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Integrating smoking cessation and alcohol use treatment in homeless populations: study protocol for a randomized controlled trial.

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  • Additional Information
    • Abstract:
      Background: Despite progress in reducing cigarette smoking in the general U.S. population, smoking rates, cancer morbidity and related heart disease remain strikingly high among the poor and underserved. Homeless individuals' cigarette smoking rate remains an alarming 70% or greater, and this population is generally untreated with smoking cessation interventions. Furthermore, the majority of homeless smokers also abuse alcohol and other drugs, which makes quitting more difficult and magnifies the health consequences of tobacco use.Methods/design: Participants will be randomized to one of three groups, including (1) an integrated intensive smoking plus alcohol intervention using cognitive behavioral therapy (CBT), (2) intensive smoking intervention using CBT or (3) usual care (i.e., brief smoking cessation and brief alcohol counseling). All participants will receive 12-week treatment with a nicotine patch plus nicotine gum or lozenge. Counseling will include weekly individual sessions for 3 months, followed by monthly booster group sessions for 3 months. The primary smoking outcome is cotinine-verified 7-day smoking abstinence at follow-up week 52, and the primary alcohol outcome will be breathalyzer-verified 90-day alcohol abstinence at week 52.Discussion: This study protocol describes the design of the first community-based controlled trial (n = 645) designed to examine the efficacy of integrating alcohol abuse treatment with smoking cessation among homeless smokers. To further address the gap in effectiveness of evidence-based smoking cessation interventions in the homeless population, we are conducting a renewed smoking cessation clinical trial called Power to Quit among smokers experiencing homelessness.Trial Registration: ClinicalTrials.gov Identifier: NCT01932996. Date of registration: 20 November 2014.
    • Journal Subset:
      Biomedical; Europe; UK & Ireland
    • ISSN:
      1745-6215
    • MEDLINE Info:
      PMID: NLM26320081 NLM UID: 101263253
    • Grant Information:
      T32 CA163184/CA/NCI NIH HHS/United States; U54 CA153603/CA/NCI NIH HHS/United States; R25 CA163184/CA/NCI NIH HHS/United States; R25CA163184/CA/NCI NIH HHS/United States; R01 HL081522/HL/NHLBI NIH HHS/United States; P30 CA077598/CA/NCI NIH HHS/United States
    • Publication Date:
      20150923
    • Publication Date:
      20190815
    • PubMed Central ID:
      PMC4552980
    • DOI:
      http://dx.doi.org/10.1186/s13063-015-0858-z
    • Accession Number:
      109639111
  • Citations
    • ABNT:
      OJO-FATI, O. et al. Integrating smoking cessation and alcohol use treatment in homeless populations: study protocol for a randomized controlled trial. Trials, [s. l.], v. 16, n. 1, p. 385, 2015. DOI 10.1186/s13063-015-0858-z. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=109639111. Acesso em: 9 ago. 2020.
    • AMA:
      Ojo-Fati O, John F, Thomas J, et al. Integrating smoking cessation and alcohol use treatment in homeless populations: study protocol for a randomized controlled trial. Trials. 2015;16(1):385. doi:10.1186/s13063-015-0858-z
    • APA:
      Ojo-Fati, O., John, F., Thomas, J., Joseph, A. M., Raymond, N. C., Cooney, N. L., Pratt, R., Rogers, C. R., Everson-Rose, S. A., Luo, X., & Okuyemi, K. S. (2015). Integrating smoking cessation and alcohol use treatment in homeless populations: study protocol for a randomized controlled trial. Trials, 16(1), 385. https://doi.org/10.1186/s13063-015-0858-z
    • Chicago/Turabian: Author-Date:
      Ojo-Fati, Olamide, Florence John, Janet Thomas, Anne M Joseph, Nancy C Raymond, Ned L Cooney, Rebekah Pratt, et al. 2015. “Integrating Smoking Cessation and Alcohol Use Treatment in Homeless Populations: Study Protocol for a Randomized Controlled Trial.” Trials 16 (1): 385. doi:10.1186/s13063-015-0858-z.
    • Harvard:
      Ojo-Fati, O. et al. (2015) ‘Integrating smoking cessation and alcohol use treatment in homeless populations: study protocol for a randomized controlled trial’, Trials, 16(1), p. 385. doi: 10.1186/s13063-015-0858-z.
    • Harvard: Australian:
      Ojo-Fati, O, John, F, Thomas, J, Joseph, AM, Raymond, NC, Cooney, NL, Pratt, R, Rogers, CR, Everson-Rose, SA, Luo, X & Okuyemi, KS 2015, ‘Integrating smoking cessation and alcohol use treatment in homeless populations: study protocol for a randomized controlled trial’, Trials, vol. 16, no. 1, p. 385, viewed 9 August 2020, .
    • MLA:
      Ojo-Fati, Olamide, et al. “Integrating Smoking Cessation and Alcohol Use Treatment in Homeless Populations: Study Protocol for a Randomized Controlled Trial.” Trials, vol. 16, no. 1, Jan. 2015, p. 385. EBSCOhost, doi:10.1186/s13063-015-0858-z.
    • Chicago/Turabian: Humanities:
      Ojo-Fati, Olamide, Florence John, Janet Thomas, Anne M Joseph, Nancy C Raymond, Ned L Cooney, Rebekah Pratt, et al. “Integrating Smoking Cessation and Alcohol Use Treatment in Homeless Populations: Study Protocol for a Randomized Controlled Trial.” Trials 16, no. 1 (January 2015): 385. doi:10.1186/s13063-015-0858-z.
    • Vancouver/ICMJE:
      Ojo-Fati O, John F, Thomas J, Joseph AM, Raymond NC, Cooney NL, et al. Integrating smoking cessation and alcohol use treatment in homeless populations: study protocol for a randomized controlled trial. Trials [Internet]. 2015 Jan [cited 2020 Aug 9];16(1):385. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=109639111