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Tytuł:
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Targeting mailed nicotine patch distribution interventions to rural regions of Canada: protocol for a randomized controlled trial.
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Autorzy:
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Cunningham JA; Centre for Addiction and Mental Health, 33 Ursula Franklin St, Toronto, Ontario, M5S 2S1, Canada. .; Department of Psychiatry, University of Toronto, Toronto, M5T 1R8, Canada. .; Research School of Population Health, the Australian National University, Canberra, 2601, Australia. .
Chaiton M; Centre for Addiction and Mental Health, 33 Ursula Franklin St, Toronto, Ontario, M5S 2S1, Canada.; Dalla Lana School of Public Health, University of Toronto, Toronto, M5T 3M7, Canada.
Leatherdale ST; School of Public Health and Health Systems, University of Waterloo, Waterloo, N2L 3G1, Canada.
Godinho A; Centre for Addiction and Mental Health, 33 Ursula Franklin St, Toronto, Ontario, M5S 2S1, Canada.
Schell C; Centre for Addiction and Mental Health, 33 Ursula Franklin St, Toronto, Ontario, M5S 2S1, Canada.; Dalla Lana School of Public Health, University of Toronto, Toronto, M5T 3M7, Canada.
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Źródło:
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BMC public health [BMC Public Health] 2020 Nov 23; Vol. 20 (1), pp. 1757. Date of Electronic Publication: 2020 Nov 23.
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Typ publikacji:
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Journal Article; Randomized Controlled Trial
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Język:
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English
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Imprint Name(s):
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Original Publication: London : BioMed Central, [2001-
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MeSH Terms:
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Postal Service*
Rural Population*/statistics & numerical data
Tobacco Use Cessation Devices*
Smoking Cessation/*methods
Tobacco Smoking/*prevention & control
Adult ; Canada/epidemiology ; Humans ; Research Design ; Smoking Cessation/statistics & numerical data ; Tobacco Smoking/epidemiology
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References:
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Grant Information:
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425862 Canada CAPMC CIHR
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Contributed Indexing:
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Keywords: Mass distribution; NRT; Nicotine patches; Rural; Smoking; Tobacco cessation
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Molecular Sequence:
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ClinicalTrials.gov NCT04606797
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Entry Date(s):
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Date Created: 20201124 Date Completed: 20210323 Latest Revision: 20240330
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Update Code:
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20240330
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PubMed Central ID:
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PMC7684960
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DOI:
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10.1186/s12889-020-09810-2
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PMID:
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33228625
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Background: Quitting smoking is the most effective way of reducing the risk of cancer among smokers. One way of helping people stop smoking is to provide them with free Nicotine Replacement Therapy (NRT), such as when NRT is sent to people by postal mail as part of a mass distribution initiative. Our previous research indicated that there may be a substantial impact on increasing quit rates of a mailed NRT intervention in rural areas. The current research seeks to confirm this finding and to understand the social determinants of health driving these anticipated large effects.
Methods/design: Telephone numbers will be randomly selected from across rural regions of Canada in order to recruit adult smokers interested in completing a smoking survey and willing to be interviewed again in 6 months. The survey will ask participants about their smoking history, demographic characteristics, and a hypothetical question: would they be interested in receiving nicotine patches if they were provided to them free of charge? Half of the smokers interested in receiving nicotine patches will be selected by chance and offered the NRT package. The other half of smokers will not be offered the nicotine patches. In addition, the municipality where each participant lives will be identified and, once the relevant general population data becomes available, attempts will be made to link participant data to relevant municipal characteristics (e.g., smoking rates, availability of health services). Characteristics of the participants and the municipalities in which they live will be used to explain why the nicotine patch intervention may have a larger impact in some rural regions compared to others.
Discussion: The findings from the proposed RCT are timely and of high relevance as the distribution of nicotine patches has substantial potential to combat the public health problem of cigarette related cancer, other diseases, and premature death from tobacco use. Targeting such tobacco cessation initiatives to rural regions may substantially increase the impact of this intervention, helping to optimize the use of limited prevention resources while aiming to save the maximum number of lives.
Clinical Trials Registration: ClinicalTrials.gov NCT04606797 , October, 27, 2020.
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