The burden of tobacco use falls disproportionately on low-income populations, through high rates of primary smoking and exposure to secondhand smoke. The remarkable progress in creating smoke-free environments in the U.S. over the past two decades has left smokers'homes as a significant source of exposure to secondhand smoke for both children and nonsmoking adults. Intervention research that identifies effective and practical strategies for reaching the minority of households that still allow smoking in the home has considerable potential to reduce exposure to secondhand smoke, but suitable channels to reach low-income families are limited. The proposed research will develop, evaluate and disseminate a brief smoke-free homes intervention through the established national infrastructure of 2-1-1 call centers. 2-1-1 is a nationally designated 3-digit telephone exchange, similar to 9-1-1 for emergencies or 4-1-1 for directory assistance, that links callers to community-based health and social services. Most 2-1-1 callers are low income. The proposed research has four specific aims: 1) Conduct formative research on intervention messages and materials for promoting smoke-free homes in low-income populations, applicable to both smokers and nonsmokers as household change agents;2) Conduct a randomized controlled trial in the Atlanta 2-1-1 service area to evaluate the efficacy of a brief intervention to create smoke-free homes among 2-1-1 callers;3) Conduct replication studies in Houston and North Carolina 2-1-1 systems to systematically test the intervention in varied populations and tobacco control climates;and 4) Disseminate the research tested smoke-free homes intervention through a national grants program to 2-1-1 systems and through the Tobacco Technical Assistance Consortium's linkages to the state and local tobacco control infrastructure in the U.S.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Research Project--Cooperative Agreements (U01)
Project #
5U01CA154282-02
Application #
8327771
Study Section
Special Emphasis Panel (ZCA1-SRLB-Y (O1))
Program Officer
Grant, Yvonne F
Project Start
2011-09-02
Project End
2016-07-31
Budget Start
2012-08-01
Budget End
2013-07-31
Support Year
2
Fiscal Year
2012
Total Cost
$1,324,856
Indirect Cost
$483,778
Name
Emory University
Department
Psychology
Type
Schools of Public Health
DUNS #
066469933
City
Atlanta
State
GA
Country
United States
Zip Code
30322
Mullen, Patricia Dolan; Savas, Lara S; Bundy, Łucja T et al. (2016) Minimal intervention delivered by 2-1-1 information and referral specialists promotes smoke-free homes among 2-1-1 callers: a Texas generalisation trial. Tob Control 25:i10-i18
Kegler, Michelle C; Haardörfer, Regine; Bundy, Lucja T et al. (2016) Do partial home smoking bans signal progress toward a smoke-free home? Health Educ Res 31:24-35
Kruger, Judy; Jama, Amal; Kegler, Michelle et al. (2016) National and State-Specific Attitudes toward Smoke-Free Parks among U.S. Adults. Int J Environ Res Public Health 13:
Kegler, Michelle C; HaardÓ§rfer, Regine; Berg, Carla et al. (2016) Challenges in Enforcing Home Smoking Rules in a Low-Income Population: Implications for Measurement and Intervention Design. Nicotine Tob Res 18:976-81
Escoffery, Cam; Bundy, Lujca; Haardoerfer, Regine et al. (2016) A process evaluation of an intervention to promote home smoking bans among low income households. Eval Program Plann 55:120-5
Kruger, Judy; Patel, Roshni; Kegler, Michelle et al. (2016) Perceptions of harm from secondhand smoke exposure among U.S. adults, 2009-2010. Tob Induc Dis 14:3
Kruger, Judy; Jama, Amal; Kegler, Michelle et al. (2016) Smoke-Free Rules and Secondhand Smoke Exposure in Vehicles among U.S. Adults-National Adult Tobacco Survey, 2009-2010 and 2013-2014. Int J Environ Res Public Health 13:
Berg, Carla J; Haardoerfer, Regine; Escoffery, Cam et al. (2015) Cigarette users' interest in using or switching to electronic nicotine delivery systems for smokeless tobacco for harm reduction, cessation, or novelty: a cross-sectional survey of US adults. Nicotine Tob Res 17:245-55
Berg, Carla J; Zheng, Pinpin; Kegler, Michelle C (2015) Perceived benefits of smoke-free homes, the process of establishing them, and enforcement challenges in Shanghai, China: a qualitative study. BMC Public Health 15:89
Berg, Carla J; Ribisl, Kurt M; Thrasher, James F et al. (2015) Reactions to Cigarette Taxes and Related Messaging: Is the South Different? Am J Health Behav 39:721-31

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