Support person interventions to increase use of quitline services among racially diverse low-income smokers: A pilot study
Introduction: Social support from nonsmokers may have a role in prompting smokers to use evidence-based cessation treatment. Prior studies found that an intervention for nonsmoking support persons (SPs) was effective for promoting smokers' use of free, state quitline services. This pilot study...
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Format: | Article |
Language: | English |
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Elsevier
2019-06-01
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Series: | Addictive Behaviors Reports |
Online Access: | http://www.sciencedirect.com/science/article/pii/S2352853218301834 |
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doaj-09f537bbef114c7593ab6e05b5139250 |
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record_format |
Article |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Christi A. Patten Steven Fu Katrina Vickerman Martha J. Bock David Nelson Shu-Hong Zhu Joyce E. Balls-Berry Alula Jimenez Torres Tabetha A. Brockman Christine A. Hughes Abigail E. Klein Miguel Valdez-Soto Paula A. Keller |
spellingShingle |
Christi A. Patten Steven Fu Katrina Vickerman Martha J. Bock David Nelson Shu-Hong Zhu Joyce E. Balls-Berry Alula Jimenez Torres Tabetha A. Brockman Christine A. Hughes Abigail E. Klein Miguel Valdez-Soto Paula A. Keller Support person interventions to increase use of quitline services among racially diverse low-income smokers: A pilot study Addictive Behaviors Reports |
author_facet |
Christi A. Patten Steven Fu Katrina Vickerman Martha J. Bock David Nelson Shu-Hong Zhu Joyce E. Balls-Berry Alula Jimenez Torres Tabetha A. Brockman Christine A. Hughes Abigail E. Klein Miguel Valdez-Soto Paula A. Keller |
author_sort |
Christi A. Patten |
title |
Support person interventions to increase use of quitline services among racially diverse low-income smokers: A pilot study |
title_short |
Support person interventions to increase use of quitline services among racially diverse low-income smokers: A pilot study |
title_full |
Support person interventions to increase use of quitline services among racially diverse low-income smokers: A pilot study |
title_fullStr |
Support person interventions to increase use of quitline services among racially diverse low-income smokers: A pilot study |
title_full_unstemmed |
Support person interventions to increase use of quitline services among racially diverse low-income smokers: A pilot study |
title_sort |
support person interventions to increase use of quitline services among racially diverse low-income smokers: a pilot study |
publisher |
Elsevier |
series |
Addictive Behaviors Reports |
issn |
2352-8532 |
publishDate |
2019-06-01 |
description |
Introduction: Social support from nonsmokers may have a role in prompting smokers to use evidence-based cessation treatment. Prior studies found that an intervention for nonsmoking support persons (SPs) was effective for promoting smokers' use of free, state quitline services. This pilot study adapted and assessed feasibility of this intervention for a racially diverse, low-income population. Methods: Single group, non-randomized design enrolling SP-smoker dyads with low income status enrolled in one of three study “waves” of 10 pairs each. Participants were recruited using flyers and in-person outreach methods. The SP intervention included a 1-session coaching call and written materials; study waves 2 and 3 also included text messaging and a monetary incentive for smokers who used quitline services. Using content analysis, the intervention was iteratively adapted based on SP feedback. Baseline measures assessed socio-demographics, dyad and tobacco use characteristics. Follow-up assessments were conducted among SPs at 1-month follow-up and among smokers at 3-months follow-up. Feasibility indicators were recruitment, retention, and SP intervention acceptability and adherence. Secondary outcomes were smokers' use of any quitline service verified by quitline staff and 7-day, point prevalence, biochemically verified smoking abstinence at 3 months. Results: Recruitment of 30 dyads was feasible; in-person recruitment methods were the most successful. SPs who completed follow-up assessments found the intervention acceptable, suggesting only minor content modifications, and they perceived the quitline information as novel. But the study had some feasibility challenges (e.g., SP coaching call completion: 60% and SP study retention: 53%). At 3 months, 2 smokers (7%) had used any quitline service and 13% were biochemically confirmed smoking abstinent. Conclusions: This pilot study demonstrated feasibility of recruiting SP-smoker dyads from diverse, low-income communities. While the intervention was well received, its delivery was not feasible in this population. Results suggest that further consumer adaptation of the intervention is needed among both SPs and smokers. Keywords: Smoking, Social support, Low-income, Intervention, Treatment |
url |
http://www.sciencedirect.com/science/article/pii/S2352853218301834 |
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doaj-09f537bbef114c7593ab6e05b51392502020-11-24T22:04:02ZengElsevierAddictive Behaviors Reports2352-85322019-06-019Support person interventions to increase use of quitline services among racially diverse low-income smokers: A pilot studyChristi A. Patten0Steven Fu1Katrina Vickerman2Martha J. Bock3David Nelson4Shu-Hong Zhu5Joyce E. Balls-Berry6Alula Jimenez Torres7Tabetha A. Brockman8Christine A. Hughes9Abigail E. Klein10Miguel Valdez-Soto11Paula A. Keller12Department of Psychiatry and Psychology, Mayo Clinic, 200 First St SW, Rochester, MN 55905, United States; Corresponding author at: Mayo Clinic, 200 First St SW, Rochester, MN 55905, United States.Veterans Affairs HSR&D Center for Chronic Disease Outcomes Research, Minneapolis VA Health Care System, Mail code: 152, Bldg 9, One Veterans Drive, Minneapolis, MN 55417, United States; Department of Medicine, University of Minnesota, One Veterans Drive, Minneapolis, MN 55417, United StatesOptum Center for Wellbeing Research, Optum Health, 999 Third Ave, Seattle, WA 98104, United StatesDepartment of Psychiatry and Psychology, Mayo Clinic, 200 First St SW, Rochester, MN 55905, United StatesVeterans Affairs HSR&D Center for Chronic Disease Outcomes Research, Minneapolis VA Health Care System, Mail code: 152, Bldg 9, One Veterans Drive, Minneapolis, MN 55417, United States; Department of Medicine, University of Minnesota, One Veterans Drive, Minneapolis, MN 55417, United StatesUniversity of California San Diego, 9500 Gilman Drive #0905, La Jolla, CA 92093, United StatesCenter for Clinical and Translational Science Community Engagement Program, Mayo Clinic, 200 First St SW, Rochester, MN 55905, United StatesOptum Center for Wellbeing Research, Optum Health, 999 Third Ave, Seattle, WA 98104, United StatesDepartment of Psychiatry and Psychology, Mayo Clinic, 200 First St SW, Rochester, MN 55905, United States; Center for Clinical and Translational Science Community Engagement Program, Mayo Clinic, 200 First St SW, Rochester, MN 55905, United StatesDepartment of Psychiatry and Psychology, Mayo Clinic, 200 First St SW, Rochester, MN 55905, United StatesVeterans Affairs HSR&D Center for Chronic Disease Outcomes Research, Minneapolis VA Health Care System, Mail code: 152, Bldg 9, One Veterans Drive, Minneapolis, MN 55417, United States; Department of Medicine, University of Minnesota, One Veterans Drive, Minneapolis, MN 55417, United StatesCenter for Clinical and Translational Science Community Engagement Program, Mayo Clinic, 200 First St SW, Rochester, MN 55905, United StatesClearWay Minnesota℠, 8011 34th Ave S, Suite 400, Minneapolis, MN 55425, United StatesIntroduction: Social support from nonsmokers may have a role in prompting smokers to use evidence-based cessation treatment. Prior studies found that an intervention for nonsmoking support persons (SPs) was effective for promoting smokers' use of free, state quitline services. This pilot study adapted and assessed feasibility of this intervention for a racially diverse, low-income population. Methods: Single group, non-randomized design enrolling SP-smoker dyads with low income status enrolled in one of three study “waves” of 10 pairs each. Participants were recruited using flyers and in-person outreach methods. The SP intervention included a 1-session coaching call and written materials; study waves 2 and 3 also included text messaging and a monetary incentive for smokers who used quitline services. Using content analysis, the intervention was iteratively adapted based on SP feedback. Baseline measures assessed socio-demographics, dyad and tobacco use characteristics. Follow-up assessments were conducted among SPs at 1-month follow-up and among smokers at 3-months follow-up. Feasibility indicators were recruitment, retention, and SP intervention acceptability and adherence. Secondary outcomes were smokers' use of any quitline service verified by quitline staff and 7-day, point prevalence, biochemically verified smoking abstinence at 3 months. Results: Recruitment of 30 dyads was feasible; in-person recruitment methods were the most successful. SPs who completed follow-up assessments found the intervention acceptable, suggesting only minor content modifications, and they perceived the quitline information as novel. But the study had some feasibility challenges (e.g., SP coaching call completion: 60% and SP study retention: 53%). At 3 months, 2 smokers (7%) had used any quitline service and 13% were biochemically confirmed smoking abstinent. Conclusions: This pilot study demonstrated feasibility of recruiting SP-smoker dyads from diverse, low-income communities. While the intervention was well received, its delivery was not feasible in this population. Results suggest that further consumer adaptation of the intervention is needed among both SPs and smokers. Keywords: Smoking, Social support, Low-income, Intervention, Treatmenthttp://www.sciencedirect.com/science/article/pii/S2352853218301834 |