Institute of Nutritional Medicine, Department of Nutritional Psychology, University of Hohenheim, Fruwirthstr. 12, 70593, Stuttgart, Germany.
Institute for Social Medicine, Epidemiology and Health Economics, Charité - Universitätsmedizin Berlin, Luisenstraße 57, 10117, Berlin, Germany.
BMC Public Health. 2020 Jul 17;20(1):1124. doi: 10.1186/s12889-020-09232-0.
Among food pantry users there is a high prevalence of both smoking and food insecurity, which may be related to one another. This study aims to evaluate the impact of a smoking cessation program carried out in food pantries on the smoking status and the food security status of food pantry users.
METHODS / DESIGN: Before starting the cluster randomised controlled trial, stakeholders will be engaged to adapt a behavioural group counselling program for smoking cessation to the needs of the food pantry users in a pre study. Food pantry users and workers as well as other experts, such as smoking cessation trainers, social workers, and psychologists, will be involved, using the world café technique and telephone interviews and a qualitative thematic analysis for data analysis to design the concept of the intervention program will be applied. In the second phase, the impact of the intervention on the smoking status and on food insecurity will be investigated by a cluster randomised controlled trial. A total of 416 food pantry users across 32 clusters (food pantries) in Berlin, Germany, should be recruited and randomly assigned to either the intervention group or the waiting list control group. The intervention will consist of a behavioural group counselling program for smoking cessation, specially tailored for food pantry users, as well as optional nicotine replacement therapy and the implementation of environmental smoking reduction measures in the food pantries. The primary outcomes 6 months after the treatment will be self-reported continuous smoking abstinence, validated by exhaled carbon monoxide (< 10 ppm of carbon monoxide), and increased food security level (the percentage of participants with an improved food security level).
This study will be the first long-term investigation into the effect of a smoking cessation program on smoking status and food insecurity. The results of this study will inform the implementation of smoking cessation programs in food pantries throughout Germany.
Prospectively registered DRKS00020037 . Registered 29 April 2020.
食品储藏室使用者中吸烟和食物不安全的患病率都很高，两者之间可能存在关联。本研究旨在评估在食品储藏室中开展戒烟计划对食品储藏室使用者的吸烟状况和食物安全状况的影响。
方法/设计：在开始进行群组随机对照试验之前，利益攸关方将参与一项预研究，以适应行为小组咨询戒烟计划，以满足食品储藏室使用者的需求。将涉及食品储藏室使用者和工作人员以及其他专家，如戒烟培训师、社会工作者和心理学家，使用世界咖啡馆技术和电话访谈以及定性主题分析进行数据分析，以设计干预计划的概念。在第二阶段，将通过群组随机对照试验研究干预对吸烟状况和食物不安全的影响。预计将在德国柏林的 32 个群组（食品储藏室）中招募 416 名食品储藏室使用者，并将其随机分配到干预组或等待名单对照组。干预措施将包括专为食品储藏室使用者量身定制的行为小组咨询戒烟计划，以及可选的尼古丁替代疗法和在食品储藏室实施环境控烟措施。治疗后 6 个月的主要结局将是自我报告的持续戒烟，通过呼出的一氧化碳（<10ppm 的一氧化碳）进行验证，以及食物安全水平的提高（食物安全水平提高的参与者比例）。
本研究将是首次对戒烟计划对吸烟状况和食物不安全状况影响的长期调查。本研究的结果将为德国各地食品储藏室实施戒烟计划提供信息。
前瞻性注册 DRKS00020037。于 2020 年 4 月 29 日注册。
