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Completed

NCT Number: NCT04114526

Durham Housing Authority (DHA) Community Health Advisor (CHA) Smoking Cessation Project

Recent policy from the U.S. Department of Housing and Urban Development (HUD) mandates that all public housing units go smoke-free by August 2018. Residents in public housing units have little access to proven cessation interventions and support is imperative to increase quitting success and is currently lacking in these communities;' thus this mandate is causing stress without providing resources to quit. Using a Community Engaged Research (CEnR) approach, we propose to partner the Durham County Department of Public Health and the Durham Housing Authority to develop sustainable Community Health Advisor tobacco cessation program that can be implemented in public housing communities. To achieve this goal, we plan to build on our previous collaborations to 1) form a team of previously identified DHA residents who are activated to support smoking cessation among public housing residents who can serve as Community Health Advisors and deliver cessation interventions in DHA properties, and 2) co-develop and pilot test a Community Health Advisor smoking cessation program to promote linkages with cessation services and to provide cessation education to DHA residents. This collaboration builds on our previous work to understand barriers and identify solutions for supporting smoking cessation among DHA residents. We will work with Community Health Advisors to develop an intervention and conduct a pilot study with up to 30 participants, Our primary outcomes are feasibility and acceptability of the co-development cessation intervention. We will collect survey data for the pilot in REDCap. Potential risks of study participation include breach of confidentiality with regard to identifiable personal information and questions that might make participants feel uncomfortable.

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Key information

Conditions

Smoking Cessation Behavior Health Behavior

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Duke University

Durham, North Carolina, 27710, United States

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • ≥18 years of age
  • current smoker (smoked in the last seven days)
  • planning on quitting in the next 6 months
  • speak English
  • currently living in DHA property

Exclusion criteria

  • less than18 years of
  • cognitive impairment
  • planning to move from the property in the next 2 months

Treatment and study plan

Nicotine Replacement Therapy

Other

CHAs meet with all interested residents to discuss taking steps towards quitting. The CHAs follow a four step program with all participant 1) get to know the resident and their smoking, 2) Assess what the resident is ready to do to take steps towards quitting, 3) discuss using nicotine replacement therapy (NRT) in the form of patches, gum or lozenges, 4) set one goal for taking steps towards quitting. CHAs will attempt to follow up with participants after the initial encounter. There is no limit on the number of times the CHA may talk with the participants. Some follow interactions will be brief encounters in the neighborhood, while others will be at scheduled. All contacts with each participant will be tracked.

We will provide up to 6 weeks of NRT patches, gum and lozenges to participants who are interested in using NRT to help them quit.

Primary outcomes

  1. Number of people who enroll in the study as measured by enrollment log.

    Time frame: 4 months

  2. Number of people that interact with community health advisors

    Time frame: 5 months

  3. Number of participants who rate the intervention as helpful for quitting based on survey questionnaire.

    Time frame: 5 months

  4. Change in number of cigarettes smoked per day as measured by questionnaire

    Time frame: Baseline and day 28

  5. Change in smoking cessation motivation will be self-reported on a 7-point scale.

    Time frame: Baseline and day 28

    1=not at all motivated and 7=completely motivated.

  6. Change in smoking status as measured by self-reports.

    Time frame: Baseline and day 28

    Participants will be asked on a questionnaire, "Have you smoked in the last 7 days even a puff" and will have the option of answering "yes" or "no".

  7. Frequency of interaction with community health advisors during intervention period will be calculated from self-reports.

    Time frame: Day 28

Sponsors and collaborators

Lead sponsor

Duke University

Other

Registry information

Official study title

Collaboration to Develop and Pilot Test a Community Health Advisor Smoking Cessation Program for Durham Public Housing Residents

Important dates

Study start
2019
Primary completion
2020
Study completion
2020
First posted
Oct 3, 2019
Registry last updated
Oct 12, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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