Kate Dolan, Xingzhong (Jason) Jin Stuart Kinner, Robyn Hopkins, Emily Stocking, Ryan Courtney, Anthony Shakeshaft, Dennis Petrie, Timothy Dobbins
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1 A RCT n Smking Relapse Preventin amng Ex-prisners in Nrthern Territry Smking, Nutritin, Alchl and Physical inactivity (SNAP) Study Kate Dlan, Xingzhng (Jasn) Jin Stuart Kinner, Rbyn Hpkins, Emily Stcking, Ryan Curtney, Anthny Shakeshaft, Dennis Petrie, Timthy Dbbins
2 Smking amng prisners Smking levels amng prisners are much higher than general ppulatin. US: 75.8% vs 15.1% (CDC 2016) France: 83.8% vs 24.7% (Jacmet, et al. 2016) Suth Africa: 59.9% vs 19.4% (Mnisi, et al. 2013) Australia: 74% (n entry) vs 14.3% (AIHW, 2016) Nrthern Territry intrduced first smking ban in Australian prisns in Jul 2013 (Helfer, et al. 2016) Prisners wh experience a cmplete smking ban resume smking shrtly after release (Andrade, et al. 2016) A clear need fr effective strategies t sustain abstinence after release. 2
3 SNAP Study Objective: T evaluate a specialised SNAP interventin in preventing relapse t smking after release frm NT prisns. Methds: A multi-centre, investigatr-blinded, randmised parallel superirity trial 3
4 SNAP Mtivatinal Interview 60 minutes SNAP (Smking, Nutritin, Alchl and Physical activity) interventin prir t release. Evidence-based, develped by the RACGP. Mdified by a clinical psychlgist cnsultant (25 year clinical exp.) Mtivatinal interviewing (MI) targeting smking relapse. Access Risk Behavirs Agree Gals/Actin Plan Advise Change Assist with Treatment Arrange Fllw-up 4
5 Eligibility criteria Inclusin criteria Daily smkers befre incarceratin (r smked mre than 100 cigarettes during lifetime). Imprisned frm Octber 2016 t June Released frm January 2017 t June Want t stay smking-free after release. Exclusin criteria A current diagnsis f a severe psychiatric disrder. Intentin t harm self r thers. Impaired decisin making capacity. 5
6 SNAP Study Design Baseline (4 weeks pre-release) Interventin (2 weeks pre-release) Fllw-up (3 mnths pst-release) Alice Springs Crrectinal Centre Darwin Crrectinal Centre Randmise SNAP Mtivatinal Interview Release 1800 NT SNAP Cmmunity Crrectin Phne call Lcal health clinic Prisn Re-entry 824 Usual care (cntrl) N NRT Free Quitline call 412 Current status 490 inmates screened, 341 participants recruited, 263 have left the prisn. 36 have cmpleted the fllw-up interviews. 6
7 Outcme measures Primary utcme Cntinuus abstinence validated by CO breath Test. Secndary utcmes Number f cigarettes (mdified Timeline Fllw-Back methd). Nutritin (Health Eating Index fr Australian Adults). Alchl cnsumptin (AUDIT-C). Physical activity (IPAQ). Psychlgical distress (K6) Quality f life (EQ5-D). Data linkage (PBS, MBS, Natinal Death Index). Cst-effectiveness analysis. 7
8 Baseline demgraphics Baseline characteristics SNAP (n = 157) Cntrl (n = 184) Demgraphics Age (range) 33.8 (20-59) 33.8 (18-59) Males (%) 145 (92%) 168 (91%) Indigenus (%) 146 (93%) 173 (94%) Episdes f incarceratin 6.9 ± ± 5.8 Smking Age started smking (years) 16.5 ± ± 4.0 Number f cigarettes per day 16.1 ± ± 12.5 Cst f cigarettes per week (A$) 71.1 ± ± 72.7 Heaviness Smking Index (0-6) 2.5 ± ± 1.8 Readiness t quit (0-100) 47.7 ± ±
9 Infrmatin backpack Fllw-up card Smke-free Zne Magnet My QuitBuddy App Card Medicines t Help Yu Stp Smking Bklet Australian Guide t Healthy Eating Natinal Guidelines fr Alchl Cnsumptin Australia s Physical Activity Guidelines 9
10 Acknwledgements This study is prudly funded by the Targeting Indigenus Smking (TIS) grant frm the Australian Gvernment Department f Health. Justine Francke Martin Dempsey Kay Neliman-Netty Research Team Mark Payne Rbyn Hpkins Lynda Jarvis Melissa Benham Peter Curwen-Walker Sharn Wilsn Yvn Magnery Karen Wilsn Rebecca Bswrth Katalina Mindszenty Christine Sevalls Jaryd Grant Garry Bennet Luise Blacker Staff f the NT prisns and Cmmunity Crrectins 10
11 Experience frm an interviewer 1. Engaging Indigenus prisners 2. Recnnecting with participants in the Indigenus cmmunity 11
12 Fr mre infrmatin Cntact Chief Investigatr Prf. Kate Dlan Phne: (02) SNAP Study Website Trial Crdinatr Dr. Xingzhng (Jasn) Jin Phne: (02)
13 Discussin pints 1. Prisner health is public health 2. Engaging Indigenus Australians fr research 13
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