Research

Healthy Homes Study: A place-based smoke-free home intervention in federally subsidized housing 

Smoke-Free Home Study

SFCAN Study: Cessation Assistance in Homeless Shelters

Cluster randomized trial of a smoke-free home intervention in subsidized housing conducted in English, Spanish, Chinese, and Vietnamese.

The purpose of the Healthy Homes study is to implement and evaluate an intervention to increase voluntary adoption of smoke-free homes among residents in federally subsidized housing, and to improve the capacity of subsidized housing to offer cessation services to residents. The resident smoke-free home intervention will include distribution of written and graphic materials about the harms of secondhand smoke exposure, smoke-free home pledges and signs, and strategies to adopt a smoke-free home and address roadblocks to adoption.

• Objective: To increase voluntary adoption of smoke-free homes and increase access to cessation services
• Funding: National Institute on Minority Health and Health Disparities 
• Study design: Cluster randomized controlled trial.
  • Intervention sites get counseling intervention for residents and staff.
  • Control sites get usual care and are offered the intervention 6 months later
• Setting. 40+ affordable housing sites in San Francisco, Alameda, and Contra Costa County
• Participants. Goal of 544
• Outcomes. Smoke-free home adoption

A community-based trial of a voluntary smoke-free home intervention in permanent supportive housing for formerly homeless adults.

The goal of the study is to test and evaluate a smoke-free home intervention among residents in permanent supportive housing in the San Francisco Bay Area, and also to improve the facility’s capacity to promote smoking cessation among residents. A smoke-free home is a home where no smoking is allowed inside. The intervention includes distribution of written and graphic materials about the harms of secondhand smoke exposure, smoke-free home pledges and signs, and strategies to adopt a smoke-free home and address roadblocks to adoption. We expect to enroll 400 residents and 100 staff participants in this study, from 24 to 30 permanent supportive housing sites.

• Objective: To increase voluntary adoption of smoke-free homes and increase access to cessation services
• Funding: National Cancer Institute
• Study design: Cluster randomized controlled trial.
  • Intervention sites get counseling intervention for residents and staff.
  • Control sites get usual care and are offered the intervention 6 months later
• Setting. 38 permanent supportive housing sites for formerly homeless adults
• Participants. 290 out of 400 participants recruited.
• Outcomes. Smoke-free home adoption

Providing access to medication assistance program for smoking cessation for homeless adults seeking shelter services in San Francisco.

This program seeks to provide on-site access to medications for tobacco cessation for people experiencing homelessness and who are staying in navigation centers in San Francisco, CA. Funded by the San Francisco Cancer Initiative, this is part of a larger effort to increase smoking cessation services in shelters in partnership with Alto pharmacy.

• Objective: To eliminate barriers to access to smoking cessation treatment through a community pharmacist-linked smoking cessation program for adults experiencing homelessness.
• Funding: San Francisco Cancer Initiative
• Study design: Single arm implementation study.
  • Pharmacist provides consultation and free delivery of NRT for up to 3 months
• Setting: Navigation Centers and shelters
• Participants: 60 participants each cycle
• Outcomes: Tobacco abstinence