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A Rural Appalachian Faith-Placed Smoking Cessation Intervention

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Abstract

Although health promotion programming in faith institutions is promising, most faith-based or placed health projects focus on diet, exercise, or cancer screening and many have been located in urban environments. This article addresses the notable absence of faith programming for smoking cessation among underserved rural US residents who experience tobacco-related health inequities. In this article, we describe our faith-oriented smoking cessation program in rural Appalachia, involving 590 smokers in 26 rural churches randomized to early and delayed intervention groups. We present three main themes that account for participants’ positive evaluation of the program; the program’s ability to leverage social connections; the program’s convenience orientation; and the program’s financial support for smoking cessation. We also present themes on the roles of faith and church in smoking cessation programming, including some mixed perceptions on smoking stigma and comfort in church settings; challenges in faith-placed smoking cessation recruitment; and the positive perception of such programming by church leaders. We conclude that faith-placed smoking cessation programs offer great potential, although they must be administered with great sensitivity to individual and community norms.

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References

  • Appalachian Regional Commission. (2006). Demographic and health information. Retrieved March 10, 2008, from http://www.arc.gov/index.do?nodeId=56.

  • Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice Hall.

    Google Scholar 

  • Bopp, M., Peterson, J., & Webb, B. (2012). A comprehensive review of faith-based physical activity interventions. American Journal of Lifestyle Medicine, 6, 460–478.

    Article  Google Scholar 

  • Boyatzis, R. E. (1998). Transforming qualitative information: Thematic analysis and code development. Thousand Oaks, CA: SAGE Publications Inc.

    Google Scholar 

  • Campbell, M., Hudson, M., Resnicow, K., Blakeney, N., Paxton, A., & Baskin, M. (2007). Church-based health promotion interventions: Evidence and lessons learned. Annual Review of Public Health, 28, 213–234.

    Article  PubMed  Google Scholar 

  • Centers for Disease Control and Prevention. (2010). Current cigarette smoking by sex and state: 2009. Morbidity and Mortality Weekly Report, 59, 1400–1406.

    Google Scholar 

  • Chatters, L. M., Levin, J. S., & Ellison, C. G. (1998). Public health and health education in faith communities. Health Education and Behavior, 25, 689–699.

    Article  CAS  PubMed  Google Scholar 

  • Cooper, T., & Clayton, R. (1989). Stop-smoking program using nicotine reduction therapy and behavior modification for heavy smokers. Journal of the American Dental Association, 118, 47–51.

    Article  CAS  PubMed  Google Scholar 

  • Corbie-Smith, G., Ammerman, A., Katz, M., & St. George, G. (2003). Trust, benefit, satisfaction, and burden: A randomized controlled trial to reduce cancer risk through African-American churches. Journal of General Internal Medicine, 18, 531–541.

    Article  PubMed Central  PubMed  Google Scholar 

  • DeHaven, M. M., Hunter, I. B., Wilder, L., Walton, J. W., & Berry, J. (2004). Health programs in faith-based organizations: Are they effective? American Journal of Public Health, 94, 1030–1036.

    Article  PubMed Central  PubMed  Google Scholar 

  • Durkheim, E. (1912). The elementary forms of religious life: A study in religious sociology. (C. Cosman, Trans.). New York: Oxford University Press.

  • Friedell, G., Linville, L., & Hullet, S. (1998). Cancer control in rural Appalachia. Cancer, 83, 1868–1871.

    Google Scholar 

  • Friedell, G., Rubio, A., Maretzki, A., Garland, B., Brown, P., Crane, M., et al. (2010). Community cancer control in a rural, underserved population: The Appalachia Leadership Initiative on Cancer Project. Journal of Health Care for the Poor and Underserved, 12, 5–19.

    Article  Google Scholar 

  • Glanz, K., Lewis, F., & Rimer, B. (Eds.). (1997). Health behavior and health education: Theory, research, and practice. San Francisco, CA: Jossey-Bass Publishers.

    Google Scholar 

  • Kaplan, S., Calman, N., Golub, M., Ruddock, C., & Billings, J. (2006). The role of faith-based institutions in addressing health disparities: A case study of an initiative in the Southwest Bronx. Journal of Health Care for the Poor and Underserved, 17, 9–19.

    Article  PubMed  Google Scholar 

  • Kentucky Cancer Program. (2007). Cooper Clayton smoking cessation program special initiative. Retrieved August 15, 2007, from http://www.kcp.uky.edu/SpecialInitiatives.html#Cooper.

  • Kosmin, B., & Keyser, A. (2008). American religious identification survey. Retrieved January 15, 2012, from http://commons.trincoll.edu/aris.

  • Leonard, B. J. (Ed.). (1999). Christianity in Appalachia: Profiles in regional pluralism. Knoxville: University of Tennessee Press.

    Google Scholar 

  • Levin, J. S. (1986). Roles for the black pastor in preventive medicine. Pastoral Counseling, 35, 94–103.

    Google Scholar 

  • Lumpkins, C. Y., Greiner, K. A., Daley, C., Mabachi, N. M., & Neuhaus, K. (2013). Promoting healthy behavior from the pulpit: Clergy share their perspectives on effective health communication in the African American Church. Journal of Religion and Health, 52, 1093–1107.

    Article  PubMed Central  PubMed  Google Scholar 

  • MacQueen, K., McLellan, E., Milstein, K. K., & Milstein, B. (1998). Codebook development for team-based qualitative analysis. Cultural Anthropology Methods, 10, 6–12.

    Google Scholar 

  • Morse, J. M., Swanson, J. M., & Kuzel, A. J. (Eds.). (2001). The nature of qualitative evidence. Thousand Oaks, CA: Sage Publications Inc.

    Google Scholar 

  • Nollen, N. L., Catley, D., Davies, G., Hall, M., & Ahluwalia, J. S. (2005). Religiosity, social support, and smoking cessation among urban African American smokers. Addictive Behaviors, 30, 1225–1229.

    Article  PubMed  Google Scholar 

  • Patton, M. Q. (2002). Qualitative research and evaluation methods (3rd ed.). Thousand Oaks, CA: Sage.

    Google Scholar 

  • Pederson, L. L., Ahluwalia, J. S., Harris, K. J., & McGrady, G. A. (2000). Smoking Cessation among African Americans: What we know and do not know about interventions and self-quitting. Preventive Medicine, 31, 23–38.

    Article  CAS  PubMed  Google Scholar 

  • Plunkett, R., & Leipert, B. D. (2013). Women’s health promotion in the rural church: A Canadian perspective. Journal of Religion and Health, 52, 877–889.

    Article  PubMed  Google Scholar 

  • Schorling, J. B., Roach, J., Siegel, M., Baturka, N., Hunt, D. E., Guterbock, T. M., et al. (1997). A trial of church-based smoking cessation interventions for rural African Americans. Preventive Medicine, 26, 92–101.

    Article  CAS  PubMed  Google Scholar 

  • Stillman, F. A., Bone, L. R., Rand, C., Levine, D. M., & Becker, D. M. (1993). Heart, body, and soul: A church-based smoking-cessation program for urban African Americans. Preventive Medicine, 22, 335–349.

    Article  CAS  PubMed  Google Scholar 

  • Studts, C., Tarasenko, Y., Schoenberg, N. E., Shelton, B., & Dignan, M. (2012). Faith Moves Mountains: A community-based randomized trial of a faith-placed intervention to reduce cervical cancer burden in Appalachia. Preventive Medicine, 54, 408–414.

    Article  PubMed Central  PubMed  Google Scholar 

  • Thomas, S., Quinn, S., Billingsley, A., & Caldwell, C. (1994). The characteristics of northern black churches with community health outreach programs. The American Journal of Public Health, 84, 575–580.

    Article  CAS  Google Scholar 

  • Turner, V. W. (1975). Dramas, fields, and metaphos: Symbolic action in human society. London: Cornell University Press.

    Google Scholar 

  • United States Department of Agriculture, Economic Research Service. (2013). Atlas of rural and small town America: County classifications [Data Set]. Retrieved December 3, 2013, from http://www.ers.usda.gov/data-products/atlas-of-rural-and-small-town-america/download-the-data.aspx.

  • United States Department of Health and Human Services. (2004). The health consequences of smoking: A report of the surgeon general. Atlanta, GA: Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion.

  • Voorhees, C. C., Stillman, F. A., Swank, R. T., Heagerty, P. J., Levine, D. M., & Becker, D. M. (1996). Heart, body, and soul: Impact of church-based smoking cessation interventions on readiness to quit. Preventive Medicine, 25, 277–285.

    Article  CAS  PubMed  Google Scholar 

  • Wilcox, S., Laken, M., Anderson, T., Bopp, M., Bryant, D., Carter, R., et al. (2007). The health-e-AME faith-based physical activity initiative: Description and baseline findings. Health Promotion Practice, 8, 69–78.

    Article  PubMed  Google Scholar 

  • World Health Organization. (2006). The facts about smoking and health. Retrieved November 10, 2010, from http://www.wpro.who.int/media_centre/fact_sheets/fs_20060530.htm.

  • Yeary, K., Klos, L., & Linnan, L. (2012). The examination of process evaluations use in church-based health interventions: a systematic review. Health Promotion Practice, 13, 524–534.

    Article  PubMed  Google Scholar 

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Acknowledgments

Support for this research was provided by the National Institutes of Health/National Center on Minority Health and Health Disparities for the project, “Faith Moves Mountains: A CBPR Appalachian Wellness & Cancer Prevention Program” (R24 MD002757: Schoenberg). Dr. Studts’ effort was also supported by the National Institutes of Health/National Center for Advancing Translational Sciences, through grant number KL2TR000116. We also gratefully acknowledge the many contributions of our community partners and participants.

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Correspondence to Nancy E. Schoenberg.

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Schoenberg, N.E., Bundy, H.E., Baeker Bispo, J.A. et al. A Rural Appalachian Faith-Placed Smoking Cessation Intervention. J Relig Health 54, 598–611 (2015). https://doi.org/10.1007/s10943-014-9858-7

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