RCT of a client-centred, caseworker-delivered smoking cessation intervention for a socially disadvantaged population
Open Access
- 31 January 2011
- journal article
- research article
- Published by Springer Science and Business Media LLC in BMC Public Health
- Vol. 11 (1), 70
- https://doi.org/10.1186/1471-2458-11-70
Abstract
Disadvantaged groups are an important target for smoking cessation intervention. Smoking rates are markedly higher among severely socially disadvantaged groups such as indigenous people, the homeless, people with a mental illness or drug and alcohol addiction, and the unemployed than in the general population. This proposal aims to evaluate the efficacy of a client-centred, caseworker delivered cessation support intervention at increasing validated self reported smoking cessation rates in a socially disadvantaged population. A block randomised controlled trial will be conducted. The setting will be a non-government organisation, Community Care Centre located in New South Wales, Australia which provides emergency relief and counselling services to predominantly government income assistance recipients. Eligible clients identified as smokers during a baseline touch screen computer survey will be recruited and randomised by a trained research assistant located in the waiting area. Allocation to intervention or control groups will be determined by time periods with clients randomised in one-week blocks. Intervention group clients will receive an intensive client-centred smoking cessation intervention offered by the caseworker over two face-to-face and two telephone contacts. There will be two primary outcome measures obtained at one, six, and 12 month follow-up: 1) 24-hour expired air CO validated self-reported smoking cessation and 2) 7-day self-reported smoking cessation. Continuous abstinence will also be measured at six and 12 months follow up. This study will generate new knowledge in an area where the current information regarding the most effective smoking cessation approaches with disadvantaged groups is limited. ISRCTN: ISRCTN85202510This publication has 44 references indexed in Scilit:
- The validity and reliability of an interactive computer tobacco and alcohol use survey in general practiceAddictive Behaviors, 2010
- Reliability of Internet- Versus Telephone-Administered Questionnaires in a Diverse Sample of SmokersJournal of Medical Internet Research, 2008
- Screening for Depression in Medical Settings with the Patient Health Questionnaire (PHQ): A Diagnostic Meta-AnalysisJournal of General Internal Medicine, 2007
- Antismoking television advertising and socioeconomic variations in calls to QuitlineJournal of Epidemiology and Community Health, 2007
- Defining and Assessing Nicotine Dependence in HumansPublished by Wiley ,2006
- “Catastrophic” pathways to smoking cessation: findings from national surveyBMJ, 2006
- Socioeconomic status and smokingEuropean Journal of Public Health, 2005
- Measures of abstinence in clinical trials: issues and recommendationsNicotine & Tobacco Research, 2003
- Smoking Cessation in a Homeless PopulationJournal of General Internal Medicine, 2002
- Health Inequalities: Prevalence and socio‐economic correlates of smoking among lone mothers in AustraliaAustralian and New Zealand Journal of Public Health, 2002