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BMC Res Notes. 2015 Oct 14;8:567. doi: 10.1186/s13104-015-1513-1.

Narratives to enhance smoking cessation interventions among African-American smokers, the ACCE project.

Author information

1
Division of Preventive Medicine, University of Alabama at Birmingham, Birmingham, AL, USA. cherrington@uab.edu.
2
Department of General Internal Medicine, University of Alabama at Birmingham, Birmingham, AL, USA. jhwilliams@uab.edu.
3
Rural Health Institute for Clinical and Translational Science, University of Alabama School of Medicine, Tuscaloosa Campus, Tuscaloosa, AL, USA. pfoster3@uab.edu.
4
Department of Community and Rural Medicine, University of Alabama School of Medicine, Tuscaloosa Campus, Tuscaloosa, AL, USA. pfoster3@uab.edu.
5
Department of General Internal Medicine, University of Alabama at Birmingham, Birmingham, AL, USA. coleyhl@uab.edu.
6
Department of Health Behavior, University of Alabama at Birmingham, Birmingham, AL, USA. ckohler@uab.edu.
7
Quantitative Health Sciences and Medicine, University of Massachusetts Medical School, Worcester, MA, USA. Jeroan.allison@umassmed.edu.
8
Quantitative Health Sciences and Medicine, University of Massachusetts Medical School, Worcester, MA, USA. Catarina.kiefe@umassmed.edu.
9
Center for Health Quality, Outcomes and Economic Research (CHQOER), Bedford, MA, USA. Julie.volkman@gmail.com.
10
e-Health Quality Enhancement Research Initiative (QUERI) Center, Bedford VAMC, Bedford, MA, USA. Julie.volkman@gmail.com.
11
Quantitative Health Sciences and Medicine, University of Massachusetts Medical School, Worcester, MA, USA. Thomas.houston2@va.gov.
12
Center for Health Quality, Outcomes and Economic Research (CHQOER), Bedford, MA, USA. Thomas.houston2@va.gov.
13
e-Health Quality Enhancement Research Initiative (QUERI) Center, Bedford VAMC, Bedford, MA, USA. Thomas.houston2@va.gov.
14
Center for Healthcare Organization and Implementation Research (CHOIR), Bedford, MA, USA. Thomas.houston2@va.gov.
15
Department of Veterans Affairs, ENRM Veterans Hospital, 200 Springs Rd., Bedford, MA, 01730, USA. Thomas.houston2@va.gov.

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).

CONCLUSION:

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.

CLINICAL TRIALS REGISTRATION:

The ClinicalTrials.gov Identifier is NCT00101491. This trial was registered January 10, 2005.

PMID:
26467316
PMCID:
PMC4606962
DOI:
10.1186/s13104-015-1513-1
[Indexed for MEDLINE]
Free PMC Article

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