Helping low-income smokers quit: findings from a randomized controlled trial comparing specialized quitline services with and without social needs navigationResearch in context

Autor: Matthew W. Kreuter, Rachel Garg, Qiang Fu, Charlene Caburnay, Tess Thompson, Christina Roberts, Dominique Sandheinrich, Irum Javed, Jennifer M. Wolff, Taylor Butler, Lauren M. Grimes, Kelly M. Carpenter, Robin Pokojski, Kristen Engelbrecht, Valerie Howard, Amy McQueen
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: The Lancet Regional Health. Americas, Vol 23, Iss , Pp 100529- (2023)
Druh dokumentu: article
ISSN: 2667-193X
DOI: 10.1016/j.lana.2023.100529
Popis: Summary: Background: Quitting smoking is especially challenging for low-income smokers due to high stress, high smoking prevalence around them, and limited support for quitting. This study aimed to determine whether any of three interventions designed specifically for low-income smokers would be more effective than standard tobacco quitline services: a specialized quitline, the specialized quitline with social needs navigation, or the standard quitline with social needs navigation. Methods: Using a randomized 2 × 2 factorial design, low-income daily cigarette smokers (n = 1944) in Missouri, USA who called a helpline seeking assistance with food, rent or other social needs were assigned to receive Standard Quitline alone (n = 485), Standard Quitline + Social Needs Navigation (n = 484), Specialized Quitline alone (n = 485), or Specialized Quitline + Social Needs Navigation (n = 490). The target sample size was 2000, 500 per group. The main outcome was 7-day self-reported point prevalence abstinence at 6-month follow-up. Multiple imputation was used to impute outcomes for those missing data at 6-month follow-up. Binary logistic regression analyses were used to assess differences between study groups. Findings: Participants were recruited from June 2017 to November 2020; most were African American (1111 [58%]) or White (666 [35%]), female (1396 [72%]), and reported
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