Smoking Cessation Clinical Trial
Official title:
Alaska Native Family-Based, Financial Incentives Intervention for Smoking Cessation: An RCT
The objective of the proposed study is to evaluate the effectiveness and implementation of a culturally adapted, Alaska Native family-based incentives intervention for smoking cessation.
We will conduct the research in three phases. In Aim 1/Phase 1, we will use qualitative in-depth individual interviews to culturally tailor and adapt the intervention. These interviews (n=36) will include Alaska Native or American Indian (AN/AI) people who smoke (n=12), family members of Alaska Native people who smoke (n=12), and stakeholders from the Alaska Tribal Health System (n=12). We will present the proposed financial incentives intervention to each group and ask them questions about possible concerns, recruitment strategies, possible risks, and appeal to Alaska Native culture. For the stakeholders, we will also ask about potential barriers of implementing the program into their organization/department. In Aim 1/Phase 2, we will beta-test and refine the intervention with 10 dyads comprising of an AN/AI person who smokes and their family member. The beta-test will last for 6 months. The dyad will receive cash rewards of increasing value over the course of the 6 months for negative, completed smoking status checks. A negative check-in counts as self-reported abstinence and biochemically confirmed abstinence: saliva cotinine sample measuring ≤ 30 n/ml (negative Alere iScreen result) and expired carbon monoxide sample measuring ≤ 6 ppm with iCOQuit device. In Aims 2 and 3/Phase 3, we will conduct an RCT and evaluate intervention effectiveness and implementation. The RCT will include 656 dyads of AN/AI people who smoke and their family member. ;
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