Implementing a Novel Workplace Smoking Cessation Intervention Targeting Hispanic/Latino Construction Workers: A Pilot Cluster Randomized Trial
Background U.S. Hispanic/Latino construction workers constitute a large and historically underserved group in terms of smoking cessation services. Using formative research, we developed a worksite smoking cessation intervention tailored to the life/work circumstances of these workers. Aims This stud...
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| Veröffentlicht in: | Health education & behavior 2021-12, Vol.48 (6), p.795-804 |
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| creator | Asfar, Taghrid Arheart, Kristopher L. McClure, Laura A. Ruano-Herreria, Estefania C. Dietz, Noella A. Ward, Kenneth D. Caban-Martinez, Alberto J. Samano Martin Del Campo, Daniel Lee, David J. |
| description | Background
U.S. Hispanic/Latino construction workers constitute a large and historically underserved group in terms of smoking cessation services. Using formative research, we developed a worksite smoking cessation intervention tailored to the life/work circumstances of these workers.
Aims
This study aims to examine the feasibility, acceptability, and potential efficacy of the developed intervention “Enhanced Care” (EC; one group behavioral counseling session provided around the food truck + fax referral to tobacco quitline [QL] + 8-week nicotine replacement treatment [NRT]) compared with “Standard Care” (SC; fax referral to tobacco QL + 8-week NRT) in a pilot, two-arm, cluster randomized controlled trial.
Method
In collaboration with construction site safety managers, a sample of 17 construction sites (EC: nine sites/65 smokers; SC: eight sites/69 smokers) was enrolled. Participants received two follow-ups at 3 and 6 months after enrollment. Feasibility outcomes were enrollment rate, adherence to treatment, and 6-month retention rates. The primary efficacy outcome was 6 months prolonged abstinence verified by expired carbon monoxide |
| doi_str_mv | 10.1177/1090198120960395 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2451849445</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><ericid>EJ1317258</ericid><sage_id>10.1177_1090198120960395</sage_id><sourcerecordid>2595940914</sourcerecordid><originalsourceid>FETCH-LOGICAL-c364t-a31912fa6569652d6e6d8e6ad6c41d5f6554f28fdae39d5cb44893bd30c559333</originalsourceid><addsrcrecordid>eNp1kU1rFTEUhgexYK3u3QgBN27G5vtO3JWh2isXK3pLl0OanLmkzSRjMlOwP6K_2UxvsVBwlYTned8TOFX1juBPhKxWxwQrTFRDKFYSMyVeVIdECFpLQlcvy73geuGvqtc5X2OMpcLisLpfD6OHAcLkwg5p9D3egkeXMd2MXhtAv4Z4s5AWctaTiwGtwwTpdgmUx1anHTxEz1wedXDmeFO0EFEbQ57SbB60pQ9S_oxO0A_n44RaP-dSg37qYOPg7sCibXLav6kOeu0zvH08j6qLL6fb9qzenH9dtyeb2jDJp1ozogjttRRSSUGtBGkbkNpKw4kVvRSC97TprQamrDBXnDeKXVmGjRCKMXZUfdz3jin-niFP3eCyAe91gDjnjnJBGq44F0X98Ey9jnMK5XcdFUoojhXhxcJ7y6SYc4K-G5MbdPrTEdwtC-qeL6hE3u8jkJz5p59-I4ysqGgKr_c86x08Df1v31-2YZrT</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2595940914</pqid></control><display><type>article</type><title>Implementing a Novel Workplace Smoking Cessation Intervention Targeting Hispanic/Latino Construction Workers: A Pilot Cluster Randomized Trial</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>SAGE Complete</source><source>Alma/SFX Local Collection</source><creator>Asfar, Taghrid ; Arheart, Kristopher L. ; McClure, Laura A. ; Ruano-Herreria, Estefania C. ; Dietz, Noella A. ; Ward, Kenneth D. ; Caban-Martinez, Alberto J. ; Samano Martin Del Campo, Daniel ; Lee, David J.</creator><creatorcontrib>Asfar, Taghrid ; Arheart, Kristopher L. ; McClure, Laura A. ; Ruano-Herreria, Estefania C. ; Dietz, Noella A. ; Ward, Kenneth D. ; Caban-Martinez, Alberto J. ; Samano Martin Del Campo, Daniel ; Lee, David J.</creatorcontrib><description>Background
U.S. Hispanic/Latino construction workers constitute a large and historically underserved group in terms of smoking cessation services. Using formative research, we developed a worksite smoking cessation intervention tailored to the life/work circumstances of these workers.
Aims
This study aims to examine the feasibility, acceptability, and potential efficacy of the developed intervention “Enhanced Care” (EC; one group behavioral counseling session provided around the food truck + fax referral to tobacco quitline [QL] + 8-week nicotine replacement treatment [NRT]) compared with “Standard Care” (SC; fax referral to tobacco QL + 8-week NRT) in a pilot, two-arm, cluster randomized controlled trial.
Method
In collaboration with construction site safety managers, a sample of 17 construction sites (EC: nine sites/65 smokers; SC: eight sites/69 smokers) was enrolled. Participants received two follow-ups at 3 and 6 months after enrollment. Feasibility outcomes were enrollment rate, adherence to treatment, and 6-month retention rates. The primary efficacy outcome was 6 months prolonged abstinence verified by expired carbon monoxide <10 ppm.
Results
Enrollment rate was high (85.9%). Six-month follow-up rates were acceptable (EC = 76.9%, SC = 66.6%). Adherence to treatment was better in the EC group (received worksite intervention: EC = 93.8%, SC = 88.4%; contacted by QL: EC = 49.2%, SC = 40.6%). Abstinence rates were 27.7% for the EC and 20.3% for the SC (p = .315).
Discussion
The developed intervention was feasible and acceptable, and it substantially improved abstinence among Hispanic/Latino workers. The involvement of safety managers was essential to the implementation of the intervention. Training safety managers to deliver the intervention has great potential to implement a sustainable smoking cessation service in the construction sector.</description><identifier>ISSN: 1090-1981</identifier><identifier>EISSN: 1552-6127</identifier><identifier>DOI: 10.1177/1090198120960395</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Abstinence ; Acceptability ; Behavior Modification ; Carbon monoxide ; Cigarette smoking ; Clinical trials ; Clusters ; Construction ; Construction Industry ; Construction sites ; Drug addiction ; Efficacy ; Employees ; Enrollment Rate ; Facsimile communication ; Feasibility ; Group Counseling ; Health Behavior ; Health Promotion ; Hispanic Americans ; Intervention ; Latin American cultural groups ; Males ; Nicotine ; Nicotine replacement therapy ; Outcomes of Treatment ; Program Effectiveness ; Randomized Controlled Trials ; Referral ; Safety ; Safety management ; Smoking ; Smoking cessation ; Tobacco ; Underserved populations ; Work Environment ; Workers ; Workplaces</subject><ispartof>Health education & behavior, 2021-12, Vol.48 (6), p.795-804</ispartof><rights>2020 Society for Public Health Education</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c364t-a31912fa6569652d6e6d8e6ad6c41d5f6554f28fdae39d5cb44893bd30c559333</citedby><cites>FETCH-LOGICAL-c364t-a31912fa6569652d6e6d8e6ad6c41d5f6554f28fdae39d5cb44893bd30c559333</cites><orcidid>0000-0003-1133-9723 ; 0000-0003-0670-2647</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1090198120960395$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1090198120960395$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21798,27901,27902,30976,43597,43598</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ1317258$$DView record in ERIC$$Hfree_for_read</backlink></links><search><creatorcontrib>Asfar, Taghrid</creatorcontrib><creatorcontrib>Arheart, Kristopher L.</creatorcontrib><creatorcontrib>McClure, Laura A.</creatorcontrib><creatorcontrib>Ruano-Herreria, Estefania C.</creatorcontrib><creatorcontrib>Dietz, Noella A.</creatorcontrib><creatorcontrib>Ward, Kenneth D.</creatorcontrib><creatorcontrib>Caban-Martinez, Alberto J.</creatorcontrib><creatorcontrib>Samano Martin Del Campo, Daniel</creatorcontrib><creatorcontrib>Lee, David J.</creatorcontrib><title>Implementing a Novel Workplace Smoking Cessation Intervention Targeting Hispanic/Latino Construction Workers: A Pilot Cluster Randomized Trial</title><title>Health education & behavior</title><addtitle>Health Educ Behav</addtitle><description>Background
U.S. Hispanic/Latino construction workers constitute a large and historically underserved group in terms of smoking cessation services. Using formative research, we developed a worksite smoking cessation intervention tailored to the life/work circumstances of these workers.
Aims
This study aims to examine the feasibility, acceptability, and potential efficacy of the developed intervention “Enhanced Care” (EC; one group behavioral counseling session provided around the food truck + fax referral to tobacco quitline [QL] + 8-week nicotine replacement treatment [NRT]) compared with “Standard Care” (SC; fax referral to tobacco QL + 8-week NRT) in a pilot, two-arm, cluster randomized controlled trial.
Method
In collaboration with construction site safety managers, a sample of 17 construction sites (EC: nine sites/65 smokers; SC: eight sites/69 smokers) was enrolled. Participants received two follow-ups at 3 and 6 months after enrollment. Feasibility outcomes were enrollment rate, adherence to treatment, and 6-month retention rates. The primary efficacy outcome was 6 months prolonged abstinence verified by expired carbon monoxide <10 ppm.
Results
Enrollment rate was high (85.9%). Six-month follow-up rates were acceptable (EC = 76.9%, SC = 66.6%). Adherence to treatment was better in the EC group (received worksite intervention: EC = 93.8%, SC = 88.4%; contacted by QL: EC = 49.2%, SC = 40.6%). Abstinence rates were 27.7% for the EC and 20.3% for the SC (p = .315).
Discussion
The developed intervention was feasible and acceptable, and it substantially improved abstinence among Hispanic/Latino workers. The involvement of safety managers was essential to the implementation of the intervention. Training safety managers to deliver the intervention has great potential to implement a sustainable smoking cessation service in the construction sector.</description><subject>Abstinence</subject><subject>Acceptability</subject><subject>Behavior Modification</subject><subject>Carbon monoxide</subject><subject>Cigarette smoking</subject><subject>Clinical trials</subject><subject>Clusters</subject><subject>Construction</subject><subject>Construction Industry</subject><subject>Construction sites</subject><subject>Drug addiction</subject><subject>Efficacy</subject><subject>Employees</subject><subject>Enrollment Rate</subject><subject>Facsimile communication</subject><subject>Feasibility</subject><subject>Group Counseling</subject><subject>Health Behavior</subject><subject>Health Promotion</subject><subject>Hispanic Americans</subject><subject>Intervention</subject><subject>Latin American cultural groups</subject><subject>Males</subject><subject>Nicotine</subject><subject>Nicotine replacement therapy</subject><subject>Outcomes of Treatment</subject><subject>Program Effectiveness</subject><subject>Randomized Controlled Trials</subject><subject>Referral</subject><subject>Safety</subject><subject>Safety management</subject><subject>Smoking</subject><subject>Smoking cessation</subject><subject>Tobacco</subject><subject>Underserved populations</subject><subject>Work Environment</subject><subject>Workers</subject><subject>Workplaces</subject><issn>1090-1981</issn><issn>1552-6127</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNp1kU1rFTEUhgexYK3u3QgBN27G5vtO3JWh2isXK3pLl0OanLmkzSRjMlOwP6K_2UxvsVBwlYTned8TOFX1juBPhKxWxwQrTFRDKFYSMyVeVIdECFpLQlcvy73geuGvqtc5X2OMpcLisLpfD6OHAcLkwg5p9D3egkeXMd2MXhtAv4Z4s5AWctaTiwGtwwTpdgmUx1anHTxEz1wedXDmeFO0EFEbQ57SbB60pQ9S_oxO0A_n44RaP-dSg37qYOPg7sCibXLav6kOeu0zvH08j6qLL6fb9qzenH9dtyeb2jDJp1ozogjttRRSSUGtBGkbkNpKw4kVvRSC97TprQamrDBXnDeKXVmGjRCKMXZUfdz3jin-niFP3eCyAe91gDjnjnJBGq44F0X98Ey9jnMK5XcdFUoojhXhxcJ7y6SYc4K-G5MbdPrTEdwtC-qeL6hE3u8jkJz5p59-I4ysqGgKr_c86x08Df1v31-2YZrT</recordid><startdate>202112</startdate><enddate>202112</enddate><creator>Asfar, Taghrid</creator><creator>Arheart, Kristopher L.</creator><creator>McClure, Laura A.</creator><creator>Ruano-Herreria, Estefania C.</creator><creator>Dietz, Noella A.</creator><creator>Ward, Kenneth D.</creator><creator>Caban-Martinez, Alberto J.</creator><creator>Samano Martin Del Campo, Daniel</creator><creator>Lee, David J.</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1133-9723</orcidid><orcidid>https://orcid.org/0000-0003-0670-2647</orcidid></search><sort><creationdate>202112</creationdate><title>Implementing a Novel Workplace Smoking Cessation Intervention Targeting Hispanic/Latino Construction Workers: A Pilot Cluster Randomized Trial</title><author>Asfar, Taghrid ; Arheart, Kristopher L. ; McClure, Laura A. ; Ruano-Herreria, Estefania C. ; Dietz, Noella A. ; Ward, Kenneth D. ; Caban-Martinez, Alberto J. ; Samano Martin Del Campo, Daniel ; Lee, David J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c364t-a31912fa6569652d6e6d8e6ad6c41d5f6554f28fdae39d5cb44893bd30c559333</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Abstinence</topic><topic>Acceptability</topic><topic>Behavior Modification</topic><topic>Carbon monoxide</topic><topic>Cigarette smoking</topic><topic>Clinical trials</topic><topic>Clusters</topic><topic>Construction</topic><topic>Construction Industry</topic><topic>Construction sites</topic><topic>Drug addiction</topic><topic>Efficacy</topic><topic>Employees</topic><topic>Enrollment Rate</topic><topic>Facsimile communication</topic><topic>Feasibility</topic><topic>Group Counseling</topic><topic>Health Behavior</topic><topic>Health Promotion</topic><topic>Hispanic Americans</topic><topic>Intervention</topic><topic>Latin American cultural groups</topic><topic>Males</topic><topic>Nicotine</topic><topic>Nicotine replacement therapy</topic><topic>Outcomes of Treatment</topic><topic>Program Effectiveness</topic><topic>Randomized Controlled Trials</topic><topic>Referral</topic><topic>Safety</topic><topic>Safety management</topic><topic>Smoking</topic><topic>Smoking cessation</topic><topic>Tobacco</topic><topic>Underserved populations</topic><topic>Work Environment</topic><topic>Workers</topic><topic>Workplaces</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Asfar, Taghrid</creatorcontrib><creatorcontrib>Arheart, Kristopher L.</creatorcontrib><creatorcontrib>McClure, Laura A.</creatorcontrib><creatorcontrib>Ruano-Herreria, Estefania C.</creatorcontrib><creatorcontrib>Dietz, Noella A.</creatorcontrib><creatorcontrib>Ward, Kenneth D.</creatorcontrib><creatorcontrib>Caban-Martinez, Alberto J.</creatorcontrib><creatorcontrib>Samano Martin Del Campo, Daniel</creatorcontrib><creatorcontrib>Lee, David J.</creatorcontrib><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Health education & behavior</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Asfar, Taghrid</au><au>Arheart, Kristopher L.</au><au>McClure, Laura A.</au><au>Ruano-Herreria, Estefania C.</au><au>Dietz, Noella A.</au><au>Ward, Kenneth D.</au><au>Caban-Martinez, Alberto J.</au><au>Samano Martin Del Campo, Daniel</au><au>Lee, David J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ1317258</ericid><atitle>Implementing a Novel Workplace Smoking Cessation Intervention Targeting Hispanic/Latino Construction Workers: A Pilot Cluster Randomized Trial</atitle><jtitle>Health education & behavior</jtitle><addtitle>Health Educ Behav</addtitle><date>2021-12</date><risdate>2021</risdate><volume>48</volume><issue>6</issue><spage>795</spage><epage>804</epage><pages>795-804</pages><issn>1090-1981</issn><eissn>1552-6127</eissn><abstract>Background
U.S. Hispanic/Latino construction workers constitute a large and historically underserved group in terms of smoking cessation services. Using formative research, we developed a worksite smoking cessation intervention tailored to the life/work circumstances of these workers.
Aims
This study aims to examine the feasibility, acceptability, and potential efficacy of the developed intervention “Enhanced Care” (EC; one group behavioral counseling session provided around the food truck + fax referral to tobacco quitline [QL] + 8-week nicotine replacement treatment [NRT]) compared with “Standard Care” (SC; fax referral to tobacco QL + 8-week NRT) in a pilot, two-arm, cluster randomized controlled trial.
Method
In collaboration with construction site safety managers, a sample of 17 construction sites (EC: nine sites/65 smokers; SC: eight sites/69 smokers) was enrolled. Participants received two follow-ups at 3 and 6 months after enrollment. Feasibility outcomes were enrollment rate, adherence to treatment, and 6-month retention rates. The primary efficacy outcome was 6 months prolonged abstinence verified by expired carbon monoxide <10 ppm.
Results
Enrollment rate was high (85.9%). Six-month follow-up rates were acceptable (EC = 76.9%, SC = 66.6%). Adherence to treatment was better in the EC group (received worksite intervention: EC = 93.8%, SC = 88.4%; contacted by QL: EC = 49.2%, SC = 40.6%). Abstinence rates were 27.7% for the EC and 20.3% for the SC (p = .315).
Discussion
The developed intervention was feasible and acceptable, and it substantially improved abstinence among Hispanic/Latino workers. The involvement of safety managers was essential to the implementation of the intervention. Training safety managers to deliver the intervention has great potential to implement a sustainable smoking cessation service in the construction sector.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><doi>10.1177/1090198120960395</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-1133-9723</orcidid><orcidid>https://orcid.org/0000-0003-0670-2647</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1090-1981 |
| ispartof | Health education & behavior, 2021-12, Vol.48 (6), p.795-804 |
| issn | 1090-1981 1552-6127 |
| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); SAGE Complete; Alma/SFX Local Collection |
| subjects | Abstinence Acceptability Behavior Modification Carbon monoxide Cigarette smoking Clinical trials Clusters Construction Construction Industry Construction sites Drug addiction Efficacy Employees Enrollment Rate Facsimile communication Feasibility Group Counseling Health Behavior Health Promotion Hispanic Americans Intervention Latin American cultural groups Males Nicotine Nicotine replacement therapy Outcomes of Treatment Program Effectiveness Randomized Controlled Trials Referral Safety Safety management Smoking Smoking cessation Tobacco Underserved populations Work Environment Workers Workplaces |
| title | Implementing a Novel Workplace Smoking Cessation Intervention Targeting Hispanic/Latino Construction Workers: A Pilot Cluster Randomized Trial |
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