학술논문

Narratives to enhance smoking cessation interventions among African-American smokers, the ACCE project.
Document Type
Article
Source
BMC Research Notes. 10/14/2015, p1-10. 10p. 1 Diagram, 5 Charts.
Subject
*SMOKING cessation
*HEALTH care intervention (Social services)
*MEDICAL care of African Americans
*CIGARETTE smokers
*RANDOMIZED controlled trials
*DISEASE prevalence
*MEDICAL care
Language
ISSN
1756-0500
Abstract
Background: Low-income, African-American smokers are less likely to have resources to aid in quitting smoking. Narrative communication may provide an enhancement to traditional smoking cessation interventions like NRT, medications, or behavioral treatments for this audience. After extensive pilot testing of stories and personal experiences with smoking cessation from African-Americans from a low-income community, we conducted a randomized control trial using stories to augment routine inpatient treatment among African-Americans at an urban Southern hospital (N = 300). Results: Differences in smoking cessation outcomes between the intervention (stories DVD + routine clinical treatment) and control (routine clinical treatment) arms were compared using self-report and carbon monoxide measurement at 6-months. Compared to control, individuals who viewed the intervention stories DVD reported greater intentions to quit. Although continuous quitting marginally favored the intervention, our main result did not reach statistical significance (p = 0.16). Conclusion: Narrative communication via storytelling to promote smoking cessation among African-Americans in the South is one method to communicate smoking cessation. Results suggest this may not be sufficient as a standalone augmentation of routine clinical treatment for continuous smoking cessation. Smoking cessation efforts need to continually assess different means of communicating to smokers about quitting. [ABSTRACT FROM AUTHOR]