Addressing Parental Tobacco Use in Somali Immigrant Families: Adapting an Evidence-Based Intervention in Primary Care

Официальное название

Addressing Parental Tobacco Use in Somali Immigrant Families: Adapting an Evidence-based Intervention in Pediatric Primary Care

Обзор

This study will modify an existing evidence-based parental tobacco cessation intervention (the Clinical Effort Against Secondhand Smoke Exposure, or CEASE) delivered in pediatric primary care clinics to address shared tobacco use determinants and barriers to smoking cessation treatment among Somali Americans, an immigrant population facing significant combustible tobacco use disparities.

Подробное описание

Smoking is a significant and growing concern within U.S. Somali immigrant populations, who experience unique barriers to accessing and using tobacco treatments developed for the general population. Household smoking exposes Somali families to second- and thirdhand smoke with related negative health consequences and influences children's tobacco use beliefs and future behaviors. This study will modify and then pilot test an existing evidence-based parental tobacco cessation intervention (the Clinical Effort Against Secondhand Smoke Exposure, or CEASE) delivered in pediatric primary care clinics to address shared tobacco use determinants and barriers to smoking cessation treatment among Somali Americans. This new intervention, CEASE+, will increase access to and utilization of tobacco cessation treatment for Somali parents through brief clinician- and staff-delivered messaging and tobacco cessation resources. The project will take place in two phases. In phase 1, the investigators will modify the existing intervention to develop CEASE+ by conducting focus groups with Somali parents who smoke and non-smokers who live with adults who smoke and with the help of a community advisory board. In phase 2, we will conduct a pilot study of the new intervention, CEASE+, with Somali parents in 2 pediatric primary care clinics (n=50 parents who smoke). Primary outcomes will include feasibility and acceptability of CEASE+ intervention components and study procedures.

Secondary outcomes will include cigarette smoking abstinence and total tobacco abstinence at 3 months and changes in cigarette smoking heaviness between baseline and 3 months.

Вмешательства

• Поведенческое CEASE+
  The intervention will be delivered by the clinician to smoking parents who attend the office visit and to smoking parents not present at the visit via resources sent home with a non-smoking parent. If the smoking parent is present in clinic, the intervention consists of a brief, clinician- delivered motivational intervention that includes messaging around the risks of household smoking, verbal recommendation for establishing home/car smoke-free rules, a printed prescription for nicotine replacem

Первичные конечные точки

• Proportion of parents who received motivational intervention [Срок оценки: baseline]
• Proportion of parents who received a verbal recommendation for smoke- free home/care rules [Срок оценки: baseline]
• Proportion of parents who received nicotine replacement therapy (NRT) [Срок оценки: baseline]
• Proportion of parents who received a quitline referral [Срок оценки: baseline]
• Percent completion of adapted protocol content [Срок оценки: baseline]
• Mean duration of telephone call [Срок оценки: baseline]
• Change in parental smoker utilization of NRT [Срок оценки: baseline, 3months]
• Change in parental smoker utilization of quitline referrals [Срок оценки: baseline, 3 months]
• Survey completion rate verification [Срок оценки: baseline, 3 months]
• Mean duration of telephone survey [Срок оценки: baseline, 3 months]

Вторичные конечные точки (5)

• Parental cigarette smoking abstinence [Срок оценки: 3 month follow up]
• Total tobacco product abstinence [Срок оценки: 3 month follow up]
• Change in cigarette smoking heaviness [Срок оценки: baseline and 3 month follow up]
• Change in the frequency of other tobacco use [Срок оценки: baseline and 3 month follow up]
• Change in the presence of smoke-free home/car rules [Срок оценки: baseline and 3 month follow up]

Критерии участия

Критерии включения

• age over 18 years
• self-reported 1 st or 2 nd generation Somali identity
• parent or legal guardian at least one pediatric patient within the MHF system
• self-reported use of combustible cigarettes (even a puff) in the past 30 days
• access to a telephone

Критерии исключения

Clinician or staff participant:

• Inability or unwillingness to participate in implementing CEASE+
• Employees or students of the research team

Parent participant:

• Having participated in Aim 1

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение

Не применимо

Модель

Одна группа

Маскирование

Открытое

Основная цель

Другое

Центры проведения

Список центров уточняется — проверьте первичный протокол.

Идентификаторы

NCT: NCT06839729 · FMCH-2024-33169

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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