Smoke-Free Housing Strategies for Secondhand Smoke Exposure

Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Harvard School of Public Health (HSPH)
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores the implementation of smoke-free housing policies in communities providing Permanent Supportive Housing (PSH). It aims to assess the ease and effectiveness of these policies while offering behavioral health support. The trial employs a Smokefree Implementation Framework and Toolkit to assist residents and staff in making these changes. It seeks residents and staff from six affordable housing communities in Massachusetts, Maryland, and New York who can speak English or Spanish and participate in surveys or interviews. As an unphased trial, this study offers participants the chance to contribute to important research that could enhance community health and housing environments.

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 prior data suggests that this smoke-free housing implementation framework is safe for residents?

Research has shown that smoke-free rules effectively reduce exposure to secondhand smoke. These rules protect nonsmokers from the health dangers associated with secondhand smoke. Smoke-free areas also decrease the social acceptability of smoking, which can lead to a reduction in smoking overall.

The Smokefree Implementation Framework and Toolkit aims to establish these smoke-free areas. It offers steps and resources to implement smoke-free rules in housing communities. This approach poses no safety concerns, as it does not involve medication or physical treatment. Instead, it focuses on reducing exposure to tobacco smoke, which is known to harm health.

In summary, smoke-free efforts are well-received and pose no direct health risks to participants. They contribute to a healthier environment by reducing exposure to harmful tobacco smoke.12345

Why are researchers excited about this trial?

Researchers are excited about the Smokefree Implementation Framework and Toolkit because it offers a comprehensive and structured approach to reducing secondhand smoke exposure in housing environments. Unlike typical measures that rely on individual tenant agreements or sporadic enforcement, this framework provides a detailed set of strategies and resources to implement smoke-free policies effectively and consistently. The toolkit is designed to support landlords and property managers in creating healthier living environments, potentially leading to significant public health benefits by reducing exposure to harmful secondhand smoke.

What evidence suggests that the Smokefree Implementation Framework and Toolkit is effective for reducing secondhand smoke exposure?

Studies have shown that smokefree air policies greatly reduce exposure to secondhand and thirdhand smoke, leading to fewer heart attacks and asthma issues among nonsmokers. In this trial, all participants will receive the Smokefree Implementation Framework and Toolkit. Research indicates that this toolkit is easy to use in housing communities. Similar programs have successfully increased smoke-free rules in homes. These findings suggest that the toolkit could help make housing environments healthier by reducing smoke exposure.678910

Who Is on the Research Team?

VR

Vaughan Rees, PhD

Principal Investigator

Harvard University School of Public Health

Are You a Good Fit for This Trial?

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 for a Trial Participant

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

What Are the Treatments Tested in This Trial?

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.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: InterventionExperimental Treatment1 Intervention

Find a Clinic Near You

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+

Published Research Related to This Trial

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.
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]

Citations

Smoke-Free Housing Strategies for Secondhand ...The main objective of this study is to identify and refine adaptations for a smoke-free housing implementation framework that incorporates behavioral health ...
Disseminating a Smoke-free Homes Program to Low ...This study describes outcome evaluation results from a dissemination and implementation study of a research-tested program to increase smoke-free home rules ...
NCT06042361 | Enhancing Equity in Smoke-free HousingThe Smokefree Implementation Framework and Toolkit is feasible to implement in Permanent Supportive Housing communities. Measured using 4-items from the FIM.
Pilot Study Results from a Brief Intervention to Create ...The smoke-free homes intervention consisted of four components: three mailings of print materials and one coaching call, aimed at increasing household smoking ...
SMOKEFREE HOUSINGStudies show smokefree air policies decrease secondhand and thirdhand smoke exposure among nonsmokers, reducing heart attacks and asthma-related.
Eliminating Exposure to Secondhand SmokeThe guide is intended to help state and territorial health departments plan and evaluate state tobacco prevention and control programs. We would like to extend.
TOOLKITSmoke-free policies protect nonsmokers from secondhand smoke exposure, reduce the social acceptability of smoking, help in preventing youth and young adult ...
8.tpc.dph.ncdhhs.govtpc.dph.ncdhhs.gov/lgtoolkit/
Local Government Smoke-Free Implementation ToolkitHealth Effects of Secondhand Smoke Exposure · Potential Hazards of Secondhand Exposure to E-Cigarettes · Benefits of a Smoke-Free Workplace · Costs of On-the-Job ...
Control of Secondhand Smoke Exposure - NCBI - NIHThis chapter examines measures to control exposure to secondhand smoke in public places, workplaces, and homes, including legislation, education, and approaches
Smoke-Free Environments ToolkitMillions of adults and children are exposed to secondhand smoke. Many states are moving towards smoke-free environments, in an effort to ...
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