A Smoke-Free Home Intervention in Tribal Communities

Emory University

Status: Enrolling

Conditions: Tobacco-Related Carcinoma

Treatments: Other: Best Practice; Other: Survey Administration; Behavioral: Smoking Cessation Intervention

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT06583148

R01CA268024 (U.S. NIH Grant/Contract)

P30CA138292 (U.S. NIH Grant/Contract)

NCI-2024-06174 (Registry Identifier)

RSPH6261-24 (Other Identifier)

STUDY00006459 (Other Identifier)

Details and patient eligibility

About

This clinical trial evaluates a smoke-free home intervention for reducing exposure to secondhand smoke from commercial tobacco in homes of participants who live in rural tribal communities. Smoke-free homes are an innovative and relatively untapped strategy for cancer prevention in rural tribal communities. Smoke-free policies, including those that target homes, can reduce exposure to secondhand smoke and support smoking cessation. Rural and racial/ethnic inequities intersect to increase tobacco-related harms among Indigenous populations. A smoke-free home program may improve the health of the household as well as impact smoking behavior among the family unit by reducing secondhand smoke exposure.

Full description

PRIMARY OBJECTIVE:

I. To assess the effectiveness of a smoke-free homes intervention for tribal communities.

OUTLINE: Participants are randomized to 1 of 2 groups.

GROUP I: Participants receive the smoke-free home program, consisting of mailed educational information about smoke-free homes at enrollment and in weeks 4 and 6, and attend one coaching call in week 2.

GROUP II: Participants receive usual care on study. Participants may optionally receive the smoke-free home program following the 6 months follow-up.

After completion of study intervention, participants are followed up at 3 and 6 months.

Enrollment: 575 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• 18 years of age and older
• Self-report as being a smoker or living with a smoker
• Indicate that they do not reside in a smoke-free home
• Identify as living in an American Indian household

Exclusion criteria

• Children under the age of 18 will not be included

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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575 participants in 2 patient groups

Group I (smoke-free home program)

Experimental group

Description:

Participants receive the smoke-free home program, consisting of mailed educational information about smoke-free homes at enrollment and in weeks 4 and 6, and attend one coaching call in week 2.

Treatment:

Behavioral: Smoking Cessation Intervention

Other: Survey Administration

Group II (waitlist control)

Active Comparator group

Description:

Participants receive usual care on study. Participants may optionally receive the smoke-free home program following the 6 months follow-up.

Treatment:

Other: Survey Administration

Other: Best Practice