Smoke-Free Housing Strategies for Secondhand Smoke Exposure

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: Harvard School of Public Health (HSPH)

Disqualifiers: Non-English or Spanish speakers

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: Unknown

480 Participants Needed

Trial Summary

What is the purpose of this trial?

The goal of this clinical trial is to learn about the acceptability, feasibility, and effectiveness of smoke-free housing policy implementation in Permanent Supportive Housing communities. The main objective of this study is to identify and refine adaptations for a smoke-free housing implementation framework that incorporates behavioral health support and meets the needs of residents living in Permanent Supportive Housing.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It seems focused on smoke-free housing policies rather than medication use.

What data supports the effectiveness of the treatment Smokefree Implementation Framework and Toolkit for reducing secondhand smoke exposure?

Research shows that smoke-free home interventions, like those implemented in 2-1-1 call centers and permanent supportive housing, are effective in promoting smoke-free environments and reducing secondhand smoke exposure, especially in low-income populations. ^{1 2 3 4 5}

Is the Smoke-Free Housing Strategy safe for humans?

The Smoke-Free Housing Strategy, which encourages voluntary smoke-free homes, has been tested in various settings and is generally considered safe for humans. It focuses on reducing secondhand smoke exposure without introducing any harmful interventions. ^{1 5 6 7 8}

How does the smoke-free housing treatment differ from other treatments for secondhand smoke exposure?

This treatment is unique because it focuses on implementing smoke-free policies in multiunit housing to reduce secondhand smoke exposure, particularly in low-income and vulnerable populations. Unlike other treatments that might focus on individual behavior change, this approach targets the living environment to create a smoke-free space, which can lead to broader community health benefits. ^{1 2 5 9 10}

Research Team

Vaughan Rees, PhD

Principal Investigator

Harvard University School of Public Health

Eligibility Criteria

This trial is for adults living in six specific affordable housing communities, whether they smoke or not. It includes residents receiving support services and property managers or their appointees who can engage in English interviews. Caseworkers providing behavioral health support are also eligible. Non-English or non-Spanish speakers cannot participate.

Inclusion Criteria

I manage an affordable housing community involved in the study and can participate in English.

Adults who live in six affordable housing communities, smoke or do not smoke tobacco, receive or are not recipients of Permanent Supportive Housing services and can fill out a survey in English or Spanish.

I am a caseworker providing mental health and substance use support, fluent in English.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Phase 1: Adaptation Identification

Identify adaptations for a smokefree housing implementation framework and integrate with behavioral health support

4-8 weeks

Phase 2: Pilot Testing

Pilot test the adapted implementation framework to assess acceptability, feasibility, and effectiveness

6 months

Ongoing engagement with property managers

Phase 3: Refinement

Refine the smokefree implementation framework and toolkit based on evidence synthesis

4-8 weeks

Follow-up

Participants are monitored for safety and effectiveness after intervention

6 months

Treatment Details

Interventions

• Smokefree Implementation Framework and Toolkit

Trial Overview The study tests a framework and toolkit designed to help implement smoke-free policies in Permanent Supportive Housing. It aims to see if these tools are acceptable, feasible, and effective by gathering feedback from various stakeholders involved.

Participant Groups

Group I: Intervention Experimental Treatment 1 Intervention

All participants will receive the intervention of the Smokefree Implementation Framework and Toolkit

Who Is Running the Clinical Trial?

Harvard School of Public Health (HSPH)

Lead Sponsor

Trials

283

Recruited

17,030,000+

Beacon Communities

Collaborator

Trials

1

Recruited

480+

The Community Builders

Collaborator

Trials

1

Recruited

480+

Findings from Research

The Smoke-Free Homes (SFH) Program was found to be acceptable and feasible for implementation across multiple 2-1-1 sites, with 70% of staff believing it contributed to more smoke-free homes in their communities.

Despite its perceived effectiveness, challenges such as sustainability, resource demands, and integration into existing workflows were significant barriers to successful implementation, highlighting the need for ongoing support and funding for future tobacco control initiatives.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Implementing an Evidence-based Tobacco Control Program at Five 2-1-1 Call Centers: An Evaluation Using the Consolidated Framework for Implementation Research. Thompson, T., Kreuter, MW., Caito, N., et al.[2023]

References

1. England pubmed.ncbi.nlm.nih.gov

Smoke-Free Home Intervention in Permanent Supportive Housing: A Multifaceted Intervention Pilot. [2022]

2. England pubmed.ncbi.nlm.nih.gov

A randomized control trial to support smoke-free policy compliance in public housing. [2023]

3. United States pubmed.ncbi.nlm.nih.gov

Our Homes, Our Health: Strategies, Insight, and Resources to Support Smoke-Free Multiunit Housing. [2020]

4. England pubmed.ncbi.nlm.nih.gov

Disseminating a Smoke-free Homes Program to Low Socioeconomic Status Households in the United States Through 2-1-1: Results of a National Impact Evaluation. [2023]

5. England pubmed.ncbi.nlm.nih.gov

Implementing an Evidence-based Tobacco Control Program at Five 2-1-1 Call Centers: An Evaluation Using the Consolidated Framework for Implementation Research. [2023]

6. England pubmed.ncbi.nlm.nih.gov

Children Learning About Second-hand Smoke (CLASS II): a mixed methods process evaluation of a school-based intervention. [2022]

7. England pubmed.ncbi.nlm.nih.gov

Associations between self-reported in-home smoking behaviours and surface nicotine concentrations in multiunit subsidised housing. [2021]

8. England pubmed.ncbi.nlm.nih.gov

The smoke-free home study: study protocol for a cluster randomized controlled trial of a smoke-free home intervention in permanent supportive housing. [2022]

9. England pubmed.ncbi.nlm.nih.gov

Implementation and enforcement of smoke-free policies in public housing. [2020]

10. United States pubmed.ncbi.nlm.nih.gov

Secondhand Smoke Exposure and Smoke-free Policy in Philadelphia Public Housing. [2023]