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（由适用提供）：建筑工人在所有事件中的吸烟率最高，并且经常暴露于广泛的工作场所危害（例如毒素），这些危害与吸烟相互作用以增加其健康风险。与其他群体相比，少数族裔建筑工人的吸烟率更高，停止率较低，而且通常显示出较低的访问和戒烟和健康促进服务。在过去十年中，美国建筑业雇用的西班牙裔工人人数已增加了两倍，达到260万（占所有建筑工人的23％）。鉴于建筑行业仍然以压倒性的男性占主导地位，因此，男性西班牙裔工人构成了一个庞大而不断增长的团体，需要戒烟和促进健康。然而，该小组之间的停止工作受到他们的阻碍：1）高流动性/失误，2）有限的戒烟和健康促进服务的机会，以及3）缺乏针对西班牙裔艰难的工作/生活环境量身定制的对文化敏感的戒烟干预措施 工人。我们团队最近采用的一种新颖的方法是与午餐卡车合作，该卡车通常会访问建筑工地，以提供简短的基于工作地点的有效的健康促进干预措施。我们提出的探索性研究旨在应对西班牙裔建筑工人中戒烟的这些主要障碍，作者：1）通过使用建筑工地作为干预设置和午餐卡车作为干预方式来触及和招募他们，以及2）涉及他们独特的习惯和评估他们独特的习惯，并涉及他们的独特习惯。因此，我们的具体目的是：1）为西班牙裔建筑工人开发短暂的，文化敏感的戒烟干预措施，围绕探索性焦点小组建立，2）与午餐卡车结合，招募100个男性建筑吸烟者，以进行飞行员随机对照的试验，以测试次要咨询的次要访问，以提高护理式访问午餐，以提高护理的效果（可加强护理的效果），该午餐会促进午餐的有效性电话咨询电话，传真转诊至佛罗里达烟草QUITLINE（QL）以及提供八周的免费NRT的提供，与标准护理相比（包括传真转诊为QL，以及提供八周的免费NRT的提供），以及3）进行了三个月内的干预后评估，以评估其在3个月份的审查中，并评估了该访谈的范围，并评估了其观点，并评估了该访谈的时间，并评估了评估的特征，并进行了评估，并评估了评估的评估，并进行了评估的评估。微调干预措施以进行更广泛的测试和传播。这项研究将是第一个开发和评估一种新颖的，低成本的招募和干预策略，以难以触及的西班牙裔男性建筑工人人数。我们的数据将为戒烟方法的有效性提供更大的研究，这些研究具有巨大的翻译和传播给美国少数群体建筑工人的潜力。