Grip&Health: Behavioural Intervention to Reduce Smoking, Stress and Improve Financial Health in Low-SES in Rotterdam

Erasmus University

Status: Unknown

Conditions: Smoking, Cigarette; Smoking, Tobacco; Health Behavior; Stress, Psychological; Smoking; Smoking Cessation; Stress

Treatments: Behavioral: Stress management program (SM); Behavioral: Stress management + Buddy program (SM-B)

Study type: Interventional

Funder types: Other

Identifiers

NCT03553979

FNO projectnr. 102291

Details and patient eligibility

About

Grip&Health: randomised trial which will examine the effect of theory-based multicomponent behavioural intervention for reducing stress, smoking and improving financial health and perceived health of low-SES residents in Rotterdam. Between January 2018 and July 2018, a total of 300 participants will be recruited and randomised either to a stress management program (SM), stress management with a buddy program (SM-B) or a control condition. The investigators hypothesise that compared to participants in the control condition, participants in the intervention arms will demonstrate reduced stress, reduced smoking and improved financial health and perceived health.

Enrollment: 300 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• perceive stress
• smoke
• poor financial health

Exclusion criteria

• follow other stress management course
• follow smoking cessation course
• receive help from debt services for their financial problems
• have health problems which hamper their ability to take part in the study

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Sequential Assignment

Masking: None (Open label)

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300 participants in 3 patient groups

Stress management program (SM)

Experimental group

Description:

The stress management program (SM) is a program which has been tailored to meet the specific needs of low-SES participants. The SM consists of 4-weekly sessions (1.5hours/session) and a follow-up session 8 weeks later. A core element of SM is its group-based format in which psycho-educative topics on stress responses and coping and motivation to stop smoking link up with cognitive and behavioural technique activities.

Treatment:

Behavioral: Stress management program (SM)

Stress management + Buddy program (SM-B)

Experimental group

Description:

The stress management + buddy program (SM-B) includes the same psycho-educative topics and exercises, cognitive and behavioural technique activities as the SM condition. The SM-B in addition to SM utilises one-to-one support through a buddy selected by a participant. A buddy, 18 year or older is a student or a volunteer who is recruited and trained by Indigo Rijnmond. The buddy pairs up with a participant and provides the following: supports participant in managing and filling in tax/welfare papers; 2) helps a participant to get a grip over his/her personal finances; and 3) helps a participant to overcome daily barriers (eg. arranging childcare). Over the duration of the course, the buddy meets up 6 times with a participant every second week in a public area.

Treatment:

Behavioral: Stress management + Buddy program (SM-B)

Control

No Intervention group

Description:

Participants in the control condition are instructed to continue with their normal daily behaviour. They will be invited to complete the questionnaires and objective measurements at the equivalent times as the intervention groups, thus at baseline, 4 weeks after baseline and 12 weeks after baseline. After the control period, participants in the control condition will be offered the intervention.