A Novel Worksite Smoking Cessation intervention for Hispanic Construction Workers

针对西班牙裔建筑工人的新型工地戒烟干预措施

• 批准号: 9035098
• 负责人: David J Lee
• 金额: $ 20.01万
• 依托单位: UNIVERSITY OF MIAMI SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-12-01 至 2017-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9035098
• 关键词: Abstinence; Acculturation; Address; Adherence; Adult; American; Behavioral; Caring; Cessation of life; Characteristics; Cigarette; Clinical Trials; Cotinine; Counseling; Data; Data Analyses; Dependence; Development; Effectiveness; Enrollment; Evaluation; Evidence based treatment; Florida; Focus Groups; Health; Health Promotion; Hispanics; Improve Access; Individual; Industry; Injury; Intervention; Interview; Life; Methods; Minority; Minority Groups; Modality; Occupations; Outcome; Participant; Pattern; Perception; Pharmacotherapy; Phase; Populations at Risk; Prevalence; Questionnaires; Randomized; Randomized Controlled Trials; Recommendation; Recruitment Activity; Reporting; Research Design; Risk; Saliva; Services; Site; Smoke; Smoker; Smoking; Smoking Cessation Intervention; Smoking and Health Research; Stress; Suggestion; Surgeon; Target Populations; Telefacsimile; Testing; Time; Tobacco; Toxin; Translations; Underserved Population; Visit; Work; Workplace; arm; base; cigarette smoking; collaborative environment; coping; cost; disability; effective intervention; effective therapy; experience; follow-up; hazard; innovation; male; novel; novel strategies; post intervention; preference; public health relevance; quitline; response; smoking cessation; standard care; success; willingness

 DESCRIPTION (provided by applicant): Construction workers have the highest rate of smoking among all occupations, and are frequently exposed to a wide range of workplace hazards (e.g. toxins), which interact with smoking to increase their health risks. Minority construction workers, in particular, have higher smoking and lower cessation rates compared to other groups, and they generally show lower access and participation in cessation and health promotion services. The number of Hispanic workers employed in the construction industry in the US has tripled in the past decade to 2.6 million (23% of all construction workers). Given that construction trades remain overwhelmingly male dominated, male Hispanic workers constitute a large and increasing group in need for smoking cessation and health promotion. Cessation efforts amongst this group however, are hindered by their: 1) high mobility/ turnover, 2) limited access to cessation and health promotion services, and 3) lack of culturally-sensitive smoking cessation interventions tailored for the difficult work/life circumstances of Hispanic construction workers. A novel approach that was recently piloted by our team is to partner with the lunch truck that routinely visits construction sites to deliver brief worksite-based, effective health promotion interventions. Our proposed exploratory study aims to tackle these major barriers to smoking cessation in Hispanic construction workers, by: 1) increasing their access to cessation through the use of the construction site as the intervention setting and the lunch truck as the intervention delivery modality to reach and recruit them, and 2) involving them in the development and evaluation of a pilot smoking cessation intervention adapted to their unique cultural and work circumstances. Therefore, our Specific Aims are: 1) Develop a brief, culturally sensitive smoking cessation intervention for Hispanic construction workers, built around exploratory focus groups, 2) In conjunction with the lunch truck, recruit 100 Hispanic male construction smokers to conduct a pilot randomized controlled trial to test the feasibility and potential efficacy of enhanced care intervention (consists of a single face-to-face behavioral counseling session delivered at the lunch truck, two brief follow-up phone counseling calls, fax referral to the Florida tobacco quitline (QL), and provision of eight weeks of free NRT), compared to standard care (consists of fax referral to the QL, and provision of eight weeks of free NRT), and 3) Conduct a post- intervention evaluation interview after 3-months of enrolment to assess their views on the usefulness and appropriateness of several features of the cessation intervention and to further fine-tune the intervention for wider testing and dissemination. This study will be the first to develop and evaluate a novel, low cost recruitment and intervention strategy in a hard-to-reach and underserved population of Hispanic male construction workers. Our data will inform a larger study of the effectiveness of cessation approaches that have great potential for translation and dissemination to minority construction workers throughout the US.

 描述（通过应用程序证明）：限制工人最高的吸烟啤酒率，并且经常暴露于广泛的工作场所危害（例如毒素），这些危害与吸烟相比，它们相比增加了。在过去十年中，对其他促进服务的人数已在美国的260万人（所有约束工人中的23％）中提取然而，在THOUP中，在其中受到阻碍：1个高机动性/失误，2）有限的习惯和健康促进服务的访问权限有限 工人。在开发和评估试验性戒烟间隔中，适合其独特的文化和工作环境。控制测试可行且潜在的增强护理干预措施（包括在午餐卡车上进行的一次面对面的行为咨询，两个简短的后续电话咨询电话，佛罗里达烟草Quitline（QL），提供八个传真转诊至QL的免费NRT），提供了八周的免费NRT），在入学3个月后，进行了3​​个自由的NRT，并进行了3个自由nrt）。 tutine-tutintine测试测试测试测试和一些传播，以在难以体验的情况下开发和评估新型的低成本募集策略。在整个美国，具有巨大的翻译和贬低潜力。