A Study Protocol for Increasing Access to Smoking Cessation Treatments for Low-Income Minority Smokers

Background: Smoking rates among low-income patients are double those of the general population. Access to health care is an essential social determinant of health. Federally qualified health care centers (FQHC) are government-supported and community-based centers to increase access to health care fo...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Alicia K. Matthews, Karriem S. Watson, Cherdsak Duang, Alana Steffen, Robert Winn
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	smoking cessation access to care social determinants patient portals federally qualified health center (FQHC) health disparities Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/4310f9617fcf45e0a4c39b70d7c84533
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:4310f9617fcf45e0a4c39b70d7c84533
record_format	dspace
spelling	oai:doaj.org-article:4310f9617fcf45e0a4c39b70d7c845332021-12-02T06:28:50ZA Study Protocol for Increasing Access to Smoking Cessation Treatments for Low-Income Minority Smokers2296-256510.3389/fpubh.2021.762784https://doaj.org/article/4310f9617fcf45e0a4c39b70d7c845332021-12-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpubh.2021.762784/fullhttps://doaj.org/toc/2296-2565Background: Smoking rates among low-income patients are double those of the general population. Access to health care is an essential social determinant of health. Federally qualified health care centers (FQHC) are government-supported and community-based centers to increase access to health care for non-insured and underinsured patients. However, barriers to implementation impact adherence and sustainability of evidence-based smoking cessation within FQHC settings. To address this implementation barrier, our multi-disciplinary team proposes Mi QUIT CARE (Mile Square QUITCommunity-Access-Referral-Expansion) to establish the acceptability, feasibility, and capacity of an FQHC system to deliver an evidence-based and multi-level intervention to increase patient engagement with a state tobacco quitline.Methods: A mixed-method approach, rooted in an implementation science framework of RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance), will be used in this hybrid effectiveness-implementation design. We aim to evaluate the efficacy of a novel delivery system (patient portal) for increasing access to smoking cessation treatment. In preparation for a future randomized clinical trial of Mi QUIT CARE, we will conduct the following developmental research: (1) Examine the burden of tobacco among patient populations served by our partner FQHC, (2) Evaluate among FQHC patients and health care providers, knowledge, attitudes, barriers, and facilitators related to smoking cessation and our intervention components, (3) Evaluate the use of tailored communication strategies and patient navigation to increase patient portal uptake among patients, and (4) To test the acceptability, feasibility, and capacity of the partner FQHC to deliver Mi QUIT CARE.Discussion: This study provides a model for developing and implementing smoking and other health promotion interventions for low-income patients delivered via patient health portals. If successful, the intervention has important implications for addressing a critical social determinant of cancer and other tobacco-related morbidities.Trial Registration: U.S. National Institutes of Health Clinical Trials, NCT04827420, https://clinicaltrials.gov/ct2/show/NCT04827420.Alicia K. MatthewsKarriem S. WatsonKarriem S. WatsonCherdsak DuangAlana SteffenRobert WinnRobert WinnFrontiers Media S.A.articlesmoking cessationaccess to caresocial determinantspatient portalsfederally qualified health center (FQHC)health disparitiesPublic aspects of medicineRA1-1270ENFrontiers in Public Health, Vol 9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	smoking cessation access to care social determinants patient portals federally qualified health center (FQHC) health disparities Public aspects of medicine RA1-1270
spellingShingle	smoking cessation access to care social determinants patient portals federally qualified health center (FQHC) health disparities Public aspects of medicine RA1-1270 Alicia K. Matthews Karriem S. Watson Karriem S. Watson Cherdsak Duang Alana Steffen Robert Winn Robert Winn A Study Protocol for Increasing Access to Smoking Cessation Treatments for Low-Income Minority Smokers
description	Background: Smoking rates among low-income patients are double those of the general population. Access to health care is an essential social determinant of health. Federally qualified health care centers (FQHC) are government-supported and community-based centers to increase access to health care for non-insured and underinsured patients. However, barriers to implementation impact adherence and sustainability of evidence-based smoking cessation within FQHC settings. To address this implementation barrier, our multi-disciplinary team proposes Mi QUIT CARE (Mile Square QUITCommunity-Access-Referral-Expansion) to establish the acceptability, feasibility, and capacity of an FQHC system to deliver an evidence-based and multi-level intervention to increase patient engagement with a state tobacco quitline.Methods: A mixed-method approach, rooted in an implementation science framework of RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance), will be used in this hybrid effectiveness-implementation design. We aim to evaluate the efficacy of a novel delivery system (patient portal) for increasing access to smoking cessation treatment. In preparation for a future randomized clinical trial of Mi QUIT CARE, we will conduct the following developmental research: (1) Examine the burden of tobacco among patient populations served by our partner FQHC, (2) Evaluate among FQHC patients and health care providers, knowledge, attitudes, barriers, and facilitators related to smoking cessation and our intervention components, (3) Evaluate the use of tailored communication strategies and patient navigation to increase patient portal uptake among patients, and (4) To test the acceptability, feasibility, and capacity of the partner FQHC to deliver Mi QUIT CARE.Discussion: This study provides a model for developing and implementing smoking and other health promotion interventions for low-income patients delivered via patient health portals. If successful, the intervention has important implications for addressing a critical social determinant of cancer and other tobacco-related morbidities.Trial Registration: U.S. National Institutes of Health Clinical Trials, NCT04827420, https://clinicaltrials.gov/ct2/show/NCT04827420.
format	article
author	Alicia K. Matthews Karriem S. Watson Karriem S. Watson Cherdsak Duang Alana Steffen Robert Winn Robert Winn
author_facet	Alicia K. Matthews Karriem S. Watson Karriem S. Watson Cherdsak Duang Alana Steffen Robert Winn Robert Winn
author_sort	Alicia K. Matthews
title	A Study Protocol for Increasing Access to Smoking Cessation Treatments for Low-Income Minority Smokers
title_short	A Study Protocol for Increasing Access to Smoking Cessation Treatments for Low-Income Minority Smokers
title_full	A Study Protocol for Increasing Access to Smoking Cessation Treatments for Low-Income Minority Smokers
title_fullStr	A Study Protocol for Increasing Access to Smoking Cessation Treatments for Low-Income Minority Smokers
title_full_unstemmed	A Study Protocol for Increasing Access to Smoking Cessation Treatments for Low-Income Minority Smokers
title_sort	study protocol for increasing access to smoking cessation treatments for low-income minority smokers
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/4310f9617fcf45e0a4c39b70d7c84533
work_keys_str_mv	AT aliciakmatthews astudyprotocolforincreasingaccesstosmokingcessationtreatmentsforlowincomeminoritysmokers AT karriemswatson astudyprotocolforincreasingaccesstosmokingcessationtreatmentsforlowincomeminoritysmokers AT karriemswatson astudyprotocolforincreasingaccesstosmokingcessationtreatmentsforlowincomeminoritysmokers AT cherdsakduang astudyprotocolforincreasingaccesstosmokingcessationtreatmentsforlowincomeminoritysmokers AT alanasteffen astudyprotocolforincreasingaccesstosmokingcessationtreatmentsforlowincomeminoritysmokers AT robertwinn astudyprotocolforincreasingaccesstosmokingcessationtreatmentsforlowincomeminoritysmokers AT robertwinn astudyprotocolforincreasingaccesstosmokingcessationtreatmentsforlowincomeminoritysmokers AT aliciakmatthews studyprotocolforincreasingaccesstosmokingcessationtreatmentsforlowincomeminoritysmokers AT karriemswatson studyprotocolforincreasingaccesstosmokingcessationtreatmentsforlowincomeminoritysmokers AT karriemswatson studyprotocolforincreasingaccesstosmokingcessationtreatmentsforlowincomeminoritysmokers AT cherdsakduang studyprotocolforincreasingaccesstosmokingcessationtreatmentsforlowincomeminoritysmokers AT alanasteffen studyprotocolforincreasingaccesstosmokingcessationtreatmentsforlowincomeminoritysmokers AT robertwinn studyprotocolforincreasingaccesstosmokingcessationtreatmentsforlowincomeminoritysmokers AT robertwinn studyprotocolforincreasingaccesstosmokingcessationtreatmentsforlowincomeminoritysmokers
_version_	1718399867063107584

A Study Protocol for Increasing Access to Smoking Cessation Treatments for Low-Income Minority Smokers

Ejemplares similares