Optimizing Smoke-free Residential Housing Policies

NCT04791722 | Completed

• 1 other identifier: MAHHU0041-18
• Study Type: interventional
• Target: 386
• Locations: 1 country
• Sites: 1

Brief Summary

This project will be conducted to investigate activities on housing-related health and safety issues. The focus of this project is the development of evidence-based approaches to implement smoke-free policies to reduce harms associated with exposure to secondhand smoke (SHS).

Conditions

Smoking, Tobacco; Second Hand Tobacco Smoke; Smoking Cessation

Outcome Measures

Primary Outcomes (2)

• Ambient secondhand smoke (SHS) in common indoor areas

  SHS will be monitored using a passive nicotine dosimeter and measured in units of µg/m3 of airborne nicotine. Monitors will be placed in three common areas of each property.

  Baseline (prior to smoke-free policy implementation); 1 month post smoke-free policy implementation; 12 months post smoke-free policy implementation

• Self-reported exposure to secondhand smoke (SHS)

  Self-reported exposure to secondhand smoke (smell or sight) in the home or around the property using the questions: Over the past month: how many times did you smell cigarette smoke that came from another apartment or hallway?/ how many times did you smell cigarette smoke anywhere on the property? Measured by resident self-report on the survey.

  Baseline (prior to smoke-free policy implementation); 1 month post smoke-free policy implementation; 7 months post smoke-free policy implementation

Secondary Outcomes (3)

• Resident attitude (support) for the smoke-free policy

  Baseline (prior to smoke-free policy implementation); 1 month post smoke-free policy implementation; 7 months post smoke-free policy implementation

• Resident knowledge of the smoke-free policy

  Baseline (prior to smoke-free policy implementation); 1 month post smoke-free policy implementation; 7 months post smoke-free policy implementation

• Smoking behavior (cigarettes/day in the past 30 days).

  Baseline (prior to smoke-free policy implementation); 1 month post smoke-free policy implementation; 7 months post smoke-free policy implementation

Study Arms (3)

Wave 1

ACTIVE COMPARATOR

Properties in Wave 1 (n=4) will implement a smoke-free policy on January 1, 2020.

Behavioral: Adaptive Intervention

Wave 2

EXPERIMENTAL

Properties in Wave 2 (n=4) will implement a smoke-free policy on May 1, 2020.

Behavioral: Adaptive Intervention

Wave 3

EXPERIMENTAL

Properties in Wave 3 (n=4) will implement a smoke-free policy on October 1, 2020.

Behavioral: Adaptive Intervention

Interventions

Adaptive Intervention BEHAVIORAL

The investigators will conduct an adaptive intervention using six key implementation strategies identified in earlier research on the experiences of public housing authorities adopting a smoke-free housing policy: resident engagement, smoking cessation support, smoker compliance strategies, smoke-free policy enforcement, staff training and community partnership development. The implementation approach will be tailored for each property by varying the order and intensity of smoke-free policy implementation approaches. The design will determine the optimal plan for utilizing the six implementation strategies by learning from the challenges and successes of other properties (previous waves) and providing support to property managers to refine an implementation plan.

Wave 1; Wave 2; Wave 3

Eligibility Criteria

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

You may qualify if:

• Property Manager (or designated appointee) at one of the 12 selected sites implementing a smoke-free policy

You may not qualify if:

• None
• Aged 18 and over
• A resident of the housing development (12 selected sites) implementing the smoke-free policy
• Unable/unwilling to complete surveys

Sponsors & Collaborators

• Harvard School of Public Health (HSPH): lead

Study Sites (1)

Harvard TH Chan School of Public Health

Boston, Massachusetts, 02115, United States

Location

MeSH Terms

Conditions

Tobacco Smoking; Smoking Cessation

Condition Hierarchy (Ancestors)

Smoking; Behavior; Tobacco Use; Health Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: SEQUENTIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Director, Center for Global Tobacco Control

Study Record Dates

• First Submitted: February 24, 2021
• First Posted: March 10, 2021
• Study Start: May 20, 2019
• Primary Completion: November 1, 2021
• Study Completion: November 1, 2021
• Last Updated: November 16, 2021

Record last verified: 2021-11

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)