Faculty Collaboration Database

A pilot community-based intensive smoking cessation intervention in African Americans: feasibility, acceptability and early outcome indicators. J Natl Med Assoc 2008 Feb;100(2):208-17

Date

02/28/2008

Pubmed ID

18300538

DOI

10.1016/s0027-9684(15)31209-8

Scopus ID

2-s2.0-39549094474 (requires institutional sign-in at Scopus site)   23 Citations

Abstract

Few intensive and community-based smoking cessation treatment programs have been designed for African-American smokers, a group who experiences numerous health disparities associated with cigarette smoking. The purpose of this study was to examine the feasibility, acceptability and biochemically verified early outcome indicators in a community-based comprehensive smoking cessation program in 50 urban, low- and middle-income African-American smokers. The intervention was an intensive six-session group program delivered in the community and a one-month supply of the transdermal nicotine patch. Results showed 74% of enrolled participants completed the program and 51% of participants were highly adherent to patch use guidelines. Intent-to-treat analyses revealed that 34% of participants were biochemically confirmed as having quit smoking at one month post quit date. Smoking urges and depressive symptoms also declined significantly during the first month. At three- and six-month follow-up, biochemically confirmed quit rates were 22% and 18%, respectively. Adherence to nicotine patch use, higher ratings of the perceived helpfulness of self-monitoring tasks (wrap sheets) and lower depression scores at baseline all significantly predicted quitting success during the first month of treatment (all p's<0.05). Larger studies are warranted to examine targeted treatment elements and individual difference factors to enhance cessation outcomes in African-American smokers.

Author List

King A, Sánchez-Johnsen L, Van Orman S, Cao D, Matthews A

Author

Lisa Sanchez-Johnsen PhD Center Associate Director, Professor in the Institute for Health and Equity department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Adult
Aged
Attitude to Health
Feasibility Studies
Female
Health Behavior
Health Status Indicators
Humans
Male
Middle Aged
Patient Acceptance of Health Care
Patient Compliance
Pilot Projects
Preventive Health Services
Program Evaluation
Psychological Tests
Psychometrics
Residence Characteristics
Smoking
Smoking Cessation
Smoking Prevention
Tobacco Use Disorder
Treatment Outcome