Clinical trial NCT06042361: Enhancing Equity in Smoke-free Housing
Official title: Enhancing Equity in Smoke-free Housing: Evidence-based Strategies to Support Implementation in Permanent Supportive Housing (PSH) Communities
Study type: INTERVENTIONAL
Overall status: ENROLLING_BY_INVITATION
Phase: NA
Conditions: Tobacco Use
Tobacco Smoking
Tobacco Use Cessation
Tobacco Use Disorder
Second Hand Tobacco Smoke
Keywords: tobacco
second hand tobacco smoke
tobacco cessation
smokefree housing
Lead sponsor: Harvard School of Public Health (HSPH)
Sponsor class: OTHER
First posted: 2023-09-18
Enrollment: 480
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: Two-phased approach: formative first phase, testing second phase. Enrollment based on residential property clusters.
Primary purpose: PREVENTION

Brief summary: The goal of this clinical trial is to learn about the acceptability, feasibility, and effectiveness of smoke-free housing policy implementation in Permanent Supportive Housing communities. The main objective of this study is to identify and refine adaptations for a smoke-free housing implementation framework that incorporates behavioral health support and meets the needs of residents living in Permanent Supportive Housing.

Detailed description: The study aims are:

Aim 1): Identify adaptations for a smokefree housing implementation framework and identify opportunities to integrate these adaptations with ongoing behavioral health support, to meet the needs of residents living in Permanent Supportive Housing (PSH) (Phase 1).

Aim 2): The research team will pilot test the adapted implementation framework, including an implementation toolkit, to assess the acceptability, feasibility and effectiveness of the primary intervention provided to Property Managers (Phase 2).

Aim 3): Based on a synthesis of qualitative and quantitative evidence, the research team will further refine the smokefree implementation framework and toolkit, comprising modified versions of the "Implementation Guide", "Action Plan" and "Implementation Checklist", to support future needs of Permanent Supportive Housing communities (Phase 3).

The research team seeks to use the opportunity provided by smokefree housing implementation to minimize indoor smoking and encourage smoking cessation, and thus help move communities with a history of profound health disparities towards a more equitable, tobacco-free future. The impact of this project will be evident not only among smokers, but also non-smokers, children and the elderly who share residential communities with people supported by PSH programs.

If successful, the results of this work will be used to promote broader and more effective use of the smokefree PSH implementation framework in federally-assisted public and affordable housing communities nationally.

Eligibility criteria: The study setting is 6 affordable housing communities that include Permanent Supportive Housing (PSH) in Massachusetts, Maryland and New York (USA).

Inclusion Criteria:

* Adult residents of the six affordable housing communities who smoke or do not smoke tobacco, who receive or do not receive Permanent Supportive Housing services, and can complete a survey in English or Spanish.
* Adult residents of the six affordable housing communities who smoke or do not smoke tobacco, who receive or do not receive Permanent Supportive Housing services, and can participate in a focus group discussion in English.
* Property Managers (or their designated appointees) of the six affordable housing communities where the research will be conducted and able to receive the intervention and participate in the qualitative interviews in English.
* Caseworkers who are dedicated health workers who provide behavioral health support (mental health and substance use support interventions) to residents at each of the six properties and who can receive the intervention and participate in the qualitative interviews in English.

Exclusion Criteria:

* Those unable to speak English or Spanish.

Primary outcomes:
measure: Acceptability of Intervention Measure (AIM)
timeFrame: Pre-intervention through 6 months post intervention
measure: Feasibility of Intervention Measure (FIM)
timeFrame: Pre-intervention through 6 months post intervention
Secondary outcomes:
measure: Ambient second-hand smoke in common indoor areas
timeFrame: Pre-intervention through 6 months post intervention
measure: Residents' self-reported exposure to secondhand smoke
timeFrame: Pre-intervention through 6 months post intervention
measure: Behavior of residents who smoke
timeFrame: Pre-intervention through 6 months post intervention
Other outcomes:
Locations:
city: Boston
country: United States
facility: Harvard TH Chan School of Public Health
state: Massachusetts
Study officials:
affiliation: Harvard University School of Public Health
name: Vaughan Rees, PhD
role: PRINCIPAL_INVESTIGATOR
References: