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

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Title: Evaluation of a Pharmacist-Linked Smoking Cessation Intervention for Adults Experiencing Homelessness.
Authors: De Los Reyes, Gea (AUTHOR), Ng, Amena (AUTHOR), Valencia Chavez, Jazmin (AUTHOR), Apollonio, Dorie E. (AUTHOR), Kroon, Lisa (AUTHOR), Lee, Phoebe (AUTHOR), Vijayaraghavan, Maya (AUTHOR)
Source: Substance Use & Misuse. 2023, Vol. 58 Issue 12, p1519-1527. 9p. 1 Diagram, 3 Charts, 2 Graphs.
Subjects: Smoking cessation, Evaluation of human services programs, Clinical trials, Counseling, Confidence intervals, Health services accessibility, Social support, Research methodology, Motivation (Psychology), Community health services, Interviewing, Gums & resins, Conceptual structures, Health literacy, Self-efficacy, Social context, Nicotine replacement therapy, Questionnaires, Descriptive statistics, Health attitudes, Research funding, Smoking, Logistic regression analysis, Data analysis software, Content analysis, Thematic analysis, Varenicline, Odds ratio, Longitudinal method, Poisson distribution, Smoking cessation products
Geographic Terms: California
Abstract: 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. [ABSTRACT FROM AUTHOR]
Copyright of Substance Use & Misuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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DbLabel: Psychology and Behavioral Sciences Collection
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  Data: Evaluation of a Pharmacist-Linked Smoking Cessation Intervention for Adults Experiencing Homelessness.
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  Data: <searchLink fieldCode="AR" term="%22De+Los+Reyes%2C+Gea%22">De Los Reyes, Gea</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ng%2C+Amena%22">Ng, Amena</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Valencia+Chavez%2C+Jazmin%22">Valencia Chavez, Jazmin</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Apollonio%2C+Dorie+E%2E%22">Apollonio, Dorie E.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kroon%2C+Lisa%22">Kroon, Lisa</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lee%2C+Phoebe%22">Lee, Phoebe</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Vijayaraghavan%2C+Maya%22">Vijayaraghavan, Maya</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Substance+Use+%26+Misuse%22">Substance Use & Misuse</searchLink>. 2023, Vol. 58 Issue 12, p1519-1527. 9p. 1 Diagram, 3 Charts, 2 Graphs.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Smoking+cessation%22">Smoking cessation</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation+of+human+services+programs%22">Evaluation of human services programs</searchLink><br /><searchLink fieldCode="DE" term="%22Clinical+trials%22">Clinical trials</searchLink><br /><searchLink fieldCode="DE" term="%22Counseling%22">Counseling</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br /><searchLink fieldCode="DE" term="%22Social+support%22">Social support</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Motivation+%28Psychology%29%22">Motivation (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Community+health+services%22">Community health services</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Gums+%26+resins%22">Gums & resins</searchLink><br /><searchLink fieldCode="DE" term="%22Conceptual+structures%22">Conceptual structures</searchLink><br /><searchLink fieldCode="DE" term="%22Health+literacy%22">Health literacy</searchLink><br /><searchLink fieldCode="DE" term="%22Self-efficacy%22">Self-efficacy</searchLink><br /><searchLink fieldCode="DE" term="%22Social+context%22">Social context</searchLink><br /><searchLink fieldCode="DE" term="%22Nicotine+replacement+therapy%22">Nicotine replacement therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Health+attitudes%22">Health attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Smoking%22">Smoking</searchLink><br /><searchLink fieldCode="DE" term="%22Logistic+regression+analysis%22">Logistic regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Content+analysis%22">Content analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Thematic+analysis%22">Thematic analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Varenicline%22">Varenicline</searchLink><br /><searchLink fieldCode="DE" term="%22Odds+ratio%22">Odds ratio</searchLink><br /><searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink><br /><searchLink fieldCode="DE" term="%22Poisson+distribution%22">Poisson distribution</searchLink><br /><searchLink fieldCode="DE" term="%22Smoking+cessation+products%22">Smoking cessation products</searchLink>
– Name: SubjectGeographic
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22California%22">California</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: 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. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Substance Use & Misuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/10826084.2023.2231060
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 1519
    Subjects:
      – SubjectFull: Smoking cessation
        Type: general
      – SubjectFull: Evaluation of human services programs
        Type: general
      – SubjectFull: Clinical trials
        Type: general
      – SubjectFull: Counseling
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Social support
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Motivation (Psychology)
        Type: general
      – SubjectFull: Community health services
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Gums & resins
        Type: general
      – SubjectFull: Conceptual structures
        Type: general
      – SubjectFull: Health literacy
        Type: general
      – SubjectFull: Self-efficacy
        Type: general
      – SubjectFull: Social context
        Type: general
      – SubjectFull: Nicotine replacement therapy
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Health attitudes
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Smoking
        Type: general
      – SubjectFull: Logistic regression analysis
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Content analysis
        Type: general
      – SubjectFull: Thematic analysis
        Type: general
      – SubjectFull: Varenicline
        Type: general
      – SubjectFull: Odds ratio
        Type: general
      – SubjectFull: Longitudinal method
        Type: general
      – SubjectFull: Poisson distribution
        Type: general
      – SubjectFull: Smoking cessation products
        Type: general
      – SubjectFull: California
        Type: general
    Titles:
      – TitleFull: Evaluation of a Pharmacist-Linked Smoking Cessation Intervention for Adults Experiencing Homelessness.
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            NameFull: Ng, Amena
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            – D: 01
              M: 10
              Text: 2023
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