Smoking remains the leading preventable cause of death in the United States (US), and is a well established cause of lung cancer. Although smoking rates have declined over the past several decades, there remain substantial disparities in smoking . Importantly, low socioeconomic status (SES) and minority smokers have a more difficult time quitting for a variety of reasons including more limited access to treatment, misinformation about the risks and benefits of treatment options, more environmental exposure, lack of social support, and other life stressors. While the majority of smokers visit a primary care physicain each year, busy clinicians frequently do not address tobacco use during a visit. Minority and low SES smokers are more likely than whites to report that they did not receive counseling or treatment during a visit. For these reasons it is important to offer systematic opportunities for tobacco treatment beyond the provider's office. Interactive Voice Response (IVR) is a phone technology that allows a computer to detect voice responses during a normal phone call. This technology offers a low-cost, efficient way to proactively reach out to large populations, independent of a visit. The objectives of this project are to develop and evaluate a multi-level approach to tobacco treatment for low-SES and minority patients. The components include: (1) IVR-facilitated systematic outreach, linkage to a tobacco treatment specialist, and free nicotine replacement therapy directed at the patient, and integration of this program with both (2) an individual's primary care physician through an electronic health record (EHR) with integrated tobacco-related decision support, and (3) referral to tailored community resources to address the socio-contextual barriers to tobacco cessation. We therefore propose the following Specific Aims:
Specific Aim 1 : To develop an EHR-linked, IVR-mediated tailored tobacco treatment program for low-SES and minority smokers.
Specific Aim 2 : To measure the effectiveness of this tailored treatment program by conducting a randomized controlled trial of low SES and minority smokers in the Partners Primary Care Practice Based Research Network. The primary outcome of this trial will be the 7-day abstinence rate at 6 months.
Specific Aim 3 : To evaluate facilitators and barriers to the reach, adoption, and implementation of this tailored tobacco treatment program.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Specialized Center (P50)
Project #
5P50CA148596-04
Application #
8495094
Study Section
Special Emphasis Panel (ZCA1-SRLB-3)
Project Start
Project End
Budget Start
2013-05-01
Budget End
2014-04-30
Support Year
4
Fiscal Year
2013
Total Cost
$199,891
Indirect Cost
$30,407
Name
Harvard University
Department
Type
DUNS #
149617367
City
Boston
State
MA
Country
United States
Zip Code
02115
Hohl, Sarah D; Thompson, Beti; Krok-Schoen, Jessica L et al. (2016) Characterizing Community Health Workers on Research Teams: Results From the Centers for Population Health and Health Disparities. Am J Public Health 106:664-70
Nagler, Rebekah H; Bigman, Cabral A; Ramanadhan, Shoba et al. (2016) Prevalence and Framing of Health Disparities in Local Print News: Implications for Multilevel Interventions to Address Cancer Inequalities. Cancer Epidemiol Biomarkers Prev 25:603-12
Ramanadhan, Shoba; Nagler, Rebekah H; McCauley, Michael P et al. (2016) Much Ventured, Much Gained: Community-Engaged Data Collection by Adolescents and Young Adults. Prog Community Health Partnersh 10:217-24
Williams, David R; Priest, Naomi; Anderson, Norman B (2016) Understanding associations among race, socioeconomic status, and health: Patterns and prospects. Health Psychol 35:407-11
Smith, Caren E; Fullerton, Stephanie M; Dookeran, Keith A et al. (2016) Using Genetic Technologies To Reduce, Rather Than Widen, Health Disparities. Health Aff (Millwood) 35:1367-73
Valeri, Linda; Chen, Jarvis T; Garcia-Albeniz, Xabier et al. (2016) The Role of Stage at Diagnosis in Colorectal Cancer Black-White Survival Disparities: A Counterfactual Causal Inference Approach. Cancer Epidemiol Biomarkers Prev 25:83-9
Golden, Sherita Hill; Ferketich, Amy; Boyington, Josephine et al. (2015) Transdisciplinary cardiovascular and cancer health disparities training: experiences of the centers for population health and health disparities. Am J Public Health 105 Suppl 3:S395-402
Bailey, Zinzi D; Williams, David R; Kawachi, Ichiro et al. (2015) Incarceration and adult weight gain in the National Survey of American Life (NSAL). Prev Med 81:380-6
McCauley, M P; Ramanadhan, S; Viswanath, K (2015) Assessing opinions in community leadership networks to address health inequalities: a case study from Project IMPACT. Health Educ Res 30:866-81
Bailey, Zinzi D; Slopen, Natalie; Albert, Michelle et al. (2015) Multidimensional religious involvement and tobacco smoking patterns over 9-10 years: A prospective study of middle-aged adults in the United States. Soc Sci Med 138:128-35

Showing the most recent 10 out of 35 publications