A Community-Based Participatory Research on Smoking Cessation Intervention for Urban Communities

Abstract

Smoking disproportionally affects minority and underserved populations but only a handful of interventions tailored to these populations have demonstrated effectiveness in real-life situations. We use community-based participatory research (CBPR) to test two interventions delivered by a community-based health care center. Methods Participants randomly assigned to individual or group-based intervention for smoking cessation (N= 400). Both included cessation counseling and health education, a contingency behavioral program, Nicotine Replacement Therapy, and health care for other comorbidities. Smoking cessation was verified by expired carbon monoxide at the end of the program. Results No differences were observed between the two treatment modalities (8.9% and 8.6%, respectively). Those with greater attendance had 1.4 times better odds of cessation per additional session. Retention and follow up proved to be challenging with this population.

Improving participants' retention in a smoking cessation intervention using a community-based participatory research approach

“…The CEASE intervention is based on a long-standing CBPR collaboration between tobacco researchers at Morgan State University, a minority-serving institution, and partners in two neighboring communities in Baltimore with high smoking rates and low SES profiles. [ 8 ] In the targeted communities, 75% of the population is African American, and more than 40% of households have incomes under $25,000 a year. When the study began, nearly 70% of the men and 50% of the women over age 18 in these communities reported smoking regularly.…”

“…[ 6 ] At 21.2%, the smoking prevalence in Baltimore City is higher than the national average (18.8%). [ 7 8 ]…”

Examining Smoking Cessation in a Community-Based Versus Clinic-Based Intervention Using Community-Based Participatory Research

“…6 The partnership has designed and implemented three phases of this intervention. In Phase I cessation classes were conducted at a community health center in the target community.…”

Toward an Intergenerational Model for Tobacco-Focused CBPR: Integrating Youth Perspectives via Photovoice

“…After several years of work to build a trustable relationship and a shared agenda, the CEASE initiative has been able to provide cessation services to more than 800 community residents with nicotine dependence (Wagner et al, 2016). Part of this project, examining the effectiveness of group-based versus individual counseling services, has been tested through experimental methodologies with overall quit rates comparable to other trials (Sheikhattari et al, 2016;Wagner et al, 2016). In addition, a variety of other preventive research/ intervention strategies have been developed, including the CEASE and Resist youth photovoice project.…”