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BMC Public Health. 2011 Jan 31;11(1):70. doi: 10.1186/1471-2458-11-70.

RCT of a client-centred, caseworker-delivered smoking cessation intervention for a socially disadvantaged population.

Author information

1
Centre for Health Research & Psycho-oncology (CHeRP), Cancer Council NSW & University of Newcastle, Newcastle, Australia. Billie.Bonevski@newcastle.edu.au

Abstract

BACKGROUND:

Disadvantaged groups are an important target for smoking cessation intervention. Smoking rates are markedly higher among severely socially disadvantaged groups such as indigenous people, the homeless, people with a mental illness or drug and alcohol addiction, and the unemployed than in the general population. This proposal aims to evaluate the efficacy of a client-centred, caseworker delivered cessation support intervention at increasing validated self reported smoking cessation rates in a socially disadvantaged population.

METHODS/DESIGN:

A block randomised controlled trial will be conducted. The setting will be a non-government organisation, Community Care Centre located in New South Wales, Australia which provides emergency relief and counselling services to predominantly government income assistance recipients. Eligible clients identified as smokers during a baseline touch screen computer survey will be recruited and randomised by a trained research assistant located in the waiting area. Allocation to intervention or control groups will be determined by time periods with clients randomised in one-week blocks. Intervention group clients will receive an intensive client-centred smoking cessation intervention offered by the caseworker over two face-to-face and two telephone contacts. There will be two primary outcome measures obtained at one, six, and 12 month follow-up: 1) 24-hour expired air CO validated self-reported smoking cessation and 2) 7-day self-reported smoking cessation. Continuous abstinence will also be measured at six and 12 months follow up.

DISCUSSION:

This study will generate new knowledge in an area where the current information regarding the most effective smoking cessation approaches with disadvantaged groups is limited.

TRIAL REGISTRATION NUMBER:

ISRCTN: ISRCTN85202510.

PMID:
21281519
PMCID:
PMC3038158
DOI:
10.1186/1471-2458-11-70
[Indexed for MEDLINE]
Free PMC Article

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