Twelve-month outcomes of a group-randomized community health advocate-led smoking cessation intervention in public housing
| Autor: | Jessica A. Davine, Matthew Scarpaci, Tegan Evans, Alan C. Geller, Vaughan W. Rees, Timothy Heeren, Belinda Borrelli, Daniel R. Brooks, John Kane, Jonathan Greenbaum, Joanna L Burtner |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Counseling Male medicine.medical_specialty Time Factors Adolescent medicine.medical_treatment media_common.quotation_subject Psychological intervention Motivational interviewing Original Investigations Motivational Interviewing law.invention Young Adult 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Environmental health Tobacco Smoking medicine Humans Community Health Services 030212 general & internal medicine Poverty Aged media_common 030505 public health Public Housing business.industry Public health Public Health Environmental and Occupational Health Middle Aged Abstinence Tobacco Use Cessation Devices Treatment Outcome Quitline Family medicine Community health Smoking cessation Female Smoking Cessation Public Health 0305 other medical science business Boston Follow-Up Studies |
| Zdroj: | Brooks, D R, Burtner, J, Borrelli, B, Heeren, T C, Evans, T, Davine, J, Greenbaum, J, Scarpaci, M, Kane, J, Rees, V W & Geller, A C 2018, ' Twelve-month outcomes of a group-randomized community health advocate-led smoking cessation intervention in public housing ', Nicotine and Tobacco Research, vol. 20, no. 12, pp. 1434-1441 . https://doi.org/10.1093/ntr/ntx193 |
| DOI: | 10.1093/ntr/ntx193 |
| Popis: | BackgroundLower rates of smoking cessation are a major reason for the higher prevalence of smoking among socioeconomically disadvantaged adults. Because barriers to quitting are both more numerous and severe, socioeconomically disadvantaged smokers may benefit from more intensive intervention. We sought to determine whether a smoking cessation intervention delivered by public housing residents trained as Tobacco Treatment Advocates (TTAs) could increase utilization of cessation resources and increase abstinence.MethodsWe conducted a group-randomized trial among Boston public housing residents who were interested in quitting smoking. Participants at control sites received standard cessation materials and a one-time visit from a TTA who provided basic counseling and information about cessation resources. Participants at intervention sites were eligible for multiple visits by a TTA who employed motivational interviewing, cessation counseling, and navigation to encourage smokers to utilize cessation treatment (Smokers’ Quitline and clinic-based programs). Utilization and 7-day and 30-day point prevalence abstinence were assessed at 12 months. Self-reported abstinence was biochemically verified.ResultsIntervention participants (n = 121) were more likely than control participants (n = 129) to both utilize treatment programs (adjusted odds ratio [aOR]: 2.15; 95% confidence interval [CI]: 0.93–4.91) and 7-day and 30-day point prevalence abstinence (aOR: 2.60 (1.72–3.94); 2.98 (1.56–5.68), respectively). Mediation analysis indicated that the higher level of utilization did not explain the intervention effect.ConclusionsAn intervention delivered by peer health advocates was able to increase utilization of treatment programs and smoking abstinence among public housing residents. Future studies of similar types of interventions should identify the key mechanisms responsible for success.ImplicationsIn order to narrow the large and growing socioeconomic disparity in smoking rates, more effective cessation interventions are needed for low-income smokers. Individual culturally-relevant coaching provided in smokers’ residences may help overcome the heightened barriers to cessation experienced by this group of smokers. In this study among smokers residing in public housing, an intervention delivered by peer health advocates trained in motivational interviewing, basic smoking cessation skills, and client navigation significantly increased abstinence at 12 months. Future research should address whether these findings are replicable in other settings both within and outside of public housing. |
| Databáze: | OpenAIRE |
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