[R01] Evaluation of a Peer-Led Smoking Cessation Program in Public Housing
Ente: National Cancer Institute
Scadenza: 2031-08-31
Importo max: $684,465
Paese: US
Descrizione
ABSTRACT
Populations with the least income and education incur the greatest tobacco attributable morbidity and mortality.
One-third of adults living in public housing smoke cigarettes, compared to 12% of adults in the general
population. Lower rates of smoking cessation are a key reason smoking prevalence remains high among this
population. An extensive literature search revealed only four published cigarette smoking cessation
interventions on smokers living in public housing. Results of these studies are equivocal. Two studies showed
a larger quit rate among the intervention condition compared to the comparison condition, while two showed no
differential quit rates between the two conditions. The proposed study builds on the published randomized
studies showing potential benefits of tobacco cessation counseling and nicotine replacement therapy, as well
as a recent pilot study showing the feasibility and potential efficacy of a peer mentoring approach. The
proposed study utilizes an experimental design to assess the effect of a peer-led smoking cessation
intervention, including eight group counseling sessions and nicotine replacement therapy, on-site at properties
managed by the District of Columbia Housing Authority (DCHA). Stratified randomization (by sex) will be used
to assign residents who smoke (n=500) to the intervention or control condition. All participants will complete
baseline, 2-month, and 6-month assessments. Quit rates, verified by saliva cotinine, at 6-months will be
compared between the intervention and control groups, and effect modifiers of the intervention-quit rate
association will be examined. In-depth interviews will be conducted with twenty randomly selected program
participants as part of the process evaluation. While substantial progress has been made in lowering the
prevalence of cigarette use in the U.S., cigarette use among individuals of low socioeconomic status remain
high. It is critical that randomized trials, such as the one proposed, are conducted and assessed for efficacy to
continue to reduce tobacco use.
Istituzione: GEORGE WASHINGTON UNIVERSITY
PI: Debra H Bernat
Progetto: 1R01CA309088-01A1
Settori: National Cancer Institute
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