The purpose of this application for a 5-year Mentored Patient-Oriented Research Career Development Award (K23) on smoking among incarcerated females is to conduct research and training activities to advance the candidate's development as an independent clinical researcher. This includes formal classwork pertaining to research design, biostatistics, and ethics along with conference attendance and meetings with mentors. The proposed research plan includes two studies that build upon each other in the area of smoking among female prisoners. The first study is cross-sectional and is designed to investigate the smoking behavior of incarcerated females. In addition, this study will examine differences between smokers, ex-smokers, and non-smokers on measures of substance abuse and personality, with consideration to other key covariables such as criminal history, medical problems, readiness to change, and Axis I pathology as possibly differentiating between the three groups. The second study will be a clinical trial using Hall et al.'s (1994) Mood Management group smoking cessation intervention combined with nicotine patch (or no patch). The intervention group will be compared to a wait-list control group who will receive the treatment six months later. It is expected that women who successfully complete the intervention will have higher smoking cessation rates than wait-list controls. Further, it is hypothesized that women with substance abuse and psychiatric comorbidity will have poorer outcomes than those without comorbidity. These projects should add significant information to the literature which is currently devoid of research related to smoking and female prisoners. This is particularly relevant now as it has been shown that women may have more difficulty with quitting smoking than men and may also have additional concerns related to smoking (e.g., smoking as weight management) that influence their success. Testing effective smoking cessation interventions with this underserved and understudied population is urgently needed as the medical costs associated with treating prisoners currently accounts for 11% of the Department of Corrections' budget and is expected to double over the next 10 years. Overall, these projects will provide experiences necessary for the candidate to develop an independent research program focusing on effective smoking interventions for incarcerated individuals.

Agency
National Institute of Health (NIH)
Institute
National Institute on Drug Abuse (NIDA)
Type
Mentored Patient-Oriented Research Career Development Award (K23)
Project #
5K23DA015774-04
Application #
6928422
Study Section
Human Development Research Subcommittee (NIDA)
Program Officer
Grossman, Debra
Project Start
2002-09-30
Project End
2007-08-31
Budget Start
2005-09-01
Budget End
2006-08-31
Support Year
4
Fiscal Year
2005
Total Cost
$139,147
Indirect Cost
Name
Virginia Commonwealth University
Department
Psychiatry
Type
Schools of Medicine
DUNS #
105300446
City
Richmond
State
VA
Country
United States
Zip Code
23298
Berg, Carla J; Ahluwalia, Jasjit S; Cropsey, Karen (2013) Predictors of adherence to behavioral counseling and medication among female prisoners enrolled in a smoking cessation trial. J Correct Health Care 19:236-47
Cropsey, Karen L; Jackson, Dorothy O; Hale, Galen J et al. (2011) Impact of self-initiated pre-quit smoking reduction on cessation rates: results of a clinical trial of smoking cessation among female prisoners. Addict Behav 36:73-8
Egleston, Brian L; Cropsey, Karen L; Lazev, Amy B et al. (2010) A tutorial on principal stratification-based sensitivity analysis: application to smoking cessation studies. Clin Trials 7:286-98
Cropsey, Karen L; Weaver, Michael F; Eldridge, Gloria D et al. (2009) Differential success rates in racial groups: results of a clinical trial of smoking cessation among female prisoners. Nicotine Tob Res 11:690-7
Ingersoll, Karen S; Cropsey, Karen L; Heckman, Carolyn J (2009) A test of motivational plus nicotine replacement interventions for HIV positive smokers. AIDS Behav 13:545-54
Cropsey, Karen; Eldridge, Gloria; Weaver, Michael et al. (2008) Smoking cessation intervention for female prisoners: addressing an urgent public health need. Am J Public Health 98:1894-901
Cropsey, Karen L; Linker, Julie A; Waite, Dennis E (2008) An analysis of racial and sex differences for smoking among adolescents in a juvenile correctional center. Drug Alcohol Depend 92:156-63
Weaver, Michael F; Dupre, Madeleine A; Cropsey, Karen L et al. (2007) Addiction epidemiology in adolescents receiving inpatient psychiatric treatment. Addict Behav 32:3107-13
Ingersoll, K S; Van Zyl, C; Cropsey, K L (2006) Publishing HIV/AIDS behavioural science reports: An author's guide. AIDS Care 18:674-80
Cropsey, Karen L; Eldridge, Gloria D; Weaver, Michael F et al. (2006) Expired carbon monoxide levels in self-reported smokers and nonsmokers in prison. Nicotine Tob Res 8:653-9

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