title: Feasibility and effectiveness of a community-based smoking cessation intervention in a racially diverse, urban smoker cohort.
abstract: OBJECTIVE
  We evaluated the feasibility, acceptability, and effectiveness, in addition to the effects of a psychoeducation-based orientation on smoking cessation knowledge for Courage to Quit (CTQ), an evidence-based smoking cessation intervention disseminated to racially diverse, urban community sites in Chicago, Illinois.
  
  
  METHODS
  Smokers (n = 1494; 55% African American) enrolled in 6-session full (n = 945) or 3-session short (n = 549) versions of CTQ in 2008 to 2012.
  
  
  RESULTS
  Orientation improved knowledge of efficacious and nonefficacious treatments. Acceptability was outstanding: more than 90% of participants would recommend CTQ. Feasibility was good: completion rates were 53% in the full and 75% in the short programs. Intent-to-treat quit rates were 19% in the full and 17% in the short programs (completer quit rates were 36% and 22%, respectively). Among completers, smoking cessation medication use was associated with higher quit rates. There were no racial disparities: African Americans and Whites showed similar completion and quit rates. Predictors of successful quitting were higher readiness to quit and smoking cessation medication use.
  
  
  CONCLUSIONS
  CTQ is moderately successful in the short term as delivered in community-based settings for urban-dwelling, largely minority smokers. Further evaluation of longer-term outcomes and cost effectiveness is warranted.
authors.affiliation: Yasmin Asvat is with the Department of Behavioral Sciences, Rush University Medical Center, Chicago, IL. Dingcai Cao is with the Department of Ophthalmology, University of Illinois, Chicago. Joel J. Africk is with the Respiratory Health Association of Metropolitan Chicago. Alicia Matthews is with the College of Nursing, University of Illinois, Chicago. Andrea King is with the Department of Psychiatry & Behavioral Neuroscience, University of Chicago, Chicago, IL.
authors.forename: Yasmin
authors.initials: Y
authors.lastname: Asvat
authors.forename: Dingcai
authors.initials: D
authors.lastname: Cao
authors.forename: Joel J
authors.initials: JJ
authors.lastname: Africk
authors.forename: Alicia
authors.initials: A
authors.lastname: Matthews
authors.forename: Andrea
authors.initials: A
authors.lastname: King
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D003153:Community Health Services / Q000458:organization & administration*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008875:Middle Aged; D044469:Racial Groups; D012737:Sex Factors; D016540:Smoking Cessation / Q000379:methods* / Q000523:psychology; D012959:Socioeconomic Factors; D061485:Tobacco Use Cessation Devices; D055815:Young Adult
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