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6. SmokefreeTXT for Homeless Smokers: Pilot Randomized Controlled Trial

Author

Baggett, Travis P, McGlave, Claire, Kruse, Gina R, Yaqubi, Awesta, Chang, Yuchiao, and Rigotti, Nancy A

Subjects
Information technology, T58.5-58.64, Public aspects of medicine, RA1-1270
Abstract

BackgroundHomeless smokers want to quit smoking but face numerous barriers to doing so, including pervasive smoking among peers and a lack of social support for quitting. An SMS (short message service) text messaging intervention could address these challenges by providing virtual daily support for homeless smokers who are trying to quit but coping with multiple triggers to smoke. ObjectiveThis study aimed to assess whether a free SMS text messaging program, added to evidence-based pharmacotherapy and counseling, improved smoking abstinence among homeless adult smokers. MethodsFrom October 2015 to June 2016, we conducted an 8-week pilot randomized controlled trial (RCT) of nicotine patch therapy and weekly in-person counseling with (n=25) or without (n=25) SmokefreeTXT, a free SMS text messaging service administered by the National Cancer Institute (NCI) at Boston Health Care for the Homeless Program. All participants were provided with a mobile phone and a 2-month prepaid voice and text plan at no cost. SmokefreeTXT enrollees were sent 1 to 5 automated SMS text messages daily for up to 8 weeks and could receive on-demand tips for managing cravings, mood symptoms, and smoking lapses. The primary outcome was smoking abstinence, defined as an exhaled carbon monoxide count of

Published
2019
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11. Patient Navigation for Lung Cancer Screening at a Health Care for the Homeless Program

Author

Baggett, Travis P., primary, Sporn, Nora, additional, Barbosa Teixeira, Joana, additional, Rodriguez, Elijah C., additional, Anandakugan, Nillani, additional, Critchley, Natalia, additional, Kennedy, Evangeline, additional, Hart, Katherine, additional, Joyce, Andrea, additional, Chang, Yuchiao, additional, Percac-Lima, Sanja, additional, Park, Elyse R., additional, and Rigotti, Nancy A., additional

Published
2024
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15. Assessment of SARS-CoV-2 Infection Prevalence in Homeless Shelters — Four U.S. Cities, March 27–April 15, 2020

Author

COVID-19 Homelessness Team, Mosites, Emily, Parker, Erin M., Clarke, Kristie E. N., Gaeta, Jessie M., Baggett, Travis P., Imbert, Elizabeth, Sankaran, Madeline, Scarborough, Ashley, Huster, Karin, Hanson, Matt, Gonzales, Elysia, Rauch, Jody, Page, Libby, McMichael, Temet M., Keating, Ryan, Marx, Grace E., Andrews, Tom, Schmit, Kristine, Morris, Sapna Bamrah, Dowling, Nicole F., and Peacock, Georgina

Published
2020

17. Permanent Supportive Housing for Homeless People — Reframing the Debate

Author

Kertesz, Stefan G, Baggett, Travis P, O'Connell, James J, Buck, David S, and Kushel, Margot B

Subjects
Biomedical and Clinical Sciences, Health Sciences, Cost Savings, Health Services, Ill-Housed Persons, Human Rights, Humans, Public Housing, United States, Medical and Health Sciences, General & Internal Medicine, Biomedical and clinical sciences, Health sciences
Published
2016

30. “I’m on the Right Path”: Exploring 1-Month Retention in a Homeless-Tailored Outpatient-Based Opioid Treatment Program

Author

Fine, Danielle R., Critchley, Natalia, Hart, Katherine, Joyce, Andrea, Sporn, Nora, Gaeta, Jessie, Wright, Joe, Baggett, Travis P., and Kruse, Gina

Abstract

Background: Homeless-tailored office-based opioid treatment (OBOT) programs have been developed to address the ongoing opioid overdose crisis, which disproportionately affects people experiencing homelessness. The objective of this study was to evaluate the facilitators of and barriers to retention in a homeless-tailored OBOT program.Methods: We performed in-depth qualitative interviews with 24 homeless-experienced adults who newly enrolled in Boston Health Care for the Homeless Program’s OBOT program from January 6, 2022 through January 5, 2023. We purposively sampled participants based on whether they were retained at 1 month (n = 12) or not (n = 12). We used an abductive analytic process, applying codes to the interview transcripts from an a priori analytic framework based on the Behavioral Model for Vulnerable Populations and supplementing with emergent codes as needed. We compared themes by participants’ 1-month retention status to explore facilitators of and barriers to retention in OBOT care.Results: The average age was 41.9 years, 29.2% were female, 20.8% were Black, 58.3% were White, and 33.0% were Hispanic. Facilitators of retention common to many participants included the clinic experience, low-threshold model, clinic staff, and provision of comprehensive care. Among participants who were retained at 1-month, personal motivation, use of extended-release buprenorphine, and adequate buprenorphine efficacy were additional facilitators. Barriers to retention common to many participants included the clinic’s surrounding environment, competing subsistence difficulties, and transportation difficulty. Among participants who were not retained at 1-month, opioid use severity, drug use in social networks, and inadequate buprenorphine efficacy represented additional barriers.Conclusions: We identified several common determinants of OBOT retention among our homeless-experienced participants as well as some facilitators and barriers that differed by 1-month retention status. These divergent factors represent potential points of intervention to promote retention in homeless-tailored OBOT programs.

Published
2024
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45. Patient navigation to promote lung cancer screening in a community health center for people experiencing homelessness: Protocol for a pragmatic randomized controlled trial

Author

Baggett, Travis P., primary, Barbosa Teixeira, Joana, additional, Rodriguez, Elijah C., additional, Anandakugan, Nillani, additional, Sporn, Nora, additional, Chang, Yuchiao, additional, Percac-Lima, Sanja, additional, Park, Elyse R., additional, and Rigotti, Nancy A., additional

Published
2022
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