Specialized Tobacco Quitline and Basic Needs Navigation Interventions to Increase Cessation Among Low Income Smokers: Study Protocol for a Randomized Controlled Trial

Overview

Journal Contemp Clin Trials

Publisher Elsevier

Date 2019 Mar 25

PMID 30904596

Citations 19

Authors

Amy McQueen

Christina Roberts

Rachel Garg

Charlene Caburnay

Qiang Fu

Jacob Gordon

Terry Bush

Robin Pokojski

Tess Thompson

Matthew Kreuter

Affiliations

Soon will be listed here.

Abstract

Smoking in the United States follows a clear socioeconomic gradient: low-income Americans smoke more and quit less than those with more education and income. Evidence-based interventions like tobacco quitlines are designed to make effective cessation services available on a population basis to all smokers. However, these interventions do not address many of the unique challenges faced by low-income smokers, including unmet basic needs like food, housing, personal safety and money for necessities that often supersede health needs. Research is needed to maximize the use and effectiveness of tobacco quitlines in low-income populations. This paper details the rationale, design and methods for a 2 × 2 randomized controlled trial currently underway comparing the effects of Standard and Specialized Tobacco Quitlines with and without Basic Needs Navigation on intervention engagement and smoking cessation among low-income smokers. Smokers are recruited from United Way 2-1-1 in Missouri and all participants receive tobacco quitline services from Optum. Quitline and navigation services are provided for 3 months. Participants complete telephone surveys at baseline, 3- and 6-month follow up. The primary study outcome is self-reported 7-day point prevalence abstinence at 6-month follow up. Embedding the study in practice agencies will accelerate dissemination and scalability should our findings demonstrate intervention effectiveness.

Citing Articles

A Randomized Trial to Address Food Insecurity and Promote Smoking Cessation Among Low-Income Adults.

Kim-Mozeleski J, Castele M, Nambiar P, Chagin K, Pike Moore S, Hardy P J Prim Care Community Health. 2024; 15():21501319241245275.

PMID: 38584453 PMC: 11003330. DOI: 10.1177/21501319241245275.

Helping low-income smokers quit: findings from a randomized controlled trial comparing specialized quitline services with and without social needs navigation.

Kreuter M, Garg R, Fu Q, Caburnay C, Thompson T, Roberts C Lancet Reg Health Am. 2023; 23:100529.

PMID: 37408953 PMC: 10319314. DOI: 10.1016/j.lana.2023.100529.

Social Risk and Smoking Among Women Smokers Early in the COVID-19 Pandemic: The Role of Mental Health.

Winslow V, Jagai J, Makelarski J, Wroblewski K, Lindau S, Vu M J Womens Health (Larchmt). 2023; 32(9):960-969.

PMID: 37379463 PMC: 10510694. DOI: 10.1089/jwh.2023.0013.

Transportation and other social needs as markers of mental health conditions.

Garg R, Muhammad S, Cabassa L, McQueen A, Verdecias N, Greer R J Transp Health. 2022; 25.

PMID: 36407687 PMC: 9667984. DOI: 10.1016/j.jth.2022.101357.

Leveling the Playing Field: Mailing Pharmacotherapy to Medicaid Members Who Smoke.

McQueen A, Wartts J, Garg R, Carpenter K, Kreuter M Am J Prev Med. 2022; 64(2):227-234.

PMID: 36335079 PMC: 10084723. DOI: 10.1016/j.amepre.2022.09.008.

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