PLAIN LANGUAGE SUMMARY The PROMPT study is a community-based research project designed to understand the factors which affect smoking as well as ways to manage, reduce and quit smoking among people who use drugs in Ottawa. There is strong medical evidence that smoking tobacco is related to more than two dozen diseases and conditions. Smoking tobacco remains the leading cause of preventable death and has negative health impacts on people of all ages. Although Ottawa has one of the lowest smoking rates in Ontario (12 %), major differences exist, with approximately a 96 % smoking rate among those who use drugs in the city of Ottawa. To address this inequity, we recruited and trained four community research peers who were representative of the study target population (ex- or currently homeless, insecurely housed or multi-drug users). We designed the ten-step Ottawa Citizen Engagement and Action Model (OCEAM) for the PROMPT study. In this paper we have described this process in a step-by-step fashion, as used in the PROMPT study. The eighty PROMPT participants are being followed for six months and are being provided with free and off-label Nicotine Replacement Therapy (NRT). ABSTRACT Objectives The PROMPT study, Participatory Research in Ottawa, Management and Point-of-care of Tobacco, is a prospective cohort study which utilizes community-based participation and social network-based approaches to address tobacco dependence in inner city Ottawa. The project was designed to: facilitate retention of participants; to understand the barriers and facilitators of smoking; optimize ways to manage, reduce, and quit tobacco use among people who use drugs in Ottawa, Canada. The purpose of this paper is to describe the processes utilized in citizen or patient engagement in academic research, through our tobacco dependence management project in the inner city population in Ottawa, Canada.Background Tobacco smoking is inequitably distributed in Canada with rates at 12 % in Ottawa, as compared to 18 % in rest of Canada. However, the PROUD Study (Participatory Research in Ottawa: Understanding Drugs) demonstrated that 96 % of the inner city population, of Ottawa currently smoke tobacco. This distinct inequity in tobacco use translates into inequitable distribution of health outcomes, such morbidity and mortality in this population. Consequently, a community-based participatory, peer-led research project was conducted in the inner city population of Ottawa.Methods We recruited and trained four community research peers who were representative of the study target population. We conceived, designed and operationalized the ten-step Ottawa Citizen Engagement and Action Model (OCEAM) for the PROMPT study. The peers have co-led all aspects of the project from conceptualizing the study question to participating in knowledge translation. Each step of the project had defined objectives and outcome measures.Discussion The involvement of peers in recruitment ensured representation of tobacco and drug users-individuals truly representative of the intended target population. Peer, participant engagement and trust was established from the conception of the project. For historical and self-evident reasons, trust and engagement is rarely found in this population. Peers successfully participated in all ten steps of the Citizen Engagement and Action model. The PROMPT study utilized the CBPR (Community Based Participatory research) approach to encourage engagement and build trust in a difficult to reach and hard to treat, inner city population. The ten-step OCEAM model was conceived, designed and operationalized and the PROMPT study will continue to follow the eighty PROMPT participants for six months to understand the optimal ways to manage, reduce, and quit smoking within an inner city population.

中文翻译：

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渥太华公民参与和行动模型 (OCEAM)：通过在渥太华的参与式研究、烟草管理和护理点 (PROMPT) 研究实施的公民参与战略：渥太华市中心的社区参与式行动研究项目。

简明语言摘要 PROMPT 研究是一项以社区为基础的研究项目，旨在了解影响吸烟的因素以及在渥太华吸毒者中管理、减少和戒烟的方法。有强有力的医学证据表明，吸烟与超过两打疾病和病症有关。吸烟仍然是可预防死亡的主要原因，对所有年龄段的人都有负面的健康影响。尽管渥太华是安大略省吸烟率最低的国家之一（12%），但仍存在重大差异，渥太华市吸毒者的吸烟率约为 96%。为了解决这种不平等现象，我们招募并培训了四名代表研究目标人群（前或目前无家可归、居住不安全或吸毒者）的社区研究同行。我们为 PROMPT 研究设计了十步渥太华公民参与和行动模型 (OCEAM)。在本文中，我们以逐步的方式描述了这个过程，正如在 PROMPT 研究中使用的那样。八十名 PROMPT 参与者将被跟踪六个月，并提供免费和标签外的尼古丁替代疗法 (NRT)。抽象 目标 PROMPT 研究，渥太华的参与性研究，烟草的管理和护理点，是一项前瞻性队列研究，它利用基于社区的参与和基于社交网络的方法来解决渥太华市中心的烟草依赖问题。该项目旨在： 促进留住参与者；了解吸烟的障碍和促进因素；优化在加拿大渥太华吸毒者中管理、减少和戒烟的方法。本文的目的是描述公民或患者参与学术研究的过程，通过我们在加拿大渥太华市中心人口的烟草依赖管理项目。背景 吸烟在加拿大分布不均，比率为 12%渥太华，而加拿大其他地区为 18%。然而，PROUD 研究（渥太华的参与式研究：了解毒品）表明，96% 的渥太华市中心人口目前都在吸烟。烟草使用中这种明显的不公平转化为健康结果的不公平分布，例如该人群的发病率和死亡率。因此，在渥太华市中心的人口中开展了一个以社区为基础的参与式、同行主导的研究项目。方法 我们招募并培训了四名代表研究目标人群的社区研究同行。我们为 PROMPT 研究构思、设计和实施了十步渥太华公民参与和行动模型 (OCEAM)。同行们共同领导了该项目的各个方面，从概念化研究问题到参与知识转化。项目的每个步骤都明确了目标和结果衡量标准。讨论 同行参与招募确保了烟草和吸毒者的代表性——真正代表预期目标人群的个人。同行、参与者的参与和信任是从项目的概念开始建立的。由于历史和不言而喻的原因，在这个人群中很少发现信任和参与。同行成功地参与了公民参与和行动模型的所有十个步骤。PROMPT 研究利用 CBPR（基于社区的参与式研究）方法来鼓励参与并建立对难以接触和难以治疗的内城人口的信任。十步 OCEAM 模型的构思、设计和实施，PROMPT 研究将继续跟踪 80 名 PROMPT 参与者六个月，以了解在市中心人口中管理、减少和戒烟的最佳方法。