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Erschienen in: Journal of Community Health 5/2019

06.03.2019 | Original Paper

Addressing Tobacco Use in Underserved Communities Through a Peer-Facilitated Smoking Cessation Program

verfasst von: Jummai Apata, Payam Sheikhattari, Lisa Bleich, Farin Kamangar, Anne Marie O’Keefe, Fernando A. Wagner

Erschienen in: Journal of Community Health | Ausgabe 5/2019

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Abstract

Communities Engaged and Advocating for a Smoke-Free Environment (CEASE) is a long-standing research partnership between a university and the neighboring community that was established to reduce tobacco use among poor and underserved residents. The CEASE tobacco cessation program was implemented in four phases, with each new phase applying lessons learned from the previous phases to improve outcomes. This study describes CEASE’s community-based approach and reports results from implementing the second phase of the intervention which, among other things, varied in the type of incentives, setting, and providers used. CEASE implemented a mixed-methods study following the Community-Based Participatory Research (CBPR) approach. During Phase II, a total of 398 smokers were recruited into two 12-session group counseling interventions facilitated by trained peers in community venues, which differed in the type of incentives used to increase participation and reward the achievement of milestones. At 12-week follow-up, 21% of all participants reported not smoking, with a retention rate (i.e., attendance at six or more of the 12 cessation classes offered) of 51.9%. No significant differences in cessation outcomes were found between the two study arms. Using a CBPR approach resulted in a peer-led model of care with improved outcomes compared to Phase I, which was provided by clinicians. The combined use of monetary and non-monetary incentives was helpful in increasing participation in the program but did not significantly impact smoking cessation. A CBPR approach can increase the acceptability and effectiveness of cessation services for underserved populations.
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Metadaten
Titel
Addressing Tobacco Use in Underserved Communities Through a Peer-Facilitated Smoking Cessation Program
verfasst von
Jummai Apata
Payam Sheikhattari
Lisa Bleich
Farin Kamangar
Anne Marie O’Keefe
Fernando A. Wagner
Publikationsdatum
06.03.2019
Verlag
Springer US
Erschienen in
Journal of Community Health / Ausgabe 5/2019
Print ISSN: 0094-5145
Elektronische ISSN: 1573-3610
DOI
https://doi.org/10.1007/s10900-019-00635-8

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