University of California, San Francisco
Comprehensive smoke-free policies have the potential to substantially reduce tobacco-related disparities among populations in subsidized housing. This study fills this gap by identifying approaches to increase the implementation of smoke-free policies in all types of subsidized housing by increasing the voluntary adoption of smoke-free homes and promoting access to smoking cessation services.
OBJECTIVES: The investigators will build on previous studies, where a smoke-free home intervention to increase voluntary adoption of smoke-free homes in permanent supportive housing for formerly homeless adults was developed and evaluated. Aim 1: To estimate the effect of our adapted smoke-free home intervention on the primary outcome of residents' voluntary adoption of smoke-free homes and the secondary outcome of biochemically-verified tobacco abstinence at 6-months follow-up. Aim 2: To determine the cost of our adapted smoke-free home intervention and determine whether it is a cost-effec…
Inclusion Criteria: Eligible resident participants * Current smokers defined as: * Smoked at least 100 cigarettes in lifetime * Smoked daily in the past 7 days, and at least 5 cigarettes per day, verified by expired CO ≥ 5 parts per million \[ppm\] Smokerlyzer CO+ monitor), * Smoke in their home * Expect to live in the subsidized housing site for at least 12 months * Age ≥ 18 years * Speak Chinese (Cantonese or Mandarin), English, Spanish, or Vietnamese * Able to provide informed consent. Exclusion Criteria: * Contraindication to any study-related procedures or assessment
Study staff delivered intervention on how to adopt a smoke free home using a pamphlet
Brief tobacco cessation coaching by lay health worker housing staff with residents within 2 weeks of the smoke-free home resident intervention, and on a monthly schedule as part of their routine encounters with residents (total 6 sessions).
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