Support person interventions to increase use of quitline services among racially diverse low-income smokers: A pilot study

Autor: Katrina A. Vickerman, Alula Jimenez Torres, Christine A. Hughes, Joyce E. Balls-Berry, Paula A. Keller, Tabetha A. Brockman, Miguel Valdez-Soto, Shu-Hong Zhu, Christi A. Patten, Martha J. Bock, David B. Nelson, Steven S. Fu, Abigail E. Klein
Rok vydání: 2018
Předmět:
Zdroj: Addictive Behaviors Reports, Vol 9, Iss, Pp-(2019)
Addictive Behaviors Reports
Patten, CA; Fu, S; Vickerman, K; Bock, MJ; Nelson, D; Zhu, SH; et al.(2019). Support person interventions to increase use of quitline services among racially diverse low-income smokers: A pilot study. Addictive Behaviors Reports, 9, 100171-100171. doi: 10.1016/j.abrep.2019.100171. UC Office of the President: Research Grants Program Office (RGPO). Retrieved from: http://www.escholarship.org/uc/item/8tf012zv
ISSN: 2352-8532
Popis: Introduction Social support from nonsmokers may have a role in prompting smokers to use evidence-based cessation treatment. Prior studies found that an intervention for nonsmoking support persons (SPs) was effective for promoting smokers' use of free, state quitline services. This pilot study adapted and assessed feasibility of this intervention for a racially diverse, low-income population. Methods Single group, non-randomized design enrolling SP-smoker dyads with low income status enrolled in one of three study “waves” of 10 pairs each. Participants were recruited using flyers and in-person outreach methods. The SP intervention included a 1-session coaching call and written materials; study waves 2 and 3 also included text messaging and a monetary incentive for smokers who used quitline services. Using content analysis, the intervention was iteratively adapted based on SP feedback. Baseline measures assessed socio-demographics, dyad and tobacco use characteristics. Follow-up assessments were conducted among SPs at 1-month follow-up and among smokers at 3-months follow-up. Feasibility indicators were recruitment, retention, and SP intervention acceptability and adherence. Secondary outcomes were smokers' use of any quitline service verified by quitline staff and 7-day, point prevalence, biochemically verified smoking abstinence at 3 months. Results Recruitment of 30 dyads was feasible; in-person recruitment methods were the most successful. SPs who completed follow-up assessments found the intervention acceptable, suggesting only minor content modifications, and they perceived the quitline information as novel. But the study had some feasibility challenges (e.g., SP coaching call completion: 60% and SP study retention: 53%). At 3 months, 2 smokers (7%) had used any quitline service and 13% were biochemically confirmed smoking abstinent. Conclusions This pilot study demonstrated feasibility of recruiting SP-smoker dyads from diverse, low-income communities. While the intervention was well received, its delivery was not feasible in this population. Results suggest that further consumer adaptation of the intervention is needed among both SPs and smokers.
Highlights • Recruitment of low-income, nonsmoker-smoker dyads was feasible. • Nonsmokers found the support person intervention to be acceptable. • Support persons perceived the quitline information as novel. • The study had challenges with intervention implementation and study retention. • The intervention was not effective in prompting quitline use in this population.
Databáze: OpenAIRE
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