Jail-Based Use of Smoking Cessation Treatment Study

• Status: Completed
• Trial end date: 2020-08-29
• Target enrollment: 0
• Participant gender: All

Summary

Smoking rates remain above 60% for individuals involved in the criminal justice system and contribute to elevated mortality rates in this population. Addressing smoking disparities among justice-involved individuals is a critical public health issue in Minnesota, one of a few states with rising incarceration rates. People who are incarcerated represent the intersection of multiple high-priority populations (disproportionately African-American, Native American, low-income, homeless, on Medicaid, and suffering from mental illness and substance use disorders). This study examines the impact of a smoking cessation intervention for individuals discharged from jail to the community on smoking abstinence. Participants will be randomized to either 1) guideline-based, in-person smoking cessation counseling during incarceration, telephone counseling after incarceration, and nicotine replacement, or 2) enhanced treatment as usual. This study's findings will be used to develop a larger, multi-site study that is fully powered to measure longer-term health and smoking cessation outcomes.

• Phase: N/A
• Accepts Healthy Volunteers?: Accepts Healthy Volunteers

Details

• Lead Sponsor: Hennepin Healthcare Research Institute; Minneapolis Medical Research Foundation
• Collaborators: Brown University; Hennepin County Adult Detention Center
• Treatments: Nicotine

Criteria

Inclusion Criteria:

• Use of ≥ 1 cigarette per day prior to incarceration

• Expected release from the Hennepin Adult Detention Center to the community within 90 days

• Age 18-64

• English fluency

• Lives within 20 minutes of Hennepin County Medical Center and has no plans to move away from area for 4 months

• Willing to attempt quitting or reducing smoking at discharge

• Has a telephone

• Cleared for nicotine lozenge safety by jail health care provider and willing to use at discharge

Exclusion Criteria:

• Active tuberculosis

• Current mental health crisis (i.e., currently experiencing significant mania, psychosis, or suicidality)

• Unable to ambulate independently

• Acute medical condition that would impair participant's ability to follow-up for assessments

• Expected discharge to a control institutional setting (e.g., locked state mental health facility or prison)

• Active pregnancy

• Heart attack within the last two weeks