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

NCT ID: NCT02097914

Last Updated: 2016-03-14

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 508 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2014-03-31
• Study Completion Date: 2015-11-30

Brief 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.

Conditions

Chronic Disease

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Control

Participant receives usual care.

Group Type: NO_INTERVENTION

No interventions assigned to this group

Intervention

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

Group Type: EXPERIMENTAL

Educational print materials and coaching call

Intervention Type: BEHAVIORAL

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

Interventions

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.

Intervention Type: BEHAVIORAL

Eligibility Criteria

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

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

National Cancer Institute (NCI)

NIH

Sponsor Role: collaborator

Emory University

OTHER

Sponsor Role: collaborator

University of North Carolina, Chapel Hill

OTHER

Sponsor Role: collaborator

Washington University School of Medicine

OTHER

Sponsor Role: collaborator

The University of Texas Health Science Center, Houston

OTHER

Sponsor Role: lead

Responsible Party

Patricia Dolan Mullen

Professor - Health Prom & Behavioral Sci - SPH

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Patricia D Mullen, DrPH

Role: PRINCIPAL_INVESTIGATOR

The University of Texas Health Science Center, Houston

Maria E Fernandez, PhD

Role: PRINCIPAL_INVESTIGATOR

The University of Texas Health Science Center, Houston

Lara Savas, PhD

Role: PRINCIPAL_INVESTIGATOR

The University of Texas Health Science Center, Houston

Jo Ann A Gutierrez, MPH

Role: STUDY_DIRECTOR

The University of Texas Health Science Center, Houston

Locations

University of Texas School of Public Health

Houston, Texas, United States

Countries

United States

References

Kegler MC, Escoffery C, Bundy L, Berg CJ, Haardorfer 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.

Reference Type: BACKGROUND

PMID: 22675374 (View on PubMed)

Escoffery C, Bundy L, Carvalho M, Yembra D, Haardorfer 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.

Reference Type: BACKGROUND

PMID: 23669213 (View on PubMed)

Mullen PD, Savas LS, Bundy LT, Haardorfer R, Hovell M, Fernandez ME, Monroy JA, Williams RS, Kreuter MW, Jobe D, Kegler MC. Minimal intervention delivered by 2-1-1 information and referral specialists promotes smoke-free homes among 2-1-1 callers: a Texas generalisation trial. Tob Control. 2016 Oct;25(Suppl 1):i10-i18. doi: 10.1136/tobaccocontrol-2016-053045.

Reference Type: DERIVED

PMID: 27697943 (View on PubMed)

Other Identifiers

U10CA154282-03

Identifier Type: -

Identifier Source: secondary_id

HSC-SPH-13-0902

Identifier Type: -

Identifier Source: org_study_id