Prospective Evaluation of a Comprehensive Smoke-Free Public Housing Policy in a Multi-State Setting

Study Overview
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Brief Summary
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The primary objective of this project is to evaluate the effectiveness of an enhanced intervention vs. a standard intervention to complement a comprehensive smoke-free policy, in a multi-site, privately managed affordable housing context.

Detailed Description
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Beacon Communities, a private property management company, is unveiling a comprehensive smoking ban at all 52 of its properties. A multi-component, enhanced intervention designed to promote, strengthen, and maintain a smoke-free policy across public housing developments will be implemented prior to commencement of the smoke-free policy. The enhanced intervention will be tested against a standard intervention of educational materials and information on cessation options. This study will be open to residents at 12 Beacon Communities properties at which a Resident Service Coordinator (RSC) is located. The primary objective of this project is to evaluate the effectiveness of enhanced intervention vs. standard intervention to support a comprehensive smoke-free policy, in a multi-site, privately managed affordable housing context. A further objective is to develop a toolkit of strategies for the large-scale implementation and maintenance of a smoke-free policy in multi-unit affordable housing developments. The toolkit will be the first to be developed directly from an extensive two-stage qualitative analysis and will apply the lessons learned in this study to provide a sustainable resource for property managers seeking to implement smoke-free policies.

Official Title
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Prospective Evaluation of a Comprehensive Smoke-Free Public Housing Policy in a Multi-State Setting

Conditions
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Smoking Cessation

Intervention / Treatment
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* Behavioral: Control
* Behavioral: Intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Aged 18 and over Able to speak English or Spanish A resident of Beacon Communities housing development (12 selected sites) Thinks that he/she will be living in his/her Beacon Community for at least the next 12 months For Smokers: Have smoked cigarettes or e-cigarettes in the last week For Non-Smokers: Self-reported exposure to secondhand smoke in the previous 2 months Exclusion Criteria: Have another household member enrolled in the study

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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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Standard<br>The Standard Intervention will be offered to residents at all of Beacon Communities properties, regardless of the presence of this study. | Behavioral: Control<br>* The Standard Intervention will be offered to residents at all of Beacon Communities properties, regardless of the presence of this study. The standard intervention will be implemented as part of the smoke-free initiative roll out and will consist of: monthly articles in newsletters, re-usable shopping bag giveaways touting cessation messages, information provided via the property websites, and training of Residential Service Coordinators (RSCs) using the 8-session smoking cessation group training provided by the American Lung Association. The RSCs will offer group cessation counseling sessions for residents who would like support to quit smoking.<br>|
| Experimental: Enhanced<br>At a subset of 6 Beacon Communities properties, residents will receive an 'enhanced intervention' in addition to the 'standard intervention' that Beacon Communities is already providing. | Behavioral: Control<br>* The Standard Intervention will be offered to residents at all of Beacon Communities properties, regardless of the presence of this study. The standard intervention will be implemented as part of the smoke-free initiative roll out and will consist of: monthly articles in newsletters, re-usable shopping bag giveaways touting cessation messages, information provided via the property websites, and training of Residential Service Coordinators (RSCs) using the 8-session smoking cessation group training provided by the American Lung Association. The RSCs will offer group cessation counseling sessions for residents who would like support to quit smoking.<br>Behavioral: Intervention<br>* At a subset of 6 Beacon Communities properties, residents will receive an 'enhanced intervention' in addition to the 'standard intervention' that Beacon Communities is already providing. The enhanced intervention will consist of the following: A web-based smoking cessation intervention via Facebook Enhanced gain-framed messaging communicated via several channels. Gain framed messages will incorporate themes of smoking cessation and policies which aim to distinguish from the vast 'library' of traditional messages which focus on loss-framing. A behavioral nudge designed to enhance public support for the smoke free policy, through personal adoption and adherence to the policy. This will be done by promoting a publicly viewable pledge program.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in cigarettes smoked in the home | Cigarettes smoked in the home (defined as self-reported number of cigarettes smoked in the home in past 30 days) at the 12-month follow up assessment, compared with pre-baseline level. | 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Air quality | Indoor air quality will be measured using airborne nicotine concentration (ug/m3) at the 12-month follow up assessment, compared with pre-baseline level. | 12 months | 
| Change in motivation to quit smoking | Motivation to quit smoking (assessed by self-report on the 12-month follow up assessment), at 12 month follow-up, compared with pre-baseline level. | 12 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Smoking cessation, Smoke-free housing, Affordable housing, Second-hand smoke, Tobacco control