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Prospective Evaluation of a Comprehensive Smoke-Free Public Housing Policy in a Multi-State Setting

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ClinicalTrials.gov Identifier: NCT02492633
Recruitment Status : Completed
First Posted : July 8, 2015
Last Update Posted : December 7, 2017
Sponsor:
Collaborators:
Boston University
Johns Hopkins Bloomberg School of Public Health
Information provided by (Responsible Party):
Vaughan Rees, Harvard School of Public Health

Brief Summary:
The primary objective of this project is to evaluate the effectiveness of an enhanced intervention vs. a standard intervention to complement a comprehensive smoke-free policy, in a multi-site, privately managed affordable housing context.

Condition or disease Intervention/treatment Phase
Smoking Cessation Behavioral: Control Behavioral: Intervention Not Applicable

Detailed Description:

Beacon Communities, a private property management company, is unveiling a comprehensive smoking ban at all 52 of its properties. A multi-component, "enhanced" intervention designed to promote, strengthen, and maintain a smoke-free policy across public housing developments will be implemented prior to commencement of the smoke-free policy. The enhanced intervention will be tested against a standard intervention of educational materials and information on cessation options. This study will be open to residents at 12 Beacon Communities properties at which a Resident Service Coordinator (RSC) is located.

The primary objective of this project is to evaluate the effectiveness of enhanced intervention vs. standard intervention to support a comprehensive smoke-free policy, in a multi-site, privately managed affordable housing context. A further objective is to develop a toolkit of strategies for the large-scale implementation and maintenance of a smoke-free policy in multi-unit affordable housing developments. The toolkit will be the first to be developed directly from an extensive two-stage qualitative analysis and will apply the lessons learned in this study to provide a sustainable resource for property managers seeking to implement smoke-free policies.


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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 238 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Participant)
Primary Purpose: Prevention
Official Title: Prospective Evaluation of a Comprehensive Smoke-Free Public Housing Policy in a Multi-State Setting
Actual Study Start Date : June 2015
Actual Primary Completion Date : October 2017
Actual Study Completion Date : November 2017

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Active Comparator: Standard
The Standard Intervention will be offered to residents at all of Beacon Communities properties, regardless of the presence of this study.
Behavioral: Control
The Standard Intervention will be offered to residents at all of Beacon Communities properties, regardless of the presence of this study. The standard intervention will be implemented as part of the smoke-free initiative roll out and will consist of: monthly articles in newsletters, re-usable shopping bag giveaways touting cessation messages, information provided via the property websites, and training of Residential Service Coordinators (RSCs) using the 8-session smoking cessation group training provided by the American Lung Association. The RSCs will offer group cessation counseling sessions for residents who would like support to quit smoking.

Experimental: Enhanced
At a subset of 6 Beacon Communities properties, residents will receive an 'enhanced intervention' in addition to the 'standard intervention' that Beacon Communities is already providing.
Behavioral: Control
The Standard Intervention will be offered to residents at all of Beacon Communities properties, regardless of the presence of this study. The standard intervention will be implemented as part of the smoke-free initiative roll out and will consist of: monthly articles in newsletters, re-usable shopping bag giveaways touting cessation messages, information provided via the property websites, and training of Residential Service Coordinators (RSCs) using the 8-session smoking cessation group training provided by the American Lung Association. The RSCs will offer group cessation counseling sessions for residents who would like support to quit smoking.

Behavioral: Intervention

At a subset of 6 Beacon Communities properties, residents will receive an 'enhanced intervention' in addition to the 'standard intervention' that Beacon Communities is already providing. The enhanced intervention will consist of the following:

  1. A web-based smoking cessation intervention via Facebook
  2. Enhanced gain-framed messaging communicated via several channels. Gain framed messages will incorporate themes of smoking cessation and policies which aim to distinguish from the vast 'library' of traditional messages which focus on loss-framing.
  3. A behavioral "nudge" designed to enhance public support for the smoke free policy, through personal adoption and adherence to the policy. This will be done by promoting a publicly viewable "pledge" program.




Primary Outcome Measures :
  1. Change in cigarettes smoked in the home [ Time Frame: 12 months ]
    Cigarettes smoked in the home (defined as self-reported number of cigarettes smoked in the home in past 30 days) at the 12-month follow up assessment, compared with pre-baseline level.


Secondary Outcome Measures :
  1. Air quality [ Time Frame: 12 months ]
    Indoor air quality will be measured using airborne nicotine concentration (ug/m3) at the 12-month follow up assessment, compared with pre-baseline level.

  2. Change in motivation to quit smoking [ Time Frame: 12 months ]
    Motivation to quit smoking (assessed by self-report on the 12-month follow up assessment), at 12 month follow-up, compared with pre-baseline level.



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Aged 18 and over
  • Able to speak English or Spanish
  • A resident of Beacon Communities housing development (12 selected sites)
  • Thinks that he/she will be living in his/her Beacon Community for at least the next 12 months

For Smokers:

  • Have smoked cigarettes or e-cigarettes in the last week

For Non-Smokers:

  • Self-reported exposure to secondhand smoke in the previous 2 months

Exclusion Criteria:

  • Have another household member enrolled in the study

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02492633


Sponsors and Collaborators
Harvard School of Public Health
Boston University
Johns Hopkins Bloomberg School of Public Health
Investigators
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Principal Investigator: Vaughan Rees, PhD Harvard TH Chan School of Public Health

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Responsible Party: Vaughan Rees, Director of the Center for Global Tobacco Control; Lecturer on Social and Behavioral Sciences, Harvard School of Public Health
ClinicalTrials.gov Identifier: NCT02492633     History of Changes
Other Study ID Numbers: MAHHU0025-14
First Posted: July 8, 2015    Key Record Dates
Last Update Posted: December 7, 2017
Last Verified: August 2017
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Keywords provided by Vaughan Rees, Harvard School of Public Health:
Smoking cessation
Smoke-free housing
Affordable housing
Second-hand smoke
Tobacco control