Objectives {7}
smoking behavior
The broad objective of this study is to use an experimental design to test two smoke-free policy compliance support interventions: (A) a “compliance through reduction (via relocation and reduction in personal smoking) and cessation” intervention targets households with smokers and involves support to shift smoking practices outside of apartment and building settings and reducing personal smoking, and deliver in-residence smoking cessation support services via trained peer educators and (B) a “compliance through resident endorsement” intervention involving voluntary adoption of smoke-free living environments through personal pledges, visible door markers, and/or via social media. We will compare randomly sampled participants in buildings that receive A or B or A plus B to the NYCHA standard approach.We seek to achieve the following specific aims:Aim 1: Experimentally test if compliance support interventions reduce personal smoking behavior.Aim 2: Experimentally test if compliance support interventions reduce secondhand smoke exposure.Aim 3: Determine if the tobacco retail environment surrounding each building moderates the relationship between compliance support interventions and smoking-related outcomes.We hypothesize that the reduction/cessation plus resident endorsement intervention will yield significantly larger reductions in personal smoking and secondhand smoke exposure, compared to standalone interventions and the standard approach.