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Tobacco use behaviors and views on engaging in clinical trials for tobacco cessation among individuals who experience homelessness

BACKGROUND: Clinical trials that include contingency management for smoking cessation have shown promising results for short-term quitting, but none have explored this approach for long-term abstinence in people experiencing homelessness. We designed a clinical trial of an extended contingency manag...

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Autores principales: Miller, Joshua, Cuby, Jordan, Hall, Sharon M., Stitzer, Maxine, Kushel, Margot, Appiah, Donna, Vijayaraghavan, Maya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9958417/
https://www.ncbi.nlm.nih.gov/pubmed/36852099
http://dx.doi.org/10.1016/j.conctc.2023.101094
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author Miller, Joshua
Cuby, Jordan
Hall, Sharon M.
Stitzer, Maxine
Kushel, Margot
Appiah, Donna
Vijayaraghavan, Maya
author_facet Miller, Joshua
Cuby, Jordan
Hall, Sharon M.
Stitzer, Maxine
Kushel, Margot
Appiah, Donna
Vijayaraghavan, Maya
author_sort Miller, Joshua
collection PubMed
description BACKGROUND: Clinical trials that include contingency management for smoking cessation have shown promising results for short-term quitting, but none have explored this approach for long-term abstinence in people experiencing homelessness. We designed a clinical trial of an extended contingency management intervention for smoking cessation for people experiencing homelessness. This study has two aims: (1) to explore tobacco use behaviors, and views toward smoking cessation, and (2) to explore factors influencing acceptability of engaging in such a trial in a sample of adult smokers experiencing homelessness. METHODS: We administered a questionnaire to obtain information on tobacco use behaviors and conducted in-depth, semi-structured interviews with 26 patients who had experienced homelessness and were patients at a safety net health clinic in San Francisco, California, where we planned to pilot the intervention. We obtained information on triggers for tobacco use, prior cessation experiences, attitudes toward cessation, attitudes toward engaging in a clinical trial for cessation, and factors that might influence participation in our proposed contingency management clinical trial. We analyzed transcripts using content analysis. RESULTS: Participants described the normative experiences of smoking, co-occurring substance use, and the use of tobacco to relieve stress as barriers to quitting. Despite these barriers, most participants had attempted to quit smoking and most were interested in engaging in a clinical trial as a method to quit smoking. Participants noted that desirable features of the trial include: receiving financial incentives to quit smoking, having a flexible visit schedule, having the study site be easily accessible, and having navigators with lived experiences of homelessness. CONCLUSION: A patient-centric clinical trial design that includes incentives, flexible visits and navigators from the community may increase feasibility of engaging in clinical trials among individuals experiencing homelessness.
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spelling pubmed-99584172023-02-26 Tobacco use behaviors and views on engaging in clinical trials for tobacco cessation among individuals who experience homelessness Miller, Joshua Cuby, Jordan Hall, Sharon M. Stitzer, Maxine Kushel, Margot Appiah, Donna Vijayaraghavan, Maya Contemp Clin Trials Commun Article BACKGROUND: Clinical trials that include contingency management for smoking cessation have shown promising results for short-term quitting, but none have explored this approach for long-term abstinence in people experiencing homelessness. We designed a clinical trial of an extended contingency management intervention for smoking cessation for people experiencing homelessness. This study has two aims: (1) to explore tobacco use behaviors, and views toward smoking cessation, and (2) to explore factors influencing acceptability of engaging in such a trial in a sample of adult smokers experiencing homelessness. METHODS: We administered a questionnaire to obtain information on tobacco use behaviors and conducted in-depth, semi-structured interviews with 26 patients who had experienced homelessness and were patients at a safety net health clinic in San Francisco, California, where we planned to pilot the intervention. We obtained information on triggers for tobacco use, prior cessation experiences, attitudes toward cessation, attitudes toward engaging in a clinical trial for cessation, and factors that might influence participation in our proposed contingency management clinical trial. We analyzed transcripts using content analysis. RESULTS: Participants described the normative experiences of smoking, co-occurring substance use, and the use of tobacco to relieve stress as barriers to quitting. Despite these barriers, most participants had attempted to quit smoking and most were interested in engaging in a clinical trial as a method to quit smoking. Participants noted that desirable features of the trial include: receiving financial incentives to quit smoking, having a flexible visit schedule, having the study site be easily accessible, and having navigators with lived experiences of homelessness. CONCLUSION: A patient-centric clinical trial design that includes incentives, flexible visits and navigators from the community may increase feasibility of engaging in clinical trials among individuals experiencing homelessness. Elsevier 2023-02-19 /pmc/articles/PMC9958417/ /pubmed/36852099 http://dx.doi.org/10.1016/j.conctc.2023.101094 Text en © 2023 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Miller, Joshua
Cuby, Jordan
Hall, Sharon M.
Stitzer, Maxine
Kushel, Margot
Appiah, Donna
Vijayaraghavan, Maya
Tobacco use behaviors and views on engaging in clinical trials for tobacco cessation among individuals who experience homelessness
title Tobacco use behaviors and views on engaging in clinical trials for tobacco cessation among individuals who experience homelessness
title_full Tobacco use behaviors and views on engaging in clinical trials for tobacco cessation among individuals who experience homelessness
title_fullStr Tobacco use behaviors and views on engaging in clinical trials for tobacco cessation among individuals who experience homelessness
title_full_unstemmed Tobacco use behaviors and views on engaging in clinical trials for tobacco cessation among individuals who experience homelessness
title_short Tobacco use behaviors and views on engaging in clinical trials for tobacco cessation among individuals who experience homelessness
title_sort tobacco use behaviors and views on engaging in clinical trials for tobacco cessation among individuals who experience homelessness
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9958417/
https://www.ncbi.nlm.nih.gov/pubmed/36852099
http://dx.doi.org/10.1016/j.conctc.2023.101094
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