Smoking Cessation in Hispanic Construction Workers

A two-arm, cluster-randomized controlled trial will be conducted with up to 15 construction sites, selected from one Construction Company in south Florida. Cluster randomization is used with construction site chosen as the unit of allocation because it is most practical in this setting and minimizes the risk of spillover effects from the intervention to the control group. In conjunction with the site's safety manager, the investigators will recruit 9 adult Hispanic construction workers per site (126 total) who smoke ≥5 cigarettes/day in the last year. Participants in the enhanced care will receive one culturally adapted brief face-to-face behavioral counseling session developed in phase 1 and delivered at a lunch truck, two brief follow-up phone counseling calls, fax referral to the Florida quitline (QL), and provision of up to 6 weeks of free NRT. Participants in the standard care will receive fax referral to the Florida QL, and provision of up to 8 weeks of free NRT.

Inclusion criteria

• Hispanic
• Construction worker
• Have smoked ≥ 5 cigarettes/day in the past year.
• Have access to telephone
• Have no plans to move in the next six months
• Are interested in making a serious quit attempt in the next 30 days
• Have no contraindication to NRT (e.g., history of hypersensitivity to nicotine, recent (past month) myocardial infarction, any history of serious arrhythmias or unstable angina pectoris, chronic dermatological disorder (e.g., psoriasis)).

Exclusion criteria

• Inability to understand consent procedures
• Not Hispanic
• Not a construction worker
• Haven't smoked ≥ 5 cigarettes/day in the past year.
• No access to telephone
• Has plans to move in the next six months
• Not interested in making a serious quit attempt in the next 30 days
• Has a contraindication to NRT
• Has a generalized chronic dermatological disorder (e.g., psoriasis)