title: Evaluation of a tailored approach for tobacco dependence treatment for American Indians.
abstract: OBJECTIVE
  Evaluate a tailored approach for tobacco dependence treatment for American Indians.
  
  
  METHODS
  A single-group design evaluation of a culturally specific curriculum for tobacco dependence treatment was implemented. Baseline assessment, program utilization, and 90-day follow-up interview data were analyzed.
  
  
  METHODS
  Fond du Lac Reservation in rural Minnesota and Mashkiki Waakaaigan Pharmacy in Minneapolis, Minnesota.
  
  
  METHODS
  American Indian adults (N = 317).
  
  
  METHODS
  Four 1-hour individual or group sessions of behavioral counseling paired with pharmacotherapy.
  
  
  METHODS
  Demographic variables, program satisfaction, and tobacco use behaviors.
  
  
  METHODS
  Descriptive statistics; for abstinence, a smoking = missing analysis was used, assuming all nonrespondents were still smoking.
  
  
  RESULTS
  Sixty-three percent of participants completed the program. The 90-day follow-up response rate was 47%. Of those who completed, 47% reported abstinence at the 90-day follow-up. Missing = smoking analysis yielded a 21.8% quit rate. Continuing smokers cut their daily smoking by half from 17 to eight cigarettes, 88% reported an increase in self-efficacy for their next quit, and 44% planned to quit within 30 days.
  
  
  CONCLUSIONS
  Evidence-based tobacco dependence treatment programs tailored to be culturally specific have the potential to significantly affect the burden of tobacco-related disparities among American Indians.
authors.affiliation: ClearWay Minnesota, Minneapolis, Minnesota 55425, USA. jdsilva@clearwaymn.org
authors.forename: Joanne
authors.initials: J
authors.lastname: D'Silva
authors.forename: Barbara A
authors.initials: BA
authors.lastname: Schillo
authors.forename: Nathan R
authors.initials: NR
authors.lastname: Sandman
authors.forename: Theresa L
authors.initials: TL
authors.lastname: Leonard
authors.forename: Raymond G
authors.initials: RG
authors.lastname: Boyle
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001521:Behavior Therapy / Q000379:methods*; D003131:Combined Modality Therapy; D003376:Counseling / Q000379:methods*; D003466:Cultural Characteristics; D003479:Curriculum; D019317:Evidence-Based Medicine; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007198:Indians, North American / Q000523:psychology* / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D008910:Minnesota; D017060:Patient Satisfaction; D015397:Program Evaluation; D011615:Psychotherapy, Group; D016540:Smoking Cessation / Q000208:ethnology* / Q000379:methods; D014029:Tobacco Use Disorder / Q000188:drug therapy / Q000208:ethnology / Q000628:therapy*; D055815:Young Adult