title: Narratives to enhance smoking cessation interventions among African-American smokers, the ACCE project.
abstract: BACKGROUND
  Low-income, African-American smokers are less likely to have resources to aid in quitting smoking. Narrative communication may provide an enhancement to traditional smoking cessation interventions like NRT, medications, or behavioral treatments for this audience. After extensive pilot testing of stories and personal experiences with smoking cessation from African-Americans from a low-income community, we conducted a randomized control trial using stories to augment routine inpatient treatment among African-Americans at an urban Southern hospital (N = 300).
  
  
  RESULTS
  Differences in smoking cessation outcomes between the intervention (stories DVD + routine clinical treatment) and control (routine clinical treatment) arms were compared using self-report and carbon monoxide measurement at 6-months. Compared to control, individuals who viewed the intervention stories DVD reported greater intentions to quit. Although continuous quitting marginally favored the intervention, our main result did not reach statistical significance (p = 0.16).
  
  
  CONCLUSIONS
  Narrative communication via storytelling to promote smoking cessation among African-Americans in the South is one method to communicate smoking cessation. Results suggest this may not be sufficient as a stand-alone augmentation of routine clinical treatment for continuous smoking cessation. Smoking cessation efforts need to continually assess different means of communicating to smokers about quitting.
  
  
  BACKGROUND
  The ClinicalTrials.gov Identifier is NCT00101491. This trial was registered January 10, 2005.
authors.affiliation: Division of Preventive Medicine, University of Alabama at Birmingham, Birmingham, AL, USA. cherrington@uab.edu.
authors.forename: Andrea
authors.initials: A
authors.lastname: Cherrington
authors.affiliation: Department of General Internal Medicine, University of Alabama at Birmingham, Birmingham, AL, USA. jhwilliams@uab.edu.
authors.forename: Jessica H
authors.initials: JH
authors.lastname: Williams
authors.affiliation: Rural Health Institute for Clinical and Translational Science, University of Alabama School of Medicine, Tuscaloosa Campus, Tuscaloosa, AL, USA. pfoster3@uab.edu.|Department of Community and Rural Medicine, University of Alabama School of Medicine, Tuscaloosa Campus, Tuscaloosa, AL, USA. pfoster3@uab.edu.
authors.forename: Pamela Payne
authors.initials: PP
authors.lastname: Foster
authors.affiliation: Department of General Internal Medicine, University of Alabama at Birmingham, Birmingham, AL, USA. coleyhl@uab.edu.
authors.forename: Heather L
authors.initials: HL
authors.lastname: Coley
authors.affiliation: Department of Health Behavior, University of Alabama at Birmingham, Birmingham, AL, USA. ckohler@uab.edu.
authors.forename: Connie
authors.initials: C
authors.lastname: Kohler
authors.affiliation: Quantitative Health Sciences and Medicine, University of Massachusetts Medical School, Worcester, MA, USA. Jeroan.allison@umassmed.edu.
authors.forename: Jeroan J
authors.initials: JJ
authors.lastname: Allison
authors.affiliation: Quantitative Health Sciences and Medicine, University of Massachusetts Medical School, Worcester, MA, USA. Catarina.kiefe@umassmed.edu.
authors.forename: Catarina I
authors.initials: CI
authors.lastname: Kiefe
authors.affiliation: Center for Health Quality, Outcomes and Economic Research (CHQOER), Bedford, MA, USA. Julie.volkman@gmail.com.|e-Health Quality Enhancement Research Initiative (QUERI) Center, Bedford VAMC, Bedford, MA, USA. Julie.volkman@gmail.com.
authors.forename: Julie E
authors.initials: JE
authors.lastname: Volkman
authors.affiliation: Quantitative Health Sciences and Medicine, University of Massachusetts Medical School, Worcester, MA, USA. Thomas.houston2@va.gov.|Center for Health Quality, Outcomes and Economic Research (CHQOER), Bedford, MA, USA. Thomas.houston2@va.gov.|e-Health Quality Enhancement Research Initiative (QUERI) Center, Bedford VAMC, Bedford, MA, USA. Thomas.houston2@va.gov.|Center for Healthcare Organization and Implementation Research (CHOIR), Bedford, MA, USA. Thomas.houston2@va.gov.|Department of Veterans Affairs, ENRM Veterans Hospital, 200 Springs Rd., Bedford, MA, 01730, USA. Thomas.houston2@va.gov.
authors.forename: Thomas K
authors.initials: TK
authors.lastname: Houston
mesh_terms: D000328:Adult; D001741:Black or African American; D005260:Female; D006293:Health Promotion / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D011617:Psychotherapy, Rational-Emotive; D012907:Smoking / Q000191:economics / Q000503:physiopathology / Q000523:psychology*; D016540:Smoking Cessation / Q000191:economics / Q000208:ethnology / Q000523:psychology*; D000074606:Smoking Prevention; D012923:Social Class; D061485:Tobacco Use Cessation Devices