With approximately 9 million Americans passing through correctional institutions annually and an average daily population of over 2 million, there are multiple opportunities to address the smoking cessation needs of this high risk and underserved population.1 Tobacco use among prisoners is approximately three times that of the general population2 and minorities, poor, mentally ill and illicit substance using individuals are all overrepresented in correctional facilities. Since the announcement of the negative health consequences of second hand smoke, correctional facilities are increasingly becoming tobacco free. The Rhode Island Department of Corrections (RI DOC) has been tobacco free since February 2003 with no tobacco products allowed anywhere on grounds by inmates or staff. However the majority of inmates return to smoking as soon as they are released back into the community. Motivational Interviewing (MI) can be conceptualized and informed by the self-determination theory. 3. 4 MI utilizes specific techniques for providing feedback based on an individual's risk, and self efficacy. CBT provides the skills necessary to maintain abstinence after release.
We aim to capitalize on these periods of forced abstinence by modifying and evaluating an Intensive Behavioral Intervention (6 sessions of in jail MIICBT and two post release telephone booster sessions) compared to a CONcise Iapes Reviewing Obstacles to healthy biving (CONTROL) in a randomized clinical trial. We propose to randomly assign to Intensive ~ehavioral Intervention (lBI) or time equivalent CONTROL eight weeks before release from incarceration. Those randomized to IBI will receive two MI and four CBT sessions in prison and two booster telephone sessions after release. For this two year proposal we will limit follow-up to 12-weeks after release and censor follow-up for those who have relapsed to smoking.
Every year an increasing proportion of Americans are passing through jails and the majority are smokers. We aim to evaluate a behavioral intervention with this vulnerable population in order to decrease health disparities and capitalize on a period of forced abstinence.
| van den Berg, Jacob J; Adeyemo, Samuel; Roberts, Mary B et al. (2018) Comparing the Validity of Self-Report and Urinalysis for Substance Use among Former Inmates in the Northeastern United States. Subst Use Misuse 53:1756-1761 |
| Parker, Donna R; Roberts, Mary B; van den Berg, Jacob J et al. (2016) Exploration of Incarcerated Men's and Women's Attitudes of Smoking in the Presence of Children and Pregnant Women: Is There a Disparity Between Smoking Attitudes and Smoking Behavior? Nicotine Tob Res 18:919-25 |
| van den Berg, Jacob J; Bock, Beth C; Roberts, Mary B et al. (2016) Goals and Plans of Incarcerated Men Postrelease. J Correct Health Care 22:146-56 |
| van den Berg, Jacob J; Roberts, Mary B; Bock, Beth C et al. (2016) Changes in Depression and Stress after Release from a Tobacco-Free Prison in the United States. Int J Environ Res Public Health 13: |
| Lantini, Ryan; van den Berg, Jacob J; Roberts, Mary B et al. (2015) Characteristics of smoking used cigarettes among an incarcerated population. Psychol Addict Behav 29:254-8 |
| Clarke, Jennifer G; Martin, Stephen A; Martin, Rosemarie A et al. (2015) Changes in smoking-related symptoms during enforced abstinence of incarceration. J Health Care Poor Underserved 26:106-18 |
| Bernstein, Michael H; McSheffrey, Savannah N; van den Berg, Jacob J et al. (2015) The association between impulsivity and alcohol/drug use among prison inmates. Addict Behav 42:140-3 |
| Parker, Donna R; Fallone, Diandra; Martin, Rosemarie A et al. (2014) The relation between smoking status and medical conditions among incarcerated adults. J Addict Med 8:90-5 |
| van den Berg, Jacob J; Bock, Beth; Roberts, Mary B et al. (2014) Cigarette smoking as an expression of independence and freedom among inmates in a tobacco-free prison in the United States. Nicotine Tob Res 16:238-42 |
| Clarke, Jennifer G; Stein, L A R; Martin, Rosemarie A et al. (2013) Forced smoking abstinence: not enough for smoking cessation. JAMA Intern Med 173:789-94 |
