Preventing Relapse to Smoking Among Prisoners After Release

NCT04271371 | Completed

• 1 other identifier: 254028
• Study Type: observational
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

Prisoners experience huge health inequalities, and their exceptionally high smoking prevalence (five times the national average) contributes significantly to their high mortality. Since the introduction of smoke-free polices across Her Majesty's Prison and Probation Service (HMPPS) in England and Wales, prisoners are now obliged to abstain from smoking while held in prison. This represents a unique opportunity to promote lifelong cessation in this highly disadvantaged and marginalised group. However, evidence suggests most prisoners intend to resume smoking as soon as possible after release. A systematic review of prison smoke-free polices worldwide concluded that there was a need for new research to identify effective strategies to reduce relapse in these individuals.

Conditions

Smoking; Smoking Reduction; Electronic Cigarette Use

Keywords

Smoking; Smoking Reduction; Electronic Cigarette Use; Prison

Outcome Measures

Primary Outcomes (1)

• To develop and pilot test the feasibility and acceptability of an intervention to help prevent prisoners relapse to smoking after release.

  Smoking abstinence rates at 1 week, 1 month and 3 months post release, self-reported.

  3 years

Secondary Outcomes (18)

• To document prisoners smoking history to date and levels of nicotine addiction.

  1 year

• To document the support provided to manage nicotine addiction during imprisonment and in the periods immediately before and after release.

  1 year

• The impact of smoke-free prison policy on prisoners smoking behaviours.

  1 year

• To establish the extent to which prisoners intentionally resume or unintentionally relapse to smoking after release (and does their intended behaviour pre-release predict post-release behaviour).

  1 year

• To establish the extent to which prisoners relapse to smoking after transfer to an open prison where smoking is permitted in designated areas.

  1 year

Study Arms (1)

Prototype intervention

To be developed through Phase 1 and 2

Other: Not yet developed

Interventions

Not yet developed OTHER

A prototype intervention will be developed over Phase 1 \& 2 and piloted in Phase 3 of this study.

Prototype intervention

Eligibility Criteria

• Age: 18 Years+
• Gender Eligibility Details: Participants recruited from male prison establishments only
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Male prisoner population

You may qualify if:

• All participants are aged 18 or over (no upper age limit)
• Are currently residing in one of the three study sites (HMPs Nottingham, Ranby and Sudbury)
• Male (women will not be held at any of the study sites)
• Have a provisional release date within the next 2 months.
• Are capable of understanding and consenting to the study.
• Remand and sentenced prisoners.
• Who report that they are a current smoker and/or a current smoker prior to entering prison (smoked up to 7 days before entering prison), and/or were in prison (and still on the same sentence) and a current smoker prior to the smoke-free prison policy.
• \. Reception prisoner cross-sectional
• All participants are aged 18 or over (no upper age limit)
• Are currently residing in the open prison study site (HMP Sudbury)
• Male (women will not be held at any of the study sites)
• Have been in the open prison more than two weeks but for less than 3 months.
• Have been transferred from a closed prison.
• Are capable of understanding and consenting to the study.
• Sentenced prisoners.

You may not qualify if:

• Present a serious risk of harm to the researchers, highlighted in PNOMIS records or by a member of staff.
• Non-smokers.
• Being deported post release.
• Been in prison for less than four weeks.
• \. Reception prisoner cross-sectional
• Present a serious risk of harm to the researchers, highlighted in PNOMIS records or by a member of staff.
• Been in prison for less than 2 weeks.
• Non-smokers.

Sponsors & Collaborators

• University of Nottingham: lead
• Her Majesty's Prison and Probation Service (HMPPS): collaborator
• Public Health England: collaborator
• Cancer Research UK: collaborator
• Plymouth University Peninsula Schools of Medicine & Dentistry (PUPSMD): collaborator

Study Sites (1)

University of Nottingham, School of Medicine

Nottingham, Please Select, NG5 1PB, United Kingdom

Location

MeSH Terms

Conditions

Smoking; Smoking Reduction; Vaping

Condition Hierarchy (Ancestors)

Behavior; Health Behavior

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 6, 2019
• First Posted: February 17, 2020
• Study Start: August 8, 2019
• Primary Completion: May 1, 2023
• Study Completion: December 30, 2023
• Last Updated: February 28, 2024

Record last verified: 2024-02

Data Sharing

• IPD Sharing: Will not share

Locations

GB (1)