1 / 19

Tobacco Use in the MMC ID Clinic Population: Clinical and Research Activities

Tobacco Use in the MMC ID Clinic Population: Clinical and Research Activities. AECOM/MMC Tobacco Think Tank September 8, 2009. Cigarette smoking is epidemic among PLWHAs in the USA. 60% of the MMC ID Clinic patients are active cigarette smokers.

nero-ryan
Download Presentation

Tobacco Use in the MMC ID Clinic Population: Clinical and Research Activities

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Tobacco Use in the MMC ID Clinic Population: Clinical and Research Activities AECOM/MMC Tobacco Think Tank September 8, 2009

  2. Cigarette smoking is epidemic among PLWHAs in the USA. 60% of the MMC ID Clinic patients are active cigarette smokers. State and national statistics are describing significant increases in incidences of cardiac events, COPD/emphysema, lung, and oropharyngeal cancer in this population.

  3. American Legacy Foundation 2006-7 • Shuter, Moadel, Bernstein • Study of the biobehavioral bases of smoking and quitting in a random sample of PLWHA smokers and ex-smokers • 60 smokers and 30 ex-smokers completed in-depth, one-on-one structured interviews • A smoking cessation brochure was developed in response to the information gathered

  4. American Legacy Foundation 2007-2008 • Shuter, Moadel, Bernstein • Used data collected in Year 1 to develop the Positively Smoke Free intensive cessation program curriculum, and piloted it in six groups of PLWHA smokers • Matching funds: Latino Commission on AIDS (NYSDOH), Bronx BREATHES (Bernstein)

  5. American Legacy Foundation 2008-2009 • Shuter, Strecher (U. Michigan) • Developed Positively Smoke Free on the Web, the first and only web-based cessation program that targets smokers living with HIV/AIDS • www.positivelysmokefree.com

  6. American Legacy Foundation 2009-2010 • Shuter, Strecher (U. Michigan) • Develop a Spanish version of Positively Smoke Free on the Web • Incorporate a library of provider resources on the website • Matching funds AECOM Cancer Prevention and Control Research Program (Rapkin)

  7. RCT of Positively Smoke Free on-site Intensive Intervention • R21 NIDA (Shuter, Moadel, Bernstein, Arnsten) • Will create a revised version of the curriculum that incorporates buddy support into the treatment model • RCT of intensive intervention vs. standard of care (85 per study condition) • Primary outcome=3 month abstinence

  8. Motivating Latinos to Quit Smoking • R01 NIDA (Niaura/Stanton PIs [Brown University], Shuter, Moadel co-Inv.) • RCT of one-on-one culturally tailored counseling sessions versus standard of care • Projected MMC enrollment=100 • Primary endpoint=12 month abstinence

  9. Translational Research • Exhaled DNA methylation in HIV-infected vs. uninfected individuals • CFAR-AECC pilot grant (Spivack, Shuter) • Plan to enroll 100 PLWHA subjects (smokers, ex-smokers, never smokers) • 17 enrolled to date

  10. Tobacco Use and Antiretroviral Adherence

  11. Provider Attitudes and Beliefs about Tobacco Use • Unfunded study: Shuter, Moadel • Survey of the HIVMA on-line provider registry • 363 completed surveys (75%) from providers caring for 75,000 PLWHAs in 46 states • Analysis is ongoing

  12. Pending Application • R01 (Shuter, Stanton, Moadel, Strecher, Niaura): RCT of a tailored web-based smoking cessation vs. standard care for PLWHA smokers

More Related