Abstract
Tobacco is among the top three causes of disease in the world and remains a leading preventable cause of death afflicting over 1.3 billion people globally. The Bridge Engagement Centre, a community research office in Ottawa (Canada), conducted the Participatory Research in Ottawa: Point-of-Care and Management for Tobacco Dependence (PROMPT) project, a prospective cohort study that enrolled participants from Ottawa’s People Who Use Drugs, homeless, or at-risk for homelessness population. The PROMPT project demonstrated the effectiveness of a community based participatory action research approach, the Ottawa Citizen Engagement and Action (OCEAM) model in reducing tobacco smoking and other illicit substance use among a hard-to-reach population. Through the involvement of community members with lived experience as community peer researchers, community engagement activities, and the clinical support of a mental health and substance use nurse, participants reduced tobacco and other substance use, improved their socioeconomic circumstances, and created a sense of community based on recovery and harm reduction. Based on the findings of the PROMPT study, two multi-site Randomized Control Trials are underway to scale up the implementation of the PROMPT project, and to assess the project’s impact on the substance use outcomes and general well-being of participating PWUD homeless (or at-risk for homelessness) populations in Ottawa and Toronto. Community-based, participatory, peer-led research holds tremendous potential in investigating solutions to persistent health inequities, and the design of effective programs to treat tobacco dependence in marginalized urban populations. Projects like PROMPT can also be used as a template for community-based interventions in other chronic disease areas that disproportionately impact marginalized populations.
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Jama, S., Pakhalé, S. (2021). Innovative Community Based Participatory Action Approach to Tackling Tobacco Health Inequities in Urban Poor Populations. In: Liamputtong, P. (eds) Handbook of Social Inclusion. Springer, Cham. https://doi.org/10.1007/978-3-030-48277-0_89-1
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DOI: https://doi.org/10.1007/978-3-030-48277-0_89-1
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