

Control

NO INTERVENTION

Participant receives usual care.

Intervention

EXPERIMENTAL

Educational print materials and coaching call: Intervention group participants receive three sets of mailed educational materials about making their home smoke-free and once coaching call.

Behavioral: Educational print materials and coaching call

Interventions

Educational print materials and coaching call BEHAVIORAL

Intervention group participants receive three sets of mailed educational materials about making their home smoke-free and one coaching call.

Intervention

Eligibility Criteria

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

You may qualify if:

• Must be 18 years of age or older.
• Must speak and understand English.
• Must smoke and live with at least one other non-smoking person OR be a non-smoker who lives with a smoker(s).
• Must not have a total smoking ban in their home.

You may not qualify if:

• Participants who are in immediate crisis
• Participants who are calling to be transferred to the TIERS program
• Participants who are homeless or facing homelessness

Sponsors & Collaborators

• The University of Texas Health Science Center, Houston: lead
• National Cancer Institute (NCI): collaborator
• Emory University: collaborator
• University of North Carolina, Chapel Hill: collaborator
• Washington University School of Medicine: collaborator

Study Sites (1)

University of Texas School of Public Health

Houston, Texas, 77030, United States

Location

Related Publications (3)

• Kegler MC, Escoffery C, Bundy L, Berg CJ, Haardorfer R, Yembra D, Schauer G. Pilot study results from a brief intervention to create smoke-free homes. J Environ Public Health. 2012;2012:951426. doi: 10.1155/2012/951426. Epub 2012 May 17.

  PMID: 22675374 BACKGROUND

• Escoffery C, Bundy L, Carvalho M, Yembra D, Haardorfer R, Berg C, Kegler MC. Third-hand smoke as a potential intervention message for promoting smoke-free homes in low-income communities. Health Educ Res. 2013 Oct;28(5):923-30. doi: 10.1093/her/cyt056. Epub 2013 May 13.

  PMID: 23669213 BACKGROUND

• Mullen PD, Savas LS, Bundy LT, Haardorfer R, Hovell M, Fernandez ME, Monroy JA, Williams RS, Kreuter MW, Jobe D, Kegler MC. Minimal intervention delivered by 2-1-1 information and referral specialists promotes smoke-free homes among 2-1-1 callers: a Texas generalisation trial. Tob Control. 2016 Oct;25(Suppl 1):i10-i18. doi: 10.1136/tobaccocontrol-2016-053045.

  PMID: 27697943 DERIVED

MeSH Terms

Conditions

Chronic Disease

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Patricia D Mullen, DrPH

  The University of Texas Health Science Center, Houston

  PRINCIPAL INVESTIGATOR

• Maria E Fernandez, PhD

  The University of Texas Health Science Center, Houston

  PRINCIPAL INVESTIGATOR

• Lara Savas, PhD

  The University of Texas Health Science Center, Houston

  PRINCIPAL INVESTIGATOR

• Jo Ann A Gutierrez, MPH

  The University of Texas Health Science Center, Houston

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor - Health Prom & Behavioral Sci - SPH

Study Record Dates

• First Submitted: March 24, 2014
• First Posted: March 27, 2014
• Study Start: March 1, 2014
• Primary Completion: January 1, 2015
• Study Completion: November 1, 2015
• Last Updated: March 14, 2016

Record last verified: 2016-03

Locations

US (1)