title: Activating lay health influencers to promote tobacco cessation.
abstract: OBJECTIVE
  To evaluate the effect of tobacco cessation brief-intervention (BI) training for lay "health influencers," on knowledge, self-efficacy and the proportion of participants reporting BI delivery post-training.
  
  
  METHODS
  Randomized, community-based study comparing In-person or Web-based training, with mailed materials.
  
  
  RESULTS
  In-person and Web-training groups had significant post-training cessation knowledge and self-efficacy gains. All groups increased the proportion of individuals reporting BIs at follow-up, with no significant between-group differences. Irrespective of participants' prior intervention experience, 80%-86% reported BIs within the past 90 days; 71%-79% reported >1 in the past 30.
  
  
  CONCLUSIONS
  Web and In-person training significantly increase health influencer cessation knowledge and self-efficacy. With minimal prompting and materials, even persons without BI experience can be activated to encourage tobacco cessation.
authors.affiliation: University of Arizona Department of Family and Community Medicine, Tucson, AZ, USA. myram@email.arizona.edu.
authors.forename: Myra L
authors.initials: ML
authors.lastname: Muramoto
authors.affiliation: University of Arizona Health Sciences Center, Tucson, AZ, USA.
authors.forename: John R
authors.initials: JR
authors.lastname: Hall
authors.affiliation: University of Arizona Department of Anthropology, Tucson, AZ, USA.
authors.forename: Mark
authors.initials: M
authors.lastname: Nichter
authors.affiliation: University of Arizona Department of Anthropology, Tucson, AZ, USA.
authors.forename: Mimi
authors.initials: M
authors.lastname: Nichter
authors.affiliation: University of Arizona Department of Family and Community Medicine, Tucson, AZ, USA.
authors.forename: Mikel
authors.initials: M
authors.lastname: Aickin
authors.affiliation: University of Arizona Department of Family and Community Medicine, Tucson, AZ, USA.
authors.forename: Tim
authors.initials: T
authors.lastname: Connolly
authors.affiliation: University of Arizona Department of Family and Community Medicine, Tucson, AZ, USA.
authors.forename: Eva
authors.initials: E
authors.lastname: Matthews
authors.affiliation: University of Arizona Department of Family and Community Medicine, Tucson, AZ, USA.
authors.forename: Jean Z
authors.initials: JZ
authors.lastname: Campbell
authors.affiliation: Division of Epidemiology and Community Health, University of Minnesota, Minneapolis, MN, USA.
authors.forename: Harry A
authors.initials: HA
authors.lastname: Lando
mesh_terms: D000328:Adult; D003479:Curriculum; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015397:Program Evaluation; D020377:Self Efficacy; D013663:Teaching / Q000379:methods*; D020340:Tobacco Use Cessation