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Grant Details

Grant Number: 5R01CA085930-04 Interpret this number
Primary Investigator: Ahluwalia, Jasjit
Organization: University Of Kansas Medical Center
Project Title: Health Behaviors Among Smokers in Public Housing Develop
Fiscal Year: 2003


Abstract

DESCRIPTION (Adapted from the Applicant's Abstract): Cigarette smoking is the leading preventable cause of death, and cancer, for all Americans. African Americans (AAs) have one of the highest smoking rates, up to 60 percent among the most disadvantaged subgroups. Enabling these underserved populations to quit smoking is a national health priority. Using a nicotine inhaler can help smokers quit; however, it has not been studied among AAs or lower SES groups. It is critical that poor and underserved populations are not left behind as new pharmacological aids and counseling strategies are developed. This study comprises AA smokers residing in public housing developments (HDs) whose income levels fall below the poverty threshold. The primary aim of this study is to test, in combination with the nicotine inhaler, the effectiveness of a culturally sensitive and sustained behavioral intervention (Tx) vs a culturally sensitive dietary education program (C) on 7-day point prevalence smoking cessation at 6 months. The investigators will randomly assign 14 HDs (20 smokers in each HD) to either a smoking cessation or dietary change intervention. Randomzation will occur at the level of housing units rather than the individual, thereby minimizing potential contamination. They project 140 smokers for C and 140 smokers for Tx, a total of 280 participants, will be required at baseline to detect proposed treatment effects for the primary outcome. Smokers from each HD will be recruited through health fairs with the assistance of community health educators (CHEs). Tx participants will receive a 8-week course of the nicotine inhaler, two in-person counseling sessions based on Motivational Interviewing (MI) techniques plus three MI phone calls, the Pathways to Freedom smoking cessation guide, a video on proper inhaler use, brief cessation and relapse prevention advice from a CHE, biochemical feedback, and a quit contract. The comparison group will receive culturally sensitive dietary education materials but no materials that exclusively address tobacco or tobacco-related cancers. The study will not have a typical control arm, choosing instead to provide the comparison group with dietary education materials rather than a placebo nicotine inhaler. We chose this design to ensure community buy-in, to gather further data on other cancer prevention-related behaviors and to respond to residents' distrust of being part of a "drug" study with a placebo. Secondary aims are to test the effects of the treatment on intermediate variables including number of cigarettes smoked and number of quit attempts. A third aim is to assess the impact of the dietary intervention. Process objectives will also be studied. Recruitment and retention will be enhanced by use of health fairs, CHEs, incentives for completing evaluation instruments, provision of attractive intervention materials, a community advisory board, and home visits for follow-up. Post-intervention focus groups of quitters and non-quitters will be conducted to assess the project's intervention components. Decreasing the prevalence of smoking among residents in HDs will have a dramatic influence on the morbidity and mortality of this high-risk population.



Publications

BMI-based norms for a culturally relevant body image scale among African Americans.
Authors: Pulvers K. , Bachand J. , Nollen N. , Guo H. , Ahluwalia J.S. .
Source: Eating behaviors, 2013 Dec; 14(4), p. 437-40.
EPub date: 2013-07-23.
PMID: 24183131
Related Citations

Store and restaurant advertising and health of public housing residents.
Authors: Heinrich K.M. , Li D. , Regan G.R. , Howard H.H. , Ahluwalia J.S. , Lee R.E. .
Source: American journal of health behavior, 2012 Jan; 36(1), p. 66-74.
PMID: 22251784
Related Citations

Differences in amounts and types of physical activity by obesity status in US adults.
Authors: Spees C.K. , Scott J.M. , Taylor C.A. .
Source: American journal of health behavior, 2012 Jan; 36(1), p. 56-65.
PMID: 22251783
Related Citations

Physical activity opportunities in low socioeconomic status neighbourhoods.
Authors: Lee R.E. , Mama S.K. , Banda J.A. , Bryant L.G. , McAlexander K.P. .
Source: Journal of epidemiology and community health, 2009 Dec; 63(12), p. 1021.
PMID: 19923329
Related Citations

Demographic and psychosocial factors associated with increased fruit and vegetable consumption among smokers in public housing enrolled in a randomized trial.
Authors: Nollen N. , Befort C. , Pulvers K. , James A.S. , Kaur H. , Mayo M.S. , Hou Q. , Ahluwalia J.S. .
Source: Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 2008 May; 27(3S), p. S252-9.
PMID: 18979978
Related Citations

How does the built environment relate to body mass index and obesity prevalence among public housing residents?
Authors: Heinrich K.M. , Lee R.E. , Regan G.R. , Reese-Smith J.Y. , Howard H.H. , Haddock C.K. , Poston W.S. , Ahluwalia J.S. .
Source: American journal of health promotion : AJHP, 2008 Jan-Feb; 22(3), p. 187-94.
PMID: 18251120
Related Citations

Associations between the built environment and physical activity in public housing residents.
Authors: Heinrich K.M. , Lee R.E. , Suminski R.R. , Regan G.R. , Reese-Smith J.Y. , Howard H.H. , Haddock C.K. , Poston W.S. , Ahluwalia J.S. .
Source: The international journal of behavioral nutrition and physical activity, 2007-11-12; 4, p. 56.
EPub date: 2007-11-12.
PMID: 17997820
Related Citations

Pathway to health: cluster-randomized trial to increase fruit and vegetable consumption among smokers in public housing.
Authors: Ahluwalia J.S. , Nollen N. , Kaur H. , James A.S. , Mayo M.S. , Resnicow K. .
Source: Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 2007 Mar; 26(2), p. 214-21.
PMID: 17385973
Related Citations

Using motivational interviewing with smokers: do therapist behaviors relate to engagement and therapeutic alliance?
Authors: Boardman T. , Catley D. , Grobe J.E. , Little T.D. , Ahluwalia J.S. .
Source: Journal of substance abuse treatment, 2006 Dec; 31(4), p. 329-39.
EPub date: 2006-08-01.
PMID: 17084786
Related Citations

Strategies for recruiting African-American residents of public housing developments into a randomized controlled trial.
Authors: Jeffries S.K. , Choi W. , Butler J. , Harris K.J. , Ahluwalia J.S. .
Source: Ethnicity & disease, 2005 Autumn; 15(4), p. 773-8.
PMID: 16259507
Related Citations

The origin of enantioselectivity in aldolase antibodies: crystal structure, site-directed mutagenesis, and computational analysis.
Authors: Zhu X. , Tanaka F. , Hu Y. , Heine A. , Fuller R. , Zhong G. , Olson A.J. , Lerner R.A. , Barbas C.F. , Wilson I.A. .
Source: Journal of molecular biology, 2004-11-05; 343(5), p. 1269-80.
PMID: 15491612
Related Citations

Development of a culturally relevant body image instrument among urban African Americans.
Authors: Pulvers K.M. , Lee R.E. , Kaur H. , Mayo M.S. , Fitzgibbon M.L. , Jeffries S.K. , Butler J. , Hou Q. , Ahluwalia J.S. .
Source: Obesity research, 2004 Oct; 12(10), p. 1641-51.
PMID: 15536228
Related Citations

Predicting adoption of home smoking restriction by inner-city black smokers.
Authors: Okah F.A. , Okuyemi K.S. , McCarter K.S. , Harris K.J. , Catley D. , Kaur H. , Ahluwalia J.S. .
Source: Archives of pediatrics & adolescent medicine, 2003 Dec; 157(12), p. 1202-5.
PMID: 14662576
Related Citations




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