Working Inside for Smoking Elimination

Study Overview
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Brief Summary
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The purpose of this study is to determine the extent to which an Intentional Behavioral Intervention will increase tobacco quit rates post release among incarcerated men and women.

Detailed Description
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Quitting smoking reduces the risks of developing smoking related illnesses as well as the morbidity and mortality associated with these illnesses. In 2006 approximately 44.5 million American adults smoked an overall prevalence of 20.8%. The prevalence is much higher among incarcerated populations and approximately 80% of the women in RI smoked prior to incarceration. This proposal is designed to evaluate an intervention utilizing Motivational Interviewing (MI) and Cognitive Behavioral Therapy (CBT) to provide the skills necessary to maintain smoking abstinence after release. MI utilizes specific techniques for providing feedback on an individual's risk and self efficacy. CBT provides the skills necessary to maintain abstinence after release. The investigators plan to recruit 350 men and women from the Rhode Island Department of Corrections and randomize them to two interventions: an Intentional Behavioral Intervention (IBI) with 6 sessions of in jail MI/CBT and two post release booster sessions compared to CONcise Tapes Reviewing Obstacles to healthy Living (CONTROL) group which will receive a smoking cessation pamphlet and watch a series of six weekly 30-45 minutes general wellness videos.

Official Title
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Sustaining Tobacco Abstinence After Incarceration

Conditions
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Tobacco Smoking, Cigarette Smoking

Intervention / Treatment
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* Behavioral: Motivational Interviewing/CBT
* Other: CONcise Tapes Reviewing Obstacles to healthy Living (CONTROL)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age 18 and older Daily smokers over the past 30 non-institutionalized days (prior to Incarceration) Expected place of residence after release within 15 miles of follow-up site Agree to participate in the study protocol and be available within one month post release Speak English Provides at least two pieces of locator information Scheduled to be released within eight weeks Exclusion Criteria: Inability to give informed consent secondary to organic brain function, not having own legal guardianship, or active psychosis or otherwise not able to participate in the intervention or assessments (deaf, blind, or impaired communication skills that impair ability to participate in computerized assessment or counseling) Housed in a segregation unit

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Motivation Interviewing/CBT<br> | Behavioral: Motivational Interviewing/CBT<br>* 6 sessions of in jail MI/CBT counseling will be administered.<br>|
| Active Comparator: Control<br>Receive a smoking cessation pamphlet and watch a series of six weekly 30-45 minutes general wellness videos. | Other: CONcise Tapes Reviewing Obstacles to healthy Living (CONTROL)<br>* a series of six weekly 30-45 minutes general wellness videos<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Smoking abstinence |  | 2 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Smoking Abstinence, Smoking Cessation