Grant Details
Grant Number: |
5R01CA141527-06 Interpret this number |
Primary Investigator: |
Fu, Steven |
Organization: |
University Of Minnesota |
Project Title: |
Effectiveness of Proactive Tobacco Treatment in Diverse Low Income Smokers |
Fiscal Year: |
2014 |
Abstract
DESCRIPTION (provided by applicant): There is a high prevalence of smoking and high burden of tobacco related disease among low income populations. Effective, evidenced-based smoking cessation treatments are available, but low-income and minority smokers are less likely than higher-income and white smokers to use these treatments, especially the most comprehensive forms that include a combination of pharmacotherapy and intensive behavioral counseling. In this application, we test a novel proactive outreach strategy, coupled with free nicotine replacement therapy (NRT) to increase the population impact of tobacco cessation treatment for diverse, low income smokers. Population impact is the product of treatment utilization (i.e., reach or exposure) and treatment efficacy (i.e., smoking abstinence rates among those who utilize treatment); therefore, the theory- driven approach will systematically offer low income smokers free and easy access to evidence-based treatment for tobacco dependence outside the traditional health care system. The intervention has two primary components: 1) proactive outreach to current smokers in the form of mailed invitation materials and telephone calls containing targeted health messages, and 2) facilitated access to free, comprehensive, evidence-based treatment for tobacco dependence in the form of NRT and intensive, telephone-based behavioral counseling. Our specific aims are to: 1) compare the effect of proactive outreach combined with free NRT and telephone counseling (PRO+NRT+TC) to usual care (UC) on population-level smoking abstinence rates among a diverse population of low income smokers, 2) compare the effect of PRO+NRT+TC to usual care UC on population-level tobacco treatment utilization rates, and 3) determine the cost-effectiveness of PRO+NRT+TC. This proposal will examine the effects of the intervention in a population-based sample (N=2500) of adult smokers enrolled in the Minnesota Health Care Programs (MHCP), a state-funded health insurance plan for low income persons. Baseline data will be obtained from MHCP administrative databases and a participant survey that will be conducted prior to randomization. Outcome data will be collected from a follow-up survey conducted 12 months after randomization and MHCP administrative data. The primary outcome is prolonged smoking abstinence (6 months) and will be assessed at the population level. All randomized individuals will be asked to complete the follow-up survey, regardless of whether they participated in tobacco treatment. Data analysis of the primary aims will follow intent-to-treat methodology. The study team has unique, relevant experience with tobacco treatment studies in diverse, low income populations, proactive outreach and telephone counseling. We will work in partnership with the North American Quitline Consortium to disseminate study findings. If effective, proactive tobacco treatment would reduce tobacco- related morbidity, mortality and health care costs for low income Americans.
Publications
Self-reported exercise capacity among current smokers eligible for lung cancer screening: Distribution and association with key comorbidities.
Authors: Melzer A.C.
, Begnaud A.
, Lindgren B.R.
, Schertz K.
, Fu S.S.
, Vock D.M.
, Rothman A.J.
, Joseph A.M.
.
Source: Cancer treatment and research communications, 2021; 28, p. 100443.
EPub date: 2021-07-31.
PMID: 34371253
Related Citations
Serious Mental Illness and Smoking Cessation Treatment Utilization: the Role of Healthcare Providers.
Authors: Hammett P.J.
, Taylor B.C.
, Lando H.A.
, Widome R.
, Erickson D.J.
, Fu S.S.
.
Source: The journal of behavioral health services & research, 2021 Jan; 48(1), p. 63-76.
PMID: 32378032
Related Citations
Proactive outreach tobacco treatment for socioeconomically disadvantaged smokers with serious mental illness.
Authors: Hammett P.J.
, Lando H.A.
, Erickson D.J.
, Widome R.
, Taylor B.C.
, Nelson D.
, Japuntich S.J.
, Fu S.S.
.
Source: Journal of behavioral medicine, 2020 Jun; 43(3), p. 493-502.
EPub date: 2019-07-30.
PMID: 31363948
Related Citations
A cross-sectional study of the relationship of proximal smoking environments and cessation history, plans, and self-efficacy among low-income smokers.
Authors: Widome R.
, Hammett P.J.
, Joseph A.M.
, Burgess D.J.
, Thomas J.L.
, Saul J.E.
, Clothier B.
, Fu S.S.
.
Source: Journal of smoking cessation, 2019 Dec; 14(4), p. 229-238.
EPub date: 2019-07-22.
PMID: 33777240
Related Citations
Cost-effectiveness of population-level proactive tobacco cessation outreach among socio-economically disadvantaged smokers: evaluation of a randomized control trial.
Authors: Thao V.
, Nyman J.A.
, Nelson D.B.
, Joseph A.M.
, Clothier B.
, Hammett P.J.
, Fu S.S.
.
Source: Addiction (Abingdon, England), 2019 Dec; 114(12), p. 2206-2216.
EPub date: 2019-09-04.
PMID: 31483549
Related Citations
The relationship between smoking cessation and binge drinking, depression, and anxiety symptoms among smokers with serious mental illness.
Authors: Hammett P.J.
, Lando H.A.
, Taylor B.C.
, Widome R.
, Erickson D.J.
, Joseph A.M.
, Clothier B.
, Fu S.S.
.
Source: Drug and alcohol dependence, 2019-01-01; 194, p. 128-135.
EPub date: 2018-11-02.
PMID: 30439609
Related Citations
A Proactive Smoking Cessation Intervention for Socioeconomically Disadvantaged Smokers: The Role of Smoking-Related Stigma.
Authors: Hammett P.
, Fu S.S.
, Nelson D.
, Clothier B.
, Saul J.E.
, Widome R.
, Danan E.R.
, Burgess D.J.
.
Source: Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2018-02-07; 20(3), p. 286-294.
PMID: 28398492
Related Citations
Treatment barriers among younger and older socioeconomically disadvantaged smokers.
Authors: Hammett P.J.
, Fu S.S.
, Burgess D.J.
, Nelson D.
, Clothier B.
, Saul J.E.
, Nyman J.A.
, Widome R.
, Joseph A.M.
.
Source: The American journal of managed care, 2017-09-01; 23(9), p. e295-e302.
EPub date: 2017-09-01.
PMID: 29087167
Related Citations
Proactive tobacco treatment offering free nicotine replacement therapy and telephone counselling for socioeconomically disadvantaged smokers: a randomised clinical trial.
Authors: Fu S.S.
, van Ryn M.
, Nelson D.
, Burgess D.J.
, Thomas J.L.
, Saul J.
, Clothier B.
, Nyman J.A.
, Hammett P.
, Joseph A.M.
.
Source: Thorax, 2016 May; 71(5), p. 446-53.
EPub date: 2016-03-01.
PMID: 26931362
Related Citations
Proactive tobacco treatment for low income smokers: study protocol of a randomized controlled trial.
Authors: Fu S.S.
, van Ryn M.
, Burgess D.J.
, Nelson D.
, Clothier B.
, Thomas J.L.
, Nyman J.A.
, Joseph A.M.
.
Source: BMC public health, 2014-04-09; 14, p. 337.
EPub date: 2014-04-09.
PMID: 24716466
Related Citations