FRESH: Dual Home Screening for Lung Cancer Prevention

FRESH：预防肺癌的双重家庭筛查

• 批准号: 8273992
• 负责人: Ellen J Hahn
• 金额: $ 45.08万
• 依托单位: UNIVERSITY OF KENTUCKY
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-01 至 2017-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8273992
• 关键词: Address; Adopted; Adoption; Age; Area; Behavior; Clinic; Clinical; Control Groups; Counseling; Effectiveness; Enrollment; Environmental Risk Factor; Environmental Tobacco Smoke; Event; Exposure to; Feedback; Fostering; Freedom; Gender; Goals; Government; Health; Home environment; Housing; Incentives; Institutes; Intervention; Malignant neoplasm of lung; Measures; Modeling; Pamphlets; Participant; Patients; Policies; Preventive; Primary Health Care; Process; Psychosocial Factor; Public Health; Radon; Randomized Controlled Trials; Readiness; Research; Risk; Risk Factors; Safety; Screening procedure; Secondary Prevention; Self Concept; Self Efficacy; Services; Simulate; Smoke; Smoker; Smoking; Socioeconomic Status; Staging; Surveys; Taxes; Test Result; Testing; Tobacco Use Cessation; Tobacco smoke; base; behavior change; cancer diagnosis; contextual factors; cost; environmental justice; follow-up; heuristics; high risk; innovation; intervention effect; lung cancer prevention; lung cancer screening; neglect; non-smoker; post intervention; prevent; prospective; remediation; risk perception; therapy design; voucher

DESCRIPTION (provided by applicant): The purposes of this randomized controlled trial are to test the effectiveness of Freedom from Radon Exposure and Smoking in the Home (FRESH), a dual home screening and tailored environmental feedback intervention designed to reduce environmental risks for lung cancer, and to identify factors associated with monetary incentives for radon mitigation. The combination of firsthand smoke, secondhand smoke (SHS), and radon exposure increases the risk of lung cancer nearly tenfold. The long-term goals are to foster environmental justice by reducing home exposure to radon and SHS and to promote equity in radon mitigation by policy change to provide tax credits. A randomized controlled trial enrolling 550 primary care patients will test four hypotheses, controlling for contextual factors of age, gender, home smoking, and socioeconomic status (SES): 1) Those who receive FRESH will be more likely to take action to test and mitigate for radon and institute and enforce a smoke-free home policy compared to the control group; 2) Those receiving FRESH will have lower radon and home SHS levels at 15 months post-intervention compared to the control group; 3) Those who receive FRESH will have greater increases in perceived risk of lung cancer and synergistic risk perception (SHS x radon), health-related self-concept, readiness to change, and self-efficacy to prevent lung cancer, and a greater decrease in lung cancer worry compared to controls at 15 months post-intervention; and 4) Those with at least one smoker in the home will be less likely to take action to reduce exposure to radon and SHS. The Treatment group (n = 275) will receive free test kits in the primary care clinic to measure their homes for radon and SHS at baseline, receive their test results and the tailored environmental feedback intervention, and take part in baseline and three follow up online surveys and home testing 15 months post-intervention. Those with high radon will receive a voucher for 30% of the cost up to $600 for radon mitigation. The Control group (n = 275) will receive information on how to request test kits for radon and SHS and a brochure on radon and SHS, and take part in all study surveys. Participants in both groups will be asked to test their homes for radon and SHS 15 months post-intervention. Project The proposal is directly relevant to public health in that it has the potential to prevent lung cancer by reducing exposure to radon and secondhand smoke in the home.

描述（由申请人提供）： 这项随机对照试验的目的是测试自由在家庭中暴露和吸烟的效果（新鲜），双重家庭筛查和量身定制的环境反馈干预措施，旨在降低肺癌的环境风险，并确定与减轻radon减轻货币激励措施相关的因素。第一手烟，二手烟（SHS）和ra暴露的结合增加了肺癌的风险几乎十倍。长期的目标是通过减少房屋接触ra和shs的风险来促进环境正义，并通过政策变更来促进ra缩短的平等，以提供税收抵免。一项招收550名初级保健患者的随机对照试验将检验四个假设，控制年龄，性别，家庭吸烟和社会经济状况（SES）的背景因素（SES）：1）与对照组相比，那些接受新鲜的人更有可能采取行动来测试和减轻radon和Institter并实施无烟家庭的政策； 2）与对照组相比，干预后15个月后接受新鲜的人将在干预后的ra和Home Shs水平较低； 3）那些接受新鲜的人将有更大的肺癌风险和协同风险感知的风险（SHS X ra），与健康相关的自我概念，愿意改变以及自我效能，以防止肺癌，以及与交流后15个月相比，肺癌的忧虑减少了； 4）那些在家中至少有一个吸烟者的人将不太可能采取行动减少对ra和sh的暴露。治疗组（n = 275）将在初级保健诊所获得免费测试套件，以测量其基线时的房屋和SHS的房屋，接受测试结果和量身定制的环境反馈干预措施，并在干预后15个月进行基线和三项后续调查和三次随访在线调查和家庭测试。那些具有较高ra的人将获得凭证的30％，费用最高为600美元，以减轻ra。对照组（n = 275）将接收有关如何要求ra和shs的测试套件的信息，以及ra和shs上的小册子，并参加所有研究调查。两组的参与者将被要求在干预后15个月进行ra和sh的房屋测试。项目 该提案与公共卫生直接相关，因为它有可能通过减少家庭中对ra和二手烟的暴露来预防肺癌。