A controlled smoking cessation trial for substance-dependent inpatients.

Burling, Thomas A.; Burling, Andrea Seidner; Latini, David

doi:10.1037//0022-006x.69.2.295

Cited by 33 publications

(1 citation statement)

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“…Several controlled and uncontrolled studies have evaluated the feasibility of providing guideline-recommended smoking cessation pharmacotherapy and behavioral counseling to people experiencing homelessness (Baggett et al, 2018;2019;Burling et al, 2001;Dawkins et al, 2020;NCT01932996, 2013;NCT2245308, 2019;Ojo-Fati et al, 2015;Okuyemi et al, 2006;2013;Rash et al, 2018;Vijayaraghavan et al, 2020). These trials have shown that interventions for smoking cessation are feasible to implement and may be associated with quitting.…”

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confidence: 99%

Evaluation of a Pharmacist-Linked Smoking Cessation Intervention for Adults Experiencing Homelessness

Reyes

Chávez

et al. 2023

Substance Use & Misuse

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Background: Interventions are needed to increase access to tobacco treatment for people experiencing homelessness. We developed a community pharmacist-linked cessation program for adults experiencing homelessness that included one-time, pharmacist-delivered counseling and furnishing nicotine replacement therapy (NRT) for 3 months. Methods: We conducted a single-arm, uncontrolled trial of the pharmacist-linked intervention among adults experiencing homelessness recruited from three homeless shelters in San Francisco, CA. We asked participants to complete questionnaires at baseline and during 12 weekly follow-up visits. We obtained information on cigarette consumption, use of NRT, and quit attempts at each visit, and reported cumulative proportions during the study interval. We used Poisson regression and logistic regression, respectively, to examine factors associated with weekly cigarette consumption and quit attempts. We conducted in-depth interviews with residents to understand barriers to and facilitators of engagement. Results: Among 51 participants, average daily cigarette consumption reduced 55% from 10 cigarettes per day at baseline to 4.5 cigarettes at 13 wk follow-up, and 56.3% had CO-verified abstinence. Use of medications in the past week was associated with a 29% reduction in weekly consumption (IRR 0.71, 95% CI 0.67-0.74), and increased the odds of a quit attempt (adjusted odds ratio (AOR), 2.37, 95% CI 1.13-4.99). While residents benefited from engaging in the pharmacist-linked program to increase quit attempts, they felt that to sustain abstinence, longitudinal tobacco treatment was needed. Conclusions: A pharmacist-linked smoking cessation program at transitional homeless shelters can reduce structural barriers to cessation care and reduce tobacco use among people experiencing homelessness.

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