Helping the poor quit smoking: specialized quitlines and meeting basic needs

帮助穷人戒烟：专门的戒烟热线和满足基本需求

• 批准号: 9175766
• 负责人: MATTHEW W. KREUTER
• 金额: $ 62.18万
• 依托单位: WASHINGTON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-07-01 至 2021-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9175766
• 关键词: Abstinence; Address; American; Behavioral; Biochemical; Communication Research; Costs and Benefits; Counseling; Demographic Factors; Disadvantaged; Education; Effectiveness; Enrollment; Evidence based intervention; Face; Food; Food Safety; Health; Health Communication; Hour; Housing; Income; Individual; Industry; Internet; Intervention; Laboratories; Life; Low Income Population; Low income; Methods; Missouri; Outcome Study; Participant; Patient Self-Report; Physicians; Poverty; Prevalence; Printing; Provider; Randomized; Reporting; Research; Safety; Sampling; Services; Smoke; Smoker; Smoking; Social Work; Telephone; Testing; Text; Time; Tobacco; Training; Use Effectiveness; Validation; Vulnerable Populations; Work; cancer health disparity; demographics; design; economic evaluation; evidence base; follow-up; improved; innovation; meetings; member; navigator intervention; nicotine replacement; novel strategies; population based; programs; psychological distress; quitline; self help; smoking cessation; socioeconomics; success

Smoking in the U.S. follows a clear socio-economic gradient: low-income Americans smoke more and quit less than those with more education and income. Evidence-based interventions like tobacco quitlines are designed to make effective smoking cessation services available on a population basis to all smokers, regardless of financial means. Yet these interventions were not designed specifically for economically vulnerable populations, and therefore don't address many of the unique challenges faced by low- income smokers. As the demographics of smoking in the U.S. continue to shift, so too must the strategies employed to control smoking, including helping smokers quit. The proposed study will test the effects of two innovations to help low-income smokers quit: a Specialized Quitline and Basic Needs navigation. In low-income populations, basic needs like food, housing, personal safety and money for necessities supersede health needs. We have demonstrated that among low-income smokers, those with multiple unmet basic needs are significantly less likely to contact a quitline referral they received, and less likely to remember even getting the referral. But when basic needs problems are resolved, the odds of calling a quitline increase. Addressing basic needs should therefore increase low-income smokers' participation in quit smoking programs. However, those programs will have limited effectiveness if they are not made relevant to economically vulnerable populations. Thus proven approaches like quitlines should be more beneficial when they are adapted to the context and life circumstances of the poor. Using a 2x2 randomized factorial design, we will compare the effects of Standard and Specialized Quitlines with and without a Basic Needs navigator on smoking cessation among 2000 low-income smokers. The primary study outcome is self-reported 7-day point prevalence abstinence at 6-month follow up, with biochemical validation. This statewide field trial will draw smokers from United Way 2-1-1 Missouri and refer them to the Missouri Tobacco Quitline, provided by Alere Wellbeing, Inc. Both are key members of the study team. Embedding the study in these practice agencies will accelerate the path to application should our findings support it.

在美国吸烟遵循明确的社会经济梯度：低收入美国人 吸烟更多，戒烟比拥有更多教育和收入的人少。循证 诸如烟草戒烟之类的干预措施旨在使有效的戒烟 无论财务手段如何，所有吸烟者都可以提供人口的服务。 然而，这些干预措施并不是专门针对经济脆弱的 人口，因此没有解决低 - 收入吸烟者。随着美国吸烟的人口统计信息继续转移，也是如此 必须采用控制吸烟的策略，包括帮助吸烟者戒烟。 拟议的研究将测试两项创新的影响，以帮助低收入吸烟者 退出：专门的戒烟和基本需求导航。在低收入人群中 基本需求，例如食物，住房，人身安全和必需品的金钱 健康需求。我们已经证明，在低收入吸烟者中 多个未满足的基本需求明显较小的接触Quitline推荐的可能性很小 收到的，甚至不太可能记住转介。但是当基本需要 问题解决了，呼吁戒烟线增加的几率。满足基本需求 因此，应该增加低收入吸烟者参与戒烟计划。 但是，如果这些程序与 经济脆弱的人口。因此，像Quitlines这样的经过验证的方法应该是 当它们适应穷人的背景和生活环境时，更有益。 使用2x2随机阶乘设计，我们将比较标准和 有或没有基本需求的专门戒烟者在戒烟方面 在2000名低收入吸烟者中。主要研究结果是自我报告的7天 在6个月的随访中，点的戒酒率进行了生化验证。这 全州现场审判将吸烟2-1-1密苏里州的吸烟者并将其引用 密苏里州烟草Quitline，由Alere Wellbeing，Inc。提供 研究团队。将研究嵌入这些实践机构将加速 应用程序的途径应支持我们的发现。