Examining Smoking Cessation in a Community-Based Versus Clinic-Based Intervention Using Community-Based Participatory Research.
Tobacco use remains a major public health problem in the U.S. disproportionately affecting underserved communities. The Communities Engaged and Advocating for a Smoke-free Environment (CEASE) initiative is an intervention to address the problem using a community-based participatory research (CBPR) approach. This study compares quit rates in a peer-led community-based intervention with those achieved in a clinical setting. The intervention consisted of three Phases. Phase I (n = 404) was a clinic-based trial comparing two types of counseling. Phase II (n = 398) and Phase III (n = 163) interventions were conducted in community venues by trained Peer Motivators. Quit rates at 12-week follow-up increased from 9.4 % in Phase I (clinic-based) to an average of 23.7 % in Phases II and III combined (community-based). The main predictor of smoking cessation was delivery of services in community settings (OR 2.6, 95 % CI 1.7-4.2) while controlling for possible confounders. A community-based approach can significantly guide and improve effectiveness and acceptability of smoking cessation services designed for low-income urban populations. In addition, CBPR can result in better recruitment and retention of the participants.
Department of Behavioral Health Sciences, School of Community Health and Policy, Morgan State University, 1700 E. Cold Spring Lane, Portage Campus #103, Baltimore, MD, 21251, USA. payam.sheikhattari@morgan.edu.|Prevention Sciences Research Center, Morgan State University, 1700 E. Cold Spring Lane, Baltimore, MD, 21251, USA. payam.sheikhattari@morgan.edu.|ASCEND Center for Biomedical Research, Morgan State University, 1700 E. Cold Spring Lane, Baltimore, MD, 21251, USA. payam.sheikhattari@morgan.edu.
Payam
P
Sheikhattari
Department of Public Health Analysis, School of Community Health and Policy, Morgan State University, 1700 E. Cold Spring Lane, Baltimore, MD, 21251, USA.|Prevention Sciences Research Center, Morgan State University, 1700 E. Cold Spring Lane, Baltimore, MD, 21251, USA.
Jummai
J
Apata
Department of Public Health Analysis, School of Community Health and Policy, Morgan State University, 1700 E. Cold Spring Lane, Baltimore, MD, 21251, USA.|ASCEND Center for Biomedical Research, Morgan State University, 1700 E. Cold Spring Lane, Baltimore, MD, 21251, USA.
Farin
F
Kamangar
Prevention Sciences Research Center, Morgan State University, 1700 E. Cold Spring Lane, Baltimore, MD, 21251, USA.
Christine
C
Schutzman
Department of Health Policy and Management, School of Community Health and Policy, Morgan State University, 1700 E. Cold Spring Lane, Baltimore, MD, 21251, USA.
Anne
A
O'Keefe
CEASE Partnership, 1120 Hollins St, Baltimore, MD, 21223, USA.
Jane
J
Buccheri
Department of Public Health Analysis, School of Community Health and Policy, Morgan State University, 1700 E. Cold Spring Lane, Baltimore, MD, 21251, USA.|Prevention Sciences Research Center, Morgan State University, 1700 E. Cold Spring Lane, Baltimore, MD, 21251, USA.
Fernando A
FA
Wagner
D000328:Adult; D055812:Community-Based Participatory Research; D003376:Counseling / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010379:Peer Group; D016540:Smoking Cessation
CBPR; Low-income population; Peer-based approach; Smoking cessation
Am J Public Health. 2011 Dec;101(12):2253-60
21680932
Nurs Clin North Am. 2012 Mar;47(1):81-96
22289400
Nicotine Tob Res. 2014 Jun;16(6):820-7
24520129
Am J Public Health. 2013 Jul;103(7):e43-9
23678912
BMC Psychol. 2013 Aug 21;1(1):15
25566367
Ethn Dis. 2007 Spring;17 (2):331-7
17682367
Tob Control. 2013 Sep;22(5):356-60
22649182
BMC Public Health. 2015 Feb 25;15:181
25886060
Am J Community Psychol. 2012 Sep;50(1-2):129-40
22124619
J Acquir Immune Defic Syndr. 2013 Jun 1;63 Suppl 1:S32-5
23673883
J Breath Res. 2013 Mar;7(1):017111
23446063
Womens Health Issues. 2012 May-Jun;22(3):e293-301
22483581
Ear Nose Throat J. 1990 Nov;69(11):763-5
2276350
J Health Care Poor Underserved. 2016;27(1):35-50
27763459
Addiction. 2013 Sep;108(9):1680-5
23668684
Public Health Nurs. 2016 Mar-Apr;33(2):167-75
26032984
Annu Rev Public Health. 2006;27:1-28
16533107