Adaptation of a Proactive Smoking Cessation Intervention to Increase Tobacco Quitline Use by LGBT Smokers

Matthews, Alicia K.; Breen, Elizabeth; Veluz-Wilkins, Anna; Ciecierski, Christina; Simon, Melissa A.; Burrell, Diane; Hitsman, Brian

doi:10.1353/cpr.2019.0040

Cited by 7 publications

(3 citation statements)

References 42 publications

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“…Interviews will be analyzed according to the methods of framework analysis ( 39 ). We expect to reach saturation with the proposed sample sizes based on our prior experience ( 40 – 43 ). NVivo will be used for qualitative data management and analyses.…”

Section: Methodsmentioning

confidence: 96%

A Study Protocol for Increasing Access to Smoking Cessation Treatments for Low-Income Minority Smokers

Matthews

Watson

Duang

et al. 2021

Front. Public Health

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Background: Smoking rates among low-income patients are double those of the general population. Access to health care is an essential social determinant of health. Federally qualified health care centers (FQHC) are government-supported and community-based centers to increase access to health care for non-insured and underinsured patients. However, barriers to implementation impact adherence and sustainability of evidence-based smoking cessation within FQHC settings. To address this implementation barrier, our multi-disciplinary team proposes Mi QUIT CARE (Mile Square QUITCommunity-Access-Referral-Expansion) to establish the acceptability, feasibility, and capacity of an FQHC system to deliver an evidence-based and multi-level intervention to increase patient engagement with a state tobacco quitline.Methods: A mixed-method approach, rooted in an implementation science framework of RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance), will be used in this hybrid effectiveness-implementation design. We aim to evaluate the efficacy of a novel delivery system (patient portal) for increasing access to smoking cessation treatment. In preparation for a future randomized clinical trial of Mi QUIT CARE, we will conduct the following developmental research: (1) Examine the burden of tobacco among patient populations served by our partner FQHC, (2) Evaluate among FQHC patients and health care providers, knowledge, attitudes, barriers, and facilitators related to smoking cessation and our intervention components, (3) Evaluate the use of tailored communication strategies and patient navigation to increase patient portal uptake among patients, and (4) To test the acceptability, feasibility, and capacity of the partner FQHC to deliver Mi QUIT CARE.Discussion: This study provides a model for developing and implementing smoking and other health promotion interventions for low-income patients delivered via patient health portals. If successful, the intervention has important implications for addressing a critical social determinant of cancer and other tobacco-related morbidities.Trial Registration: U.S. National Institutes of Health Clinical Trials, NCT04827420, https://clinicaltrials.gov/ct2/show/NCT04827420.

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Section: Methodsmentioning

confidence: 96%

A Study Protocol for Increasing Access to Smoking Cessation Treatments for Low-Income Minority Smokers

Matthews

Watson

Duang

et al. 2021

Front. Public Health

Self Cite

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“… 63 Acceptance and commitment therapy focuses on building psychological flexibility—defined as a willingness to experience uncomfortable thoughts, feelings, and physical sensations without attempting to change them—and having clarity of one’s values to act in a way that is in service of those values. 63 , 64 Self-determination Theory, 65 cited as informing one intervention, 66 emphasizes the importance of competence, relatedness, and autonomy in the successful achievement of goal-directed behavior, like smoking cessation.…”

Section: Resultsmentioning

confidence: 99%

“…Intervention delivery approaches have been heterogeneous, including in-person group sessions, 54 , 59 online interventions, 56 , 63 video ad campaigns, outreach letters, 66 and hybrid digital, venue, and event-based social marketing campaigns. 77 , 78 Publications reported a broad range of evaluation designs from cross-sectional pre- and post-intervention surveys within selected geographical areas 67 , 68 , 77 , 78 to assessment of within-subject outcomes post-intervention, 49–51 , 54–56 , 58 , 59 qualitative assessment of intervention acceptability, 66 , 70 and use of single arm trials 49 , 50 , 53 , 59 , 63 versus those with comparison and/or control groups. 53 , 56 , 58 , 67 , 68 , 82 …”

Section: Resultsmentioning

confidence: 99%

Tobacco Cessation and Prevention Interventions for Sexual and/or Gender Minority-Identified People and the Theories That Underpin Them: A Scoping Review

McQuoid

Durazo

Mooney

et al. 2023

Nicotine and Tobacco Research

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Introduction This scoping review takes stock of the social and behavior change theories that have underpinned tobacco interventions tailored to sexual and/or gender minority (SGM) people and reflects on the need to target contextually-based drivers of SGM tobacco use inequities. Methods Data sources were Medline (Ovid), Scopus, PubMed, Google Scholar (01/01/1946 – 10/27/2022). Peer-reviewed publications in English from anywhere in the world describing SGM-tailored tobacco cessation and/or prevention interventions were independently identified by a librarian and screened by the first and third authors. 367 articles were extracted; an additional 2 were found by hand searching. 369 articles were assessed for eligibility. Exclusion criteria were: not an intervention, review article, not SGM-tailored or tobacco-focused. We documented intervention name, intervention components, theoretical frameworks cited in reference to intervention design and/or implementation, and evaluation outcomes. All authors provided input on theoretical framework categorization. Results We identified 22 publications corresponding to 15 unique interventions. Individual-level behavior change theories (i.e., those focusing on within-person behavior change processes) were the most prominent. Among these, the Transtheoretical Model was the most frequently utilized, while Social Inoculation Theory, Theory of Reasoned Action, and Theory of Psychological Reactance were also employed. A minority of interventions referenced frameworks that more explicitly engaged with SGM people’s social contexts, namely, Theory of Diffusion of Innovations and Minority Stress Model. Conclusions Future SGM-tailored tobacco interventions should leverage both the strengths of individual-level behavior change theories and those of frameworks that understand tobacco use inequities as indivisible from place, context, and policy. Implications This scoping review describes the theoretical underpinnings of sexual and/or gender minority (SGM)-tailored tobacco interventions published in the peer-review literature in English. It reflects on the need for greater utilization of social and behavior change theoretical frameworks that can engage with unique drivers of SGM tobacco use and barriers to cessation.

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Smoking-Attributable Doctor Visits and Emergency Room Utilization and Costs by California’s Lesbian, Gay, and Bisexual Community

Max

Stark

Sung

et al. 2021

Journal of Homosexuality

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Adaptation of a Proactive Smoking Cessation Intervention to Increase Tobacco Quitline Use by LGBT Smokers

Cited by 7 publications

References 42 publications

A Study Protocol for Increasing Access to Smoking Cessation Treatments for Low-Income Minority Smokers

A Study Protocol for Increasing Access to Smoking Cessation Treatments for Low-Income Minority Smokers

Tobacco Cessation and Prevention Interventions for Sexual and/or Gender Minority-Identified People and the Theories That Underpin Them: A Scoping Review

Smoking-Attributable Doctor Visits and Emergency Room Utilization and Costs by California’s Lesbian, Gay, and Bisexual Community

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