This is an archive of papers published by the staff and faculty of Fox Chase Cancer Center. For questions about content, please contact Talbot Research Library
Last updated on
Orleans CT , Boyd NR , Bingler R , Sutton C , Fairclough D , Heller D , McClatchey M , Ward J , Graves C , Fleisher L , Baum S
A self-help intervention for African American smokers: Tailoring cancer information service counseling for a special population
Preventive Medicine. 1998 Sep-Oct;27(5) :S61-S70
AbstractBackground. African Americans remain a critically underserved group for smoking cessation interventions. This study tested the effectiveness of a tailored, culturally sensitive intervention for African American smokers who called the NCI Cancer Information Service (CIS) for help to quit smoking. Methods. This paper presents results of a a-year study of tailored counseling strategies among African American smokers (n = 1,422) who called four regional CIS offices in response to a radio-based media campaign in 14 communities. Callers were randomly assigned to receive either the standard CIS quit smoking counseling and guide (Clearing the Air) or counseling and a guide (Pathways to Freedom) tailored to the quitting needs and barriers of African American smokers. Callers were predominantly female (63.6%). ages 20-49 (88%), with a high school education or more (84%). Median smoking history was 17 years; median smoking rate was 20 cigarettes/day. Standard (n = 689) and Tailored (n = 733) group subjects did not differ on most baseline measures. Results. On most measures, Standard and Tailored counseling/guides received similar ratings, but the Tailored guide was rated as having more appealing photos (P = 0.001) and as being more appropriate for family members (P = 0.003). Six-month follow-up with 893 subjects (response rates were 63% Standard, 62% Tailored, ns) showed significantly more quit attempts (P = 0.002) and greater use of prequitting strategies (P < 0.05) among Tailored than among Standard subjects, but no differences in self-reported I-week abstinence (14.4% Standard, 16.2% Tailored) (ns). An opportunistic 12- month follow-up of subjects recruited in the last year of the study (n = 445) (response rates were 51% Standard, 60% Tailored, ns) showed a significantly higher quit rate (15.4% Standard, 25.0% Tailored) for Tailored subjects (P = 0.034). Conclusions. Results show promise for tailored approaches to boost quit attempts and success rates among African American smokers. (C) 1998 American Health Foundation and Academic Press.
NotesTimes Cited: 7 English Article 2 134WH PREV MED