Brief Interventions to Create Smoke-Free Home Policies in Low-Income Households: Texas Effectiveness Trial

Chronic Disease Clinical Trial

— SFH  

Official title:

Brief Interventions to Create Smoke-Free Home Policies in Low-Income Households: Texas Effectiveness Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02097914
• Other study ID #: HSC-SPH-13-0902
• Secondary ID: U10CA154282-03
• Status: Completed
• Phase: N/A
• First received: March 24, 2014
• Last updated: March 11, 2016
• Start date: March 2014
• Est. completion date: November 2015

Study information

• Verified date: March 2016
• Source: The University of Texas Health Science Center, Houston
• Contact: n/a
• Is FDA regulated: No
• Health authority: USA: NIH/National Cancer Institute
• Study type: Interventional

Clinical Trial Summary

The burden of tobacco use falls disproportionately on low-income populations, through high rates of primary smoking and exposure to secondhand smoke. The remarkable progress in creating smoke-free environments in the U.S over the past two decades has left smoker's homes as one of the primary sources of exposure to secondhand smoke for both children and nonsmoking adults. Intervention research that identifies effective and practical strategies for reaching the minority of households that still allow smoking in the home has considerable potential to reduce smoke exposure, but suitable channels to reach low-income families are limited.

The proposed research will systematically test an intervention designed to create smoke-free homes in low income households among 2-1-1 callers. During this randomized control trial, researchers will disseminate and evaluate a brief smoke-free homes intervention through the established infrastructure of a Texas 2-1-1 call center. 2-1-1 is a nationally designated 3-digit telephone exchange, similar to 9-1-1 for emergencies or 4-1-1 for directory assistance, that links callers to community-based health and social services. The main hypothesis to be tested is that a higher proportion of households in the intervention group will establish and maintain a smoke-free home than in the measures-only control group.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 508
• Est. completion date: November 2015
• Est. primary completion date: January 2015
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Must be 18 years of age or older.

• Must speak and understand English.

• Must smoke and live with at least one other non-smoking person OR be a non-smoker who lives with a smoker(s).

• Must not have a total smoking ban in their home.

Exclusion Criteria:

• Participants who are in immediate crisis

• Participants who are calling to be transferred to the TIERS program

• Participants who are homeless or facing homelessness

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment

Related Conditions & MeSH terms

• Chronic Disease

Intervention

Behavioral:
• Educational print materials and coaching call
Intervention group participants receive three sets of mailed educational materials about making their home smoke-free and one coaching call.

Locations

Country	Name	City	State
United States	University of Texas School of Public Health	Houston	Texas

Sponsors (5)

Lead Sponsor	Collaborator
The University of Texas Health Science Center, Houston	Emory University, National Cancer Institute (NCI), University of North Carolina, Chapel Hill, Washington University School of Medicine

Country where clinical trial is conducted

United States, 

References & Publications (2)

Escoffery C, Bundy L, Carvalho M, Yembra D, Haardörfer R, Berg C, Kegler MC. Third-hand smoke as a potential intervention message for promoting smoke-free homes in low-income communities. Health Educ Res. 2013 Oct;28(5):923-30. doi: 10.1093/her/cyt056. Epub 2013 May 13. — View Citation

Kegler MC, Escoffery C, Bundy L, Berg CJ, Haardörfer R, Yembra D, Schauer G. Pilot study results from a brief intervention to create smoke-free homes. J Environ Public Health. 2012;2012:951426. doi: 10.1155/2012/951426. Epub 2012 May 17. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Presence of a total home smoking ban		Change from baseline in reported total home smoking bans at 3-month and 6-month follow-up	No
Secondary	Weekly secondhand smoke exposure for non-smokers		Change from baseline in reported secondhand smoke exposure for non-smokers at 3-month and 6-month follow-up	No
Secondary	Cessation attempts (for smokers)		Change from baseline in reported cessation attempts (for smokers) at 3-month and 6-month follow-up	No
Secondary	Number of cigarettes smoked (for smokers)		Change from baseline in reported number of cigarettes smoked (for smokers) at 3-month and 6-month follow-up	No
Secondary	Stage of change to quit smoking (for smokers)		Change from baseline in stage of change to quit smoking (for smokers) at 3-month and 6-month follow-up	No
Secondary	Cessation (for smokers)		Change from baseline in cessation (for smokers) at 3-month and 6-month follow-up	No