Clinical Trial Details
— Status: Completed
Administrative data
NCT number |
NCT04791722 |
Other study ID # |
MAHHU0041-18 |
Secondary ID |
|
Status |
Completed |
Phase |
N/A
|
First received |
|
Last updated |
|
Start date |
May 20, 2019 |
Est. completion date |
November 1, 2021 |
Study information
Verified date |
November 2021 |
Source |
Harvard School of Public Health (HSPH) |
Contact |
n/a |
Is FDA regulated |
No |
Health authority |
|
Study type |
Interventional
|
Clinical Trial Summary
This project will be conducted to investigate activities on housing-related health and safety
issues. The focus of this project is the development of evidence-based approaches to
implement smoke-free policies to reduce harms associated with exposure to secondhand smoke
(SHS).
Description:
Chronic exposure to secondhand smoke (SHS) is a major health concern for public housing
residents. While the prevalence of adult cigarette smoking in the United States has declined
to 15.1% in 2015, recent data show that 34% of public housing residents still smoke. A
federal rule issued by HUD now requires Public Housing Agencies (PHAs) to adopt a smoke-free
policy to reduce SHS exposure. However, no evidence-based approaches are available to support
post-adoption implementation by PHAs to ensure that the rule yields optimal benefits for
residents. This research gap also applies to the larger population of affordable housing
properties that are likely to adopt smoke-free rules in the future. The focus of this
research is the development of evidence-based approaches to implement smoke-free policies to
reduce harms associated with exposure to secondhand smoke (SHS).
The investigators will use six key implementation strategies identified in earlier research
on the experiences of early-adopter PHAs. The investigators will partner with a for-profit
affordable housing management company that recently expanded its portfolio with the
acquisition of 55 affordable housing properties in Pennsylvania, Ohio, West Virginia,
Virginia and Kentucky. This provides a unique opportunity to address the implementation
research gap, because these properties are in geographic locations where the smoking rate is
close to twice the national smoking rate. The for-profit affordable housing management
company has committed to adopting a smoke-free policy in these properties, to go into effect
in early 2020.
Using an established implementation science framework to guide the approach, the
investigators will work with property managers and staff of properties located in five
high-smoking states to strategically incorporate the six implementation strategies to reduce
SHS exposure among affordable housing residents. The findings will provide accessible,
practical, and effective evidence for property managers and staff to support ongoing efforts
to optimize the impact of a smoke-free residential policy. The investigators will test this
approach in a geographic region with high smoking rates and a disproportionate burden of
tobacco-related mortality, covering western Pennsylvania, southern Ohio, West Virginia,
Virginia and Kentucky.