title: The effect of a multi-component smoking cessation intervention in African American women residing in public housing.
abstract: The purpose of this study was to test the effectiveness of a multi-component smoking cessation intervention in African American women residing in public housing. The intervention consisted of: (a) nurse led behavioral/empowerment counseling; (b) nicotine replacement therapy; and, (c) community health workers to enhance smoking self-efficacy, social support, and spiritual well-being. The results showed a 6-month continuous smoking abstinence of 27.5% and 5.7% in the intervention and comparison groups. Changes in social support and smoking self-efficacy over time predicted smoking abstinence, and self-efficacy mediated 6-month smoking abstinence outcomes. Spiritual well-being did not predict or mediate smoking abstinence outcomes. These findings support the use of a nurse/community health worker model to deliver culturally tailored behavioral interventions with marginalized communities.
authors.affiliation: Department of Biobehavioral Nursing, Medical College of Georgia, Augusta, Georgia, USA.
authors.forename: Jeannette O
authors.initials: JO
authors.lastname: Andrews
authors.forename: Gwen
authors.initials: G
authors.lastname: Felton
authors.forename: Mary
authors.initials: M
authors.lastname: Ellen Wewers
authors.forename: Jennifer
authors.initials: J
authors.lastname: Waller
authors.forename: Martha
authors.initials: M
authors.lastname: Tingen
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D001741:Black or African American; D000368:Aged; D000369:Aged, 80 and over; D001521:Behavior Therapy; D003152:Community Health Nursing; D003256:Community Participation; D005260:Female; D005845:Georgia; D006801:Humans; D016015:Logistic Models; D008875:Middle Aged; D009538:Nicotine / Q000627:therapeutic use; D011203:Poverty; D020377:Self Efficacy; D016540:Smoking Cessation / Q000379:methods*; D012944:Social Support; D029181:Spirituality
chemical_list: D009538:Nicotine