Grant Number:	5U01CA154282-03 Interpret this number
Primary Investigator:	Kegler, Michelle
Organization:	Emory University
Project Title:	Brief Interventions to Create Smoke-Free Home Policies in Low-Income Househoulds
Fiscal Year:	2013

DESCRIPTION (provided by applicant): 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 smokers' homes as a significant source 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 exposure to secondhand smoke, but suitable channels to reach low-income families are limited. The proposed research will develop, evaluate and disseminate a brief smoke-free homes intervention through the established national infrastructure of 2-1-1 call centers. 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. Most 2-1-1 callers are low income. The proposed research has four specific aims: 1) Conduct formative research on intervention messages and materials for promoting smoke-free homes in low-income populations, applicable to both smokers and nonsmokers as household change agents; 2) Conduct a randomized controlled trial in the Atlanta 2-1-1 service area to evaluate the efficacy of a brief intervention to create smoke-free homes among 2-1-1 callers; 3) Conduct replication studies in Houston and North Carolina 2-1-1 systems to systematically test the intervention in varied populations and tobacco control climates; and 4) Disseminate the research tested smoke-free homes intervention through a national grants program to 2-1-1 systems and through the Tobacco Technical Assistance Consortium's linkages to the state and local tobacco control infrastructure in the U.S.




Steps Toward Scalability: Illustrations From a Smoke-Free Homes Program.
Authors: Kegler M.C. , Haardörfer R. , Melanson T. , Allen L. , Bundy L.T. , Kreuter M.W. , Williams R.S. , Hovell M.F. , Mullen P.D. .
Source: Health Education & Behavior : The Official Publication Of The Society For Public Health Education, 2019 10; 46(5), p. 773-781.
EPub date: 2019-06-05 00:00:00.0.
PMID: 31165637
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A qualitative study of the process of adoption, implementation and enforcement of smoke-free policies in privately-owned affordable housing.
Authors: Kegler M.C. , Lebow-Skelley E. , Lea J. , Haardörfer R. , Lefevre A. , Diggs P. , Herndon S. .
Source: Bmc Public Health, 2019-08-08 00:00:00.0; 19(1), p. 1071.
EPub date: 2019-08-08 00:00:00.0.
PMID: 31395051
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Adaptation of a brief smoke-free homes intervention for American Indian and Alaska Native families.
Authors: Anderson K.M. , Kegler M.C. , Bundy L.T. , Henderson P. , Halfacre J. , Escoffery C. .
Source: Bmc Public Health, 2019-07-23 00:00:00.0; 19(1), p. 981.
EPub date: 2019-07-23 00:00:00.0.
PMID: 31337379
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A Qualitative Study about Creating Smoke-free Home Rules in American Indian and Alaska Native Households.
Authors: Kegler M.C. , Anderson K. , Bundy L.T. , Knauf D. , Halfacre J. , Escoffery C. , Cramblit A. , Henderson P. .
Source: Journal Of Community Health, 2019-04-25 00:00:00.0; , .
EPub date: 2019-04-25 00:00:00.0.
PMID: 31025142
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Implementation and enforcement of smoke-free policies in public housing.
Authors: Kegler M.C. , Lea J. , Lebow-Skelley E. , Lefevre A.M. , Diggs P. , Haardï Rfer R. .
Source: Health Education Research, 2019-04-01 00:00:00.0; 34(2), p. 234-246.
PMID: 30624678
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Examining e-cigarette purchases and cessation in a consumer panel of smokers.
Authors: Cahn Z. , Haardörfer R. , Lewis M. , Wang Y. , Berg C.J. .
Source: Journal Of Smoking Cessation, 2019 Mar; 14(1), p. 32-41.
EPub date: 2018-04-05 00:00:00.0.
PMID: 31435438
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Disseminating a Smoke Free Homes program to low SES households in the US through 2-1-1: Results of a national impact evaluation.
Authors: Bundy L.T. , Haardörfer R. , Kegler M.C. , Owolabi S. , Berg C.J. , Escoffery C. , Thompson T. , Mullen P.D. , Williams R. , Hovell M. , et al. .
Source: Nicotine & Tobacco Research : Official Journal Of The Society For Research On Nicotine And Tobacco, 2018-12-05 00:00:00.0; , .
EPub date: 2018-12-05 00:00:00.0.
PMID: 30517679
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Moderators of Establishing a Smoke-Free Home: Pooled Data from Three Randomized Controlled Trials of a Brief Intervention.
Authors: Kegler M.C. , Haardörfer R. , Bundy L.T. , Escoffery C. , Williams R.S. , Hovell M. , Kreuter M. , Mullen P.D. .
Source: Journal Of Community Health, 2018-08-12 00:00:00.0; , .
EPub date: 2018-08-12 00:00:00.0.
PMID: 30101386
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Developing Smoke-Free Policies in Public Housing: Perspectives From Early Adopters in 2 Southern States.
Authors: Kegler M.C. , Lebow-Skelley E. , Lea J. , Lefevre A.M. , Diggs P. , Herndon S. , Haardörfer R. .
Source: Preventing Chronic Disease, 2018-06-21 00:00:00.0; 15, p. E83.
EPub date: 2018-06-21 00:00:00.0.
PMID: 29935078
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Cessation and reduction in smoking behavior: impact of creating a smoke-free home on smokers.
Authors: Haardörfer R. , Kreuter M. , Berg C.J. , Escoffery C. , Bundy L.T. , Hovell M. , Mullen P.D. , Williams R. , Kegler M.C. .
Source: Health Education Research, 2018-06-01 00:00:00.0; 33(3), p. 256-259.
PMID: 29788227
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Coaching to create a smoke-free home in a brief secondhand smoke intervention.
Authors: Escoffery C. , Mullen P. , Genkin B. , Bundy L. , Owolabi S. , Haardörfer R. , Williams R. , Savas L. , Kegler M. .
Source: Health Education Research, 2017-12-01 00:00:00.0; 32(6), p. 555-568.
PMID: 29253133
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A Qualitative Study Among Mexican Americans to Understand Factors Influencing the Adoption and Enforcement of Home Smoking Bans.
Authors: Savas L.S. , Mullen P.D. , Hovell M.F. , Escoffrey C. , Fernandez M.E. , Jones J.A. , Cavazos J. , Gutierrez Monroy J.A.A. , Kegler M.C. .
Source: Nicotine & Tobacco Research : Official Journal Of The Society For Research On Nicotine And Tobacco, 2017-11-07 00:00:00.0; 19(12), p. 1465-1472.
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Implementing an Evidence-based Tobacco Control Program at Five 2-1-1 Call Centers: An Evaluation Using the Consolidated Framework for Implementation Research.
Authors: Thompson T. , Kreuter M.W. , Caito N. , Williams R.S. , Escoffery C. , Fernandez M.E. , Kegler M.C. .
Source: Nicotine & Tobacco Research : Official Journal Of The Society For Research On Nicotine And Tobacco, 2017-10-10 00:00:00.0; , .
EPub date: 2017-10-10 00:00:00.0.
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The Advertising Strategies of Early E-cigarette Brand Leaders in the United States.
Authors: Haardörfer R. , Cahn Z. , Lewis M. , Kothari S. , Sarmah R. , Getachew B. , Berg C.J. .
Source: Tobacco Regulatory Science, 2017 Apr; 3(2), p. 222-231.
EPub date: 2017-04-01 00:00:00.0.
PMID: 29392167
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Development Of A Scale Assessing Beliefs About Thirdhand Smoke (baths)
Authors: Haardörfer R. , Berg C.J. , Escoffery C. , Bundy ¿.T. , Hovell M. , Kegler M.C. .
Source: Tobacco Induced Diseases, 2017; 15, p. 4.
PMID: 28104999
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Taking Stock of Tobacco Control Program and Policy Science and Impact in the United States.
Authors: Farrelly M.C. , Chaloupka F.J. , Berg C.J. , Emery S.L. , Henriksen L. , Ling P. , Leischow S.J. , Luke D.A. , Kegler M.C. , Zhu S.H. , et al. .
Source: Journal Of Addictive Behaviors And Therapy, 2017; 1(2), .
EPub date: 2017-09-15 00:00:00.0.
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Family Interactions Regarding Fathers' Smoking And Cessation In Shanghai, China
Authors: Berg C.J. , Zheng P. , Kegler M.C. .
Source: Journal Of Smoking Cessation, 2016 Dec; 11(4), p. 199-202.
PMID: 28232852
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Smoke-free Rules And Secondhand Smoke Exposure In Vehicles Among U.s. Adults-national Adult Tobacco Survey, 2009-2010 And 2013-2014
Authors: Kruger J. , Jama A. , Kegler M. , Baker Holmes C. , Hu S. , King B. .
Source: International Journal Of Environmental Research And Public Health, 2016-10-26 00:00:00.0; 13(11), .
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Minimal Intervention Delivered By 2-1-1 Information And Referral Specialists Promotes Smoke-free Homes Among 2-1-1 Callers: A Texas Generalisation Trial
Authors: Mullen P.D. , Savas L.S. , Bundy ¿.T. , Haardörfer R. , Hovell M. , Fernández M.E. , Monroy J.A. , Williams R.S. , Kreuter M.W. , Jobe D. , et al. .
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National And State-specific Attitudes Toward Smoke-free Parks Among U.s. Adults
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Challenges in Enforcing Home Smoking Rules in a Low-Income Population: Implications for Measurement and Intervention Design.
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Source: Nicotine & Tobacco Research : Official Journal Of The Society For Research On Nicotine And Tobacco, 2016 May; 18(5), p. 976-81.
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A process evaluation of an intervention to promote home smoking bans among low income households.
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Source: Evaluation And Program Planning, 2016 Apr; 55, p. 120-5.
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Do partial home smoking bans signal progress toward a smoke-free home?
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Source: Health Education Research, 2016 Feb; 31(1), p. 24-35.
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Perceptions Of Harm From Secondhand Smoke Exposure Among U.s. Adults, 2009-2010
Authors: Kruger J. , Patel R. , Kegler M. , Babb S.D. , King B.A. .
Source: Tobacco Induced Diseases, 2016; 14, p. 3.
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A Minimal Intervention to Promote Smoke-Free Homes among 2-1-1 Callers: North Carolina Randomized Effectiveness Trial.
Authors: Williams R.S. , Stollings J.H. , Bundy Ł. , Haardörfer R. , Kreuter M.W. , Mullen P.D. , Hovell M. , Morris M. , Kegler M.C. .
Source: Plos One, 2016; 11(11), p. e0165086.
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National and State Attitudes of US Adults Toward Tobacco-Free School Grounds, 2009-2010.
Authors: Kruger J. , Patel R. , Kegler M.C. , Brener N.D. , King B.A. .
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An exploratory analysis of cigarette price premium, market share and consumer loyalty in relation to continued consumption versus cessation in a national US panel.
Authors: Lewis M. , Wang Y. , Cahn Z. , Berg C.J. .
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Reactions To Smoke-free Policies And Messaging Strategies In Support And Opposition: A Comparison Of Southerners And Non-southerners In The Us
Authors: Berg C.J. , Thrasher J.F. , O'Connor J. , Haardörfer R. , Kegler M.C. .
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Reactions to Cigarette Taxes and Related Messaging: Is the South Different?
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Smoke-Free Policies in Multiunit Housing: Smoking Behavior and Reactions to Messaging Strategies in Support or in Opposition.
Authors: Berg C.J. , Haardörfer R. , Windle M. , Solomon M. , Kegler M.C. .
Source: Preventing Chronic Disease, 2015-06-25 00:00:00.0; 12, p. E98.
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A minimal intervention to promote smoke-free homes among 2-1-1 callers: a randomized controlled trial.
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Source: American Journal Of Public Health, 2015 Mar; 105(3), p. 530-7.
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Perceived benefits of smoke-free homes, the process of establishing them, and enforcement challenges in Shanghai, China: a qualitative study.
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Smoke-free homes and home exposure to secondhand smoke in Shanghai, China.
Authors: Zheng P. , Berg C.J. , Kegler M.C. , Fu W. , Wang J. , Zhou X. , Liu D. , Fu H. .
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Correlates of smoke-free home policies in Shanghai, China.
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Evaluation of Smoke-free Foster Care Education for Foster and Adoptive Caregivers.
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Third-hand smoke as a potential intervention message for promoting smoke-free homes in low-income communities.
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Telephone-assisted placement of air nicotine monitors to validate self-reported smoke-free home policies.
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Pilot study results from a brief intervention to create smoke-free homes.
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