Smoking Cessation in Hispanic Construction Workers



Status:Completed
Conditions:Smoking Cessation
Therapuetic Areas:Pulmonary / Respiratory Diseases
Healthy:No
Age Range:18 - Any
Updated:12/16/2018
Start Date:April 13, 2017
End Date:October 11, 2018

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A Novel Worksite Smoking Cessation Intervention for Hispanic Construction Workers

Construction workers have the highest rate of smoking among all occupations, and are
frequently exposed to a wide range of workplace hazards (e.g. toxins), which interact with
smoking to increase their health risks. Minority construction workers, in particular, have
higher smoking and lower cessation rates compared to other groups, and they generally show
lower access and participation in cessation and health promotion services. The number of
Hispanic workers employed in the construction industry in the US has tripled in the past
decade to 2.6 million (23% of all construction workers). This study will develop, administer,
and evaluate a novel smoking cessation program in a hard-to-reach and underserved population
of Hispanic male construction workers using using pilot cluster randomized clinical trial
(RCT) to test the developed intervention for feasibility and potential efficacy.

A two-arm, cluster-randomized controlled trial will be conducted with up to 15 construction
sites, selected from one Construction Company in south Florida. Cluster randomization is used
with construction site chosen as the unit of allocation because it is most practical in this
setting and minimizes the risk of spillover effects from the intervention to the control
group. In conjunction with the site's safety manager, the investigators will recruit 9 adult
Hispanic construction workers per site (126 total) who smoke ≥5 cigarettes/day in the last
year. Participants in the enhanced care will receive one culturally adapted brief
face-to-face behavioral counseling session developed in phase 1 and delivered at a lunch
truck, two brief follow-up phone counseling calls, fax referral to the Florida quitline (QL),
and provision of up to 6 weeks of free NRT. Participants in the standard care will receive
fax referral to the Florida QL, and provision of up to 8 weeks of free NRT.

Inclusion Criteria:

- Hispanic

- Construction worker

- Have smoked ≥ 5 cigarettes/day in the past year.

- Have access to telephone

- Have no plans to move in the next six months

- Are interested in making a serious quit attempt in the next 30 days

- Have no contraindication to NRT (e.g., history of hypersensitivity to nicotine, recent
(past month) myocardial infarction, any history of serious arrhythmias or unstable
angina pectoris, chronic dermatological disorder (e.g., psoriasis)).

Exclusion Criteria:

- Inability to understand consent procedures

- Not Hispanic

- Not a construction worker

- Haven't smoked ≥ 5 cigarettes/day in the past year.

- No access to telephone

- Has plans to move in the next six months

- Not interested in making a serious quit attempt in the next 30 days

- Has a contraindication to NRT

- Has a generalized chronic dermatological disorder (e.g., psoriasis)
We found this trial at
1
site
1120 Northwest 14th Street
Miami, Florida 33136
Principal Investigator: David J Lee, PhD
Phone: 305-243-6980
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mi
from
Miami, FL
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