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Am J Health Promot. 2011 May-Jun;25(5 Suppl):S66-9. doi: 10.4278/ajhp.100611-QUAN-180.

Evaluation of a tailored approach for tobacco dependence treatment for American Indians.

Author information

  • 1ClearWay Minnesota, Minneapolis, Minnesota 55425, USA. jdsilva@clearwaymn.org

Abstract

PURPOSE:

Evaluate a tailored approach for tobacco dependence treatment for American Indians.

DESIGN:

A single-group design evaluation of a culturally specific curriculum for tobacco dependence treatment was implemented. Baseline assessment, program utilization, and 90-day follow-up interview data were analyzed.

SETTING:

Fond du Lac Reservation in rural Minnesota and Mashkiki Waakaaigan Pharmacy in Minneapolis, Minnesota.

SUBJECTS:

American Indian adults (N = 317).

INTERVENTION:

Four 1-hour individual or group sessions of behavioral counseling paired with pharmacotherapy.

MEASURES:

Demographic variables, program satisfaction, and tobacco use behaviors.

ANALYSIS:

Descriptive statistics; for abstinence, a smoking = missing analysis was used, assuming all nonrespondents were still smoking.

RESULTS:

Sixty-three percent of participants completed the program. The 90-day follow-up response rate was 47%. Of those who completed, 47% reported abstinence at the 90-day follow-up. Missing = smoking analysis yielded a 21.8% quit rate. Continuing smokers cut their daily smoking by half from 17 to eight cigarettes, 88% reported an increase in self-efficacy for their next quit, and 44% planned to quit within 30 days.

CONCLUSION:

Evidence-based tobacco dependence treatment programs tailored to be culturally specific have the potential to significantly affect the burden of tobacco-related disparities among American Indians.

PMID:
21510789
[PubMed - indexed for MEDLINE]
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