title: Culturally-Tailored Smoking Cessation for Adult American Indian Smokers: A Clinical Trial.
abstract: This collaborative, community-engaged project developed and tested a Culturally-Tailored Treatment (CTT) for American Indian/Alaska Native (AI/AN) smokers in the Menominee tribal community. One hundred three adult AI/AN smokers were randomized to receive either Standard Treatment (n= 53) or CTT (n= 50) for smoking cessation. Both treatment conditions included 12 weeks of varenicline and four individual counseling sessions but differed in terms of cultural tailoring of the counseling. The primary outcome was 7-day biochemically-confirmed point-prevalence abstinence (PPA) at the 6-month end-of-study visit. Both intention-to-treat (ITT) and responder-only analyses were conducted. There were no statistically significant group differences in 7-day PPA. The overall ITT abstinence rate at 6 months was 20%; the responder-only rate was 42%. The current study represents the first randomized smoking cessation clinical trial testing a culturally-tailored smoking cessation intervention designed for a specific AI/AN tribal community that combined FDA-approved cessation medication (varenicline) and innovative cultural intervention components.
authors.affiliation: Department of Medicine and Center for Tobacco Research and Intervention (CTRI), University of Wisconsin School of Medicine and Public Health (UWSMPH), Madison, WI.
authors.forename: Stevens S
authors.initials: SS
authors.lastname: Smith
authors.affiliation: Department of Educational Psychology, University of Wisconsin-Milwaukee.
authors.forename: Leah M
authors.initials: LM
authors.lastname: Rouse
authors.affiliation: Menominee Tribal Clinic, Menominee Indian Tribe of Wisconsin, Keshena, WI.
authors.forename: Mark
authors.initials: M
authors.lastname: Caskey
authors.affiliation: Menominee Tribal Clinic, Menominee Indian Tribe of Wisconsin, Keshena, WI.
authors.forename: Jodi
authors.initials: J
authors.lastname: Fossum
authors.affiliation: UW Spirit of EAGLES, Carbone Cancer Center, UWSMPH, Madison, WI.
authors.forename: Rick
authors.initials: R
authors.lastname: Strickland
authors.affiliation: Menominee Tribal Clinic, Menominee Indian Tribe of Wisconsin, Keshena, WI.
authors.forename: J Kevin
authors.initials: JK
authors.lastname: Culhane
authors.affiliation: Menominee Tribal Clinic, Menominee Indian Tribe of Wisconsin, Keshena, WI.
authors.forename: Jerry
authors.initials: J
authors.lastname: Waukau