A self-help intervention for African American smokers: tailoring cancer information service counseling for a special population.

BACKGROUND 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 2-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 1-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 57% 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.

[1]  E. D. Hoffman.  Pathways to Freedom , 2000 .

[2]  J. A. Ward,et al.  Quit Today! A targeted communications campaign to increase use of the cancer information service by African American smokers. , 1998, Preventive medicine.

[3]  K. Resnicow,et al.  A Self-Help Smoking Cessation Program for Inner-City African Americans: Results from the Harlem Health Connection Project , 1997, Health education & behavior : the official publication of the Society for Public Health Education.

[4]  Elizabeth A. Gilpin,et al.  The demographics of help-seeking for smoking cessation in California and the role of the California Smokers’ Helpline , 1995, Tobacco Control.

[5]  V. Strecher,et al.  The effects of computer-tailored smoking cessation messages in family practice settings. , 1994, The Journal of family practice.

[6]  B. Rimer,et al.  Does tailoring matter? The impact of a tailored guide on ratings and short-term smoking-related outcomes for older smokers. , 1994, Health education research.

[7]  T. Hartwell,et al.  Smoking cessation factors among African Americans and whites. COMMIT Research Group. , 1993, American journal of public health.

[8]  R. Warnecke,et al.  Social support in smoking cessation among black women in Chicago public housing. , 1993, Public health reports.

[9]  L. Wun,et al.  The Cancer Information Service Telephone Evaluation and Reporting System (CISTERS): a new tool for assessing quality assurance. , 1993, Journal of the National Cancer Institute. Monographs.

[10]  B. Rimer,et al.  Results of an antismoking media campaign utilizing the Cancer Information Service. , 1993, Journal of the National Cancer Institute. Monographs.

[11]  B. Rimer,et al.  The Impact of Tailored Self-Help Smoking Cessation Guides on Young Mothers , 1992, Health education quarterly.

[12]  S. Glantz,et al.  Report of the Tobacco Policy Research Group on Marketing and Promotions Targeted at African Americans, Latinos, and Women , 1992, Tobacco Control.

[13]  J. Prochaska,et al.  In Search of How People Change: Applications to Addictive Behaviors , 1992, The American psychologist.

[14]  R. M. Romano,et al.  Promoting smoking cessation in the United States: effect of public service announcements on the Cancer Information Service telephone line. , 1992, Journal of the National Cancer Institute.

[15]  R. Warnecke,et al.  Smoking-related behavior, beliefs, and social environment of young black women in subsidized public housing in Chicago. , 1992, American journal of public health.

[16]  W F Velicer,et al.  Assessing outcome in smoking cessation studies. , 1992, Psychological bulletin.

[17]  J. Gruman,et al.  Essential Elements of Self-Help/Minimal Intervention Strategies for Smoking Cessation , 1990, Health education quarterly.

[18]  Michael C. Fiore,et al.  Methods used to quit smoking in the United States. Do cessation programs help , 1990 .

[19]  C. Pomerleau,et al.  Relationship between nicotine tolerance questionnaire scores and plasma cotinine. , 1990, Addictive behaviors.

[20]  V. Strecher,et al.  Smoking cessation initiatives for Black Americans: recommendations for research and intervention , 1989 .

[21]  V. Freimuth,et al.  Searching for Health Information: The Cancer Information Service Model , 1989 .

[22]  E. F. Brooks,et al.  A survey of smoking and quitting patterns among black Americans. , 1989, American journal of public health.

[23]  G. Cutter,et al.  The effectiveness of smoking cessation methods for smokers in public health maternity clinics: a randomized trial. , 1985, American journal of public health.