title: A Culturally Adapted Smoking Cessation Intervention for Korean Americans: A Mediating Effect of Perceived Family Norm Toward Quitting.
abstract: Korean men and women have the highest current smoking rates across all Asian ethnic subgroups in the United States. This is a 2-arm randomized controlled study of a culturally adapted smoking cessation intervention. The experimental condition received eight weekly 40-min individualized counseling sessions that incorporated Korean-specific cultural elements, whereas the control condition received eight weekly 10-min individualized counseling sessions that were not culturally adapted. All participants also received nicotine patches for 8 weeks. One-hundred nine Korean immigrants (91 men and 18 women) participated in the study. The rate of biochemically verified 12-month prolonged abstinence was significantly higher for the experimental condition than the control condition (38.2 vs. 11.1 %, χ (2) = 10.7, p < 0.01). Perceived family norm significantly mediated the effect of cessation intervention on abstinence. Smoking cessation intervention for Korean Americans should be culturally adapted and involve family members to produce a long-term treatment effect.
authors.affiliation: Department of Psychiatry, University of Massachusetts Medical School, Worcester, MA, USA, sun.kim@umassmed.edu.
authors.forename: Sun S
authors.initials: SS
authors.lastname: Kim
authors.forename: Seong-Ho
authors.initials: SH
authors.lastname: Kim
authors.forename: Hua
authors.initials: H
authors.lastname: Fang
authors.forename: Simona
authors.initials: S
authors.lastname: Kwon
authors.forename: Donna
authors.initials: D
authors.lastname: Shelley
authors.forename: Douglas
authors.initials: D
authors.lastname: Ziedonis
mesh_terms: D001213:Asian / Q000523:psychology* / Q000706:statistics & numerical data; D001294:Attitude to Health / Q000208:ethnology*; D003469:Culture; D005190:Family / Q000208:ethnology / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D056910:Republic of Korea / Q000208:ethnology; D012907:Smoking / Q000208:ethnology; D016540:Smoking Cessation / Q000208:ethnology* / Q000379:methods; D000074606:Smoking Prevention; D014481:United States