Hostname: page-component-7b7567c8c-tnzcf Total loading time: 0 Render date: 2026-11-13T18:22:52.037Z Has data issue: false hasContentIssue false
  • English
  • Français

Developing a Smoking Cessation Intervention within a Community-Based Participatory Research Framework

Published online by Cambridge University Press:  27 November 2012

Noella A. Dietz,
Monica Webb Hooper,
Margaret M. Byrne,
Antoine Messiah,
Elizabeth A. Baker,
Dorothy Parker,
Marsha Stevens,
Cristina Fernandez,
Manuel Ocasio and
Laura A. McClure
...Show all authors
Noella A. Dietz*
Affiliation:
Department of Epidemiology & Public Health, Miller School of Medicine, University of Miami, Miami, Florida, USA
Monica Webb Hooper
Affiliation:
Department of Psychology, University of Miami, Miami, Florida, USA
Margaret M. Byrne
Affiliation:
Department of Epidemiology & Public Health, Miller School of Medicine, University of Miami, Miami, Florida, USA
Antoine Messiah
Affiliation:
Department of Epidemiology & Public Health, Miller School of Medicine, University of Miami, Miami, Florida, USAINSERM Research Center U-897 Epidemiology and Biostatistics Research Team on Injury Prevention and Control, Bordeaux, France
Elizabeth A. Baker
Affiliation:
Department of Psychology, University of Miami, Miami, Florida, USA
Dorothy Parker
Affiliation:
Disparities and Community Outreach Core, Sylvester Comprehensive Cancer Center, University of Miami, Miami, Florida, USA
Marsha Stevens
Affiliation:
Florida International University, Biscayne Bay Campus, Miami, Florida, USA
Cristina Fernandez
Affiliation:
Department of Epidemiology & Public Health, Miller School of Medicine, University of Miami, Miami, Florida, USA
Manuel Ocasio
Affiliation:
Department of Epidemiology & Public Health, Miller School of Medicine, University of Miami, Miami, Florida, USA
Laura A. McClure
Affiliation:
Department of Epidemiology & Public Health, Miller School of Medicine, University of Miami, Miami, Florida, USA
David J. Lee
Affiliation:
Department of Epidemiology & Public Health, Miller School of Medicine, University of Miami, Miami, Florida, USA
Erin Kobetz
Affiliation:
Department of Epidemiology & Public Health, Miller School of Medicine, University of Miami, Miami, Florida, USA
*
Address for correspondence: Noella A. Dietz, Ph.D., Department of Epidemiology & Public Health, University of Miami School of Medicine, 1120 NW 14th Street, 15th Floor, C202, Miami, FL 33136, USA. Email: ndietz@med.miami.edu
Get accessRights & Permissions [Opens in a new window]

Abstract

Background: While smoking rates in the United States have decreased, some population subgroups have smoking rates that exceed national and state averages. These higher rates often are associated with higher incidence rates of tobacco-associated cancers. Over time, a decrease in smoking rates leads to lower cancer incidence. Methods: Using spatial modelling techniques, we identified an underserved geographic locale in South Florida with higher than expected incidence rates of tobacco-associated cancers. We then used a community-based participatory research (CBPR) design to conduct focus groups in 2011 to elicit information about the acceptability of a smoking cessation intervention delivered by trained former smokers from within peer networks. Results: A variety of smoking cessation strategies was presented and discussed in separate, gender-stratified focus groups comprised of former and current smokers (n = 39). Focus group findings consistently indicated that support groups were the preferred cessation mechanism in this community. Based on this finding, we changed our initially proposed cessation approach to one which employed support groups as a quit method. Conclusions: Currently, we are collecting pilot data to test this intervention and to reach smokers who might not otherwise be directly targeted with cessation messaging from larger tobacco control initiatives. If successful, this strategy can be adapted to effect other important changes in health behaviours in at-risk populations.

Keywords

social networkstobacco usesmoking cessationcommunity-based smoking cessation

Information

Type
Articles
Information
Journal of Smoking Cessation , Volume 7 , Issue 2 , December 2012, pp. 89 - 95
Copyright
Copyright © The Authors 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

American Cancer Society (2008). Cancer facts and figures 2008. Atlanta, GA: American Cancer Society.Google Scholar
American Cancer Society (2011). Cancer facts and figures 2011. Atlanta, GA: American Cancer Society.Google Scholar
American Lung Association (2011). Trends in tobacco use. Washington, DC: American Lung Association.Google Scholar
Bonnie, R., Stratton, K., & Wallace, R. (Eds.) (2007). Ending the tobacco problem: A blueprint for the nation. Washington, DC: National Academies Press.Google Scholar
Centers for Disease Control and Prevention (2006). History of the Surgeon General's Reports on Smoking and Health. Retrieved from http://www.cdc.gov/tobacco/Data_statistics/sgr/history/index.htm.Google Scholar
Centers for Disease Control and Prevention (2008). Smoking-attributable mortality, years of potential life lost, and productivity losses: United States, 2000–2004. Morbidity and Mortality Weekly Report, 57 (45), 1226–1228.Google Scholar
Centers for Disease Control and Prevention (2010 a). Racial/ethnic disparities and geographic differences in lung cancer incidence: 38 states and the District of Columbia, 1998–2006. Morbidity and Mortality Weekly Report, 59 (44), 1434–1438.Google Scholar
Centers for Disease Control and Prevention (2010b). Tobacco control state highlights 2010. Retrieved from http://www.cdc.gov/tobacco/data_statistics/state_data/state_highlights/2010.Google Scholar
Centers for Disease Control and Prevention (2011). Vital signs: current cigarette smoking among adults aged ≥18 years: United States, 2005–2010. Morbidity and Mortality Weekly Report, 60 (35), 1207–1212.Google Scholar
Chen, D. T., Jones, L., & Gelberg, L. (2006). Ethics of clinical research within a community-academic partnered participatory framework. Ethnicity & Disease, 16 (1, Suppl. 1), S118–135.Google Scholar
Christakis, N. A., & Fowler, J. H. (2008). The collective dynamics of smoking in a large social network. New England Journal of Medicine, 358 (21), 2249–2258.Google Scholar
Corbin, J., & Strauss, S. L. (2007). Basics of qualitative research: Grounded theory procedures and techniques (3rd ed). London: Sage.Google Scholar
Cox, L. S., Okuyemi, K., Choi, W. S., & Ahluwalia, J. S. (2011). A review of tobacco use treatments in US ethnic minority populations. American Journal of Health Promotion, 25 (5 Suppl.), S11–30.Google Scholar
Dietz, N. A., Sherman, R., Mackinnon, J., Fleming, L., Arheart, K. L., Wohler, B., et al. (2011). Toward the identification of communities with increased tobacco-associated cancer burden: Application of spatial modeling techniques. Journal of Carcinogenesis, 10, 22.Google Scholar
Florida Department of Health. (2007). BRFSS Reports, 2007 BRFSS CDC summary tables. Tallahassee, FL: Florida Department of Health.Google Scholar
Glaser, B., & Strauss, A. (1967). Discovery of grounded theory: Strategies for qualitative research. New York: Aldine De GruyterGoogle Scholar
Kitto, S. C., Chesters, J., & Grbich, C. (2008). Quality in qualitative research. Medical Journal of Australia, 188 (4), 243–246.Google Scholar
Lemmens, V., Oenema, A., Knut, I. K., & Brug, J. (2008). Effectiveness of smoking cessation interventions among adults: A systematic review of reviews. European Journal of Cancer Prevention, 17 (6), 535–544.Google Scholar
Leung, M. W., Yen, I. H., & Minkler, M. (2004). Community based participatory research: A promising approach for increasing epidemiology's relevance in the 21 st century. International Journal of Epidemiology, 33 (3), 499–506.Google Scholar
Mays, N., & Pope, C. (2000). Qualitative research in health care. Assessing quality in qualitative research. British Medical Journal, 320 (7226), 50–52.Google Scholar
Messiah, A., Dietz, N., Byrne, M., Webb Hooper, M., Fernandez, C., Baker, E., et al. (2012). Combining community participatory research with a random-sample health survey to assess smoking prevalences. Journal of Epidemiology and Community Health. In press.Google Scholar
Mottillo, S., Filion, K. B., Belisle, P., Joseph, L., Gervais, A., O'Loughlin, J., et al. (2009). Behavioural interventions for smoking cessation: a meta-analysis of randomized controlled trials. European Heart Journal, 30 (6), 718–730.Google Scholar
Ockene, I. S., & Miller, N. H. (1997). Cigarette smoking, cardiovascular disease, and stroke: a statement for healthcare professionals from the American Heart Association. American Heart Association Task Force on Risk Reduction. Circulation, 96 (9), 3243–3247.Google Scholar
Roger, V. L., Go, A. S., Lloyd-Jones, D. M., Benjamin, E. J., Berry, J. D., Borden, W. B., et al. (2012). Heart disease and stroke statistics, 2012 update: A report from the American Heart Association. Circulation, 125 (1), e2–220.Google Scholar
SRNT Subcommittee on Biochemical Verification (2002). Biochemical verification of tobacco use and cessation. Nicotine & Tobacco Research, 4 (2), 149–159.Google Scholar
Starr, G., Rogers, T., Schooley, M., Porter, S., Wiesen, E., & Jamison, N. (2005). Key outcome indicators for evaluating comprehensive tobacco control programs. Atlanta, GA: Centers for Disease Control and Prevention.Google Scholar
Thomas, D. R. (2006). A general inductive approach for analyzing qualitative evaluation data. American Journal of Evaluation, 27 (2), 237–246.Google Scholar
US Department of Health and Human Services (2012). Preventing tobacco use among youth and young adults: A report of the Surgeon General. Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health.Google Scholar
Webb, M. (2008). Treating tobacco dependence among African Americans: A meta-analytic review. Health Psychology, 27, S271–82.Google Scholar