Working Inside for Smoking Elimination (Project W.I.S.E.) study design and rationale to prevent return to smoking after release from a smoke free prison

BMC Public Health

Study Protocol

Rosemarie A Martin¹  Jennifer Mello²  Jennifer G Clarke³  Beth Bock⁴  Peter Friedmann⁵  LAR Stein⁶  Cheryl E Lopes⁷ 

[1] Bio Med Alcohol & Addiction, Alpert Medical School of Brown University, Providence, USA;Bio-Med Institute of Community Health Promotion, Alpert Medical School of Brown University, Providence, USA;Brown University Center for Primary Care and Prevention, Pawtucket, USA;Memorial Hospital of Rhode Island, Pawtucket, USA;Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, USA;Department of Medicine, Rhode Island Hospital, Providence, USA;Department of Psychology, University of Rhode Island, Kingston, USA;Rhode Island Department of Corrections, Cranston, USA;

关键词: Smoking Cessation;    Cognitive Behavioral Therapy;    Nicotine Dependence;    Motivational Interview;    Cotinine;   

DOI  :  10.1186/1471-2458-11-767

 received in 2011-08-24, accepted in 2011-10-05,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundIncarcerated individuals suffer disproportionately from the health effects of tobacco smoking due to the high smoking prevalence in this population. In addition there is an over-representation of ethnic and racial minorities, impoverished individuals, and those with mental health and drug addictions in prisons. Increasingly, prisons across the U.S. are becoming smoke free. However, relapse to smoking is common upon release from prison, approaching 90% within a few weeks. No evidence based treatments currently exist to assist individuals to remain abstinent after a period of prolonged, forced abstinence.Methods/DesignThis paper describes the design and rationale of a randomized clinical trial to enhance smoking abstinence rates among individuals following release from a tobacco free prison. The intervention is six weekly sessions of motivational interviewing and cognitive behavioral therapy initiated approximately six weeks prior to release from prison. The control group views six time matched videos weekly starting about six weeks prior to release. Assessments take place in-person 3 weeks after release and then for non-smokers every 3 months up to 12 months. Smoking status is confirmed by urine cotinine.DiscussionEffective interventions are greatly needed to assist these individuals to remain smoke free and reduce health disparities among this socially and economically challenged group.Trial RegistrationNCT01122589

【 授权许可】

CC BY   
© Clarke et al; licensee BioMed Central Ltd. 2011