Efficacy of a Smoking Cessation Program for Underserved Ethnic Minority Communities: Results of a Smoking Cessation Trial

Objectives: Using a participatory research approach, this study reports the efficacy of the Communities Engaged and Advocating for a Smoke-free Environment (CEASE)-4 intervention offered by the local peers.Methods: CEASE-4 is a theory-based tobacco-cessation intervention, tailored to the needs of un...

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Main Authors: Payam Sheikhattari, Jummai Apata, Lisa Bleich, Farin Kamangar, Shervin Assari
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-06-01
Series:International Journal of Public Health
Subjects:
Online Access:https://www.ssph-journal.org/articles/10.3389/ijph.2023.1605739/full
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author Payam Sheikhattari
Payam Sheikhattari
Jummai Apata
Lisa Bleich
Farin Kamangar
Shervin Assari
Shervin Assari
author_facet Payam Sheikhattari
Payam Sheikhattari
Jummai Apata
Lisa Bleich
Farin Kamangar
Shervin Assari
Shervin Assari
author_sort Payam Sheikhattari
collection DOAJ
description Objectives: Using a participatory research approach, this study reports the efficacy of the Communities Engaged and Advocating for a Smoke-free Environment (CEASE)-4 intervention offered by the local peers.Methods: CEASE-4 is a theory-based tobacco-cessation intervention, tailored to the needs of underserved populations. 842 tobacco users self-selected into: a) self-help (n = 472), b) single-session class (n = 163), and c) four-session class (n = 207). While self-help group only received educational materials, curriculum for other arms was built on the social cognitive, motivational interviewing, and trans-theoretical- frameworks. Participants could also receive nicotine replacement therapy (NRT). Outcome was self-reported smoking cessation measured 12 weeks after completion of the intervention, validated by exhaled carbon monoxide (CO) test.Results: Quit rate was statistically different across groups, with highest quit rate in four-session and lowest quit rate in self-help arm. Cessation rates at follow up (12 weeks after completion of the intervention) were 2.3% in the self-help arm, 6.1% in the single-session arm and 13.0% in the four-session arm.Conclusion: While theory-based smoking cessation services are effective for underserved populations, four-session curriculum might be superior to a single session program.
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spelling doaj.art-24de403551be4a82b63374d14bbc457d2023-06-20T04:10:57ZengFrontiers Media S.A.International Journal of Public Health1661-85642023-06-016810.3389/ijph.2023.16057391605739Efficacy of a Smoking Cessation Program for Underserved Ethnic Minority Communities: Results of a Smoking Cessation TrialPayam Sheikhattari0Payam Sheikhattari1Jummai Apata2Lisa Bleich3Farin Kamangar4Shervin Assari5Shervin Assari6Department of Behavioral Health Science, School of Community Health and Policy, Morgan State University, Baltimore, MD, United StatesPrevention Sciences Research Center, Morgan State University, Baltimore, MD, United StatesPrevention Sciences Research Center, Morgan State University, Baltimore, MD, United StatesSignal Fire Consulting, Baltimore, MD, United StatesOffice of Research Administration, Morgan State University, Baltimore, MD, United StatesDepartment of Family Medicine, Charles R. Drew University of Medicine and Science, Los Angeles, CA, United StatesDepartment of Urban Public Health, Charles R. Drew University of Medicine and Science, Los Angeles, CA, United StatesObjectives: Using a participatory research approach, this study reports the efficacy of the Communities Engaged and Advocating for a Smoke-free Environment (CEASE)-4 intervention offered by the local peers.Methods: CEASE-4 is a theory-based tobacco-cessation intervention, tailored to the needs of underserved populations. 842 tobacco users self-selected into: a) self-help (n = 472), b) single-session class (n = 163), and c) four-session class (n = 207). While self-help group only received educational materials, curriculum for other arms was built on the social cognitive, motivational interviewing, and trans-theoretical- frameworks. Participants could also receive nicotine replacement therapy (NRT). Outcome was self-reported smoking cessation measured 12 weeks after completion of the intervention, validated by exhaled carbon monoxide (CO) test.Results: Quit rate was statistically different across groups, with highest quit rate in four-session and lowest quit rate in self-help arm. Cessation rates at follow up (12 weeks after completion of the intervention) were 2.3% in the self-help arm, 6.1% in the single-session arm and 13.0% in the four-session arm.Conclusion: While theory-based smoking cessation services are effective for underserved populations, four-session curriculum might be superior to a single session program.https://www.ssph-journal.org/articles/10.3389/ijph.2023.1605739/fullsmoking cessationhealth disparitiespeer-motivationparticipatory researchunderserved ethnic minorities
spellingShingle Payam Sheikhattari
Payam Sheikhattari
Jummai Apata
Lisa Bleich
Farin Kamangar
Shervin Assari
Shervin Assari
Efficacy of a Smoking Cessation Program for Underserved Ethnic Minority Communities: Results of a Smoking Cessation Trial
International Journal of Public Health
smoking cessation
health disparities
peer-motivation
participatory research
underserved ethnic minorities
title Efficacy of a Smoking Cessation Program for Underserved Ethnic Minority Communities: Results of a Smoking Cessation Trial
title_full Efficacy of a Smoking Cessation Program for Underserved Ethnic Minority Communities: Results of a Smoking Cessation Trial
title_fullStr Efficacy of a Smoking Cessation Program for Underserved Ethnic Minority Communities: Results of a Smoking Cessation Trial
title_full_unstemmed Efficacy of a Smoking Cessation Program for Underserved Ethnic Minority Communities: Results of a Smoking Cessation Trial
title_short Efficacy of a Smoking Cessation Program for Underserved Ethnic Minority Communities: Results of a Smoking Cessation Trial
title_sort efficacy of a smoking cessation program for underserved ethnic minority communities results of a smoking cessation trial
topic smoking cessation
health disparities
peer-motivation
participatory research
underserved ethnic minorities
url https://www.ssph-journal.org/articles/10.3389/ijph.2023.1605739/full
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