Addressing Tobacco Use in Underserved Communities Through a Peer-Facilitated Smoking Cessation Program.
Communities Engaged and Advocating for a Smoke-Free Environment (CEASE) is a long-standing research partnership between a university and the neighboring community that was established to reduce tobacco use among poor and underserved residents. The CEASE tobacco cessation program was implemented in f...
| Publicado en: | Journal of Community Health Vol. 44; no. 5; pp. 921 - 932 |
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| Autores principales: | , , , , , |
| Formato: | Artículo |
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Springer Nature
Oct2019
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=138226641&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 138226641 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00945145 JCH jtl: Journal of Community Health issn: 00945145 maglogo: N pubinfo: dt: Oct2019 vid: 44 iid: 5 pid: 237 pub: Springer Nature artinfo: ui: 138226641 10.1007/s10900-019-00635-8 ppf: 921 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P size: 558KB tig: atl: Addressing Tobacco Use in Underserved Communities Through a Peer-Facilitated Smoking Cessation Program. aug: au: Apata, Jummai Sheikhattari, Payam Bleich, Lisa Kamangar, Farin O'Keefe, Anne Marie Wagner, Fernando A. affil: ASCEND Center for Biomedical Research, Morgan State University, 1700 E. Cold Spring Lane, 21251, Baltimore, MD, USA School of Community Health and Policy, Morgan State University, 1700 E. Cold Spring Lane, 21251, Baltimore, MD, USA Alliance of Community Teachers and Schools (ACTS), 4701 N. Charles St., Baltimore, MD, USA School of Computer Mathematical and Natural Sciences, Morgan State University, 1700 E. Cold Spring Lane, 21251, Baltimore, MD, USA School of Social Work, University of Maryland, 525 West Redwood Street, 21201, Baltimore, MD, USA su: Clinical trials Community health services Counseling Medical care research Motivation (Psychology) Reward (Psychology) Support groups Patient participation Affinity groups Achievement Peers Human services programs Human research subjects Medically underserved areas Smoking cessation Patient selection Physicians' attitudes sug: subj: Clinical trials Community health services Counseling Medical care research Motivation (Psychology) Reward (Psychology) Support groups Patient participation Affinity groups Achievement Peers Human services programs Human research subjects Research and Development in the Physical, Engineering, and Life Sciences (except Biotechnology) Community health centres All Other Outpatient Care Centers Other local, municipal and regional public administration Other Individual and Family Services Residential Mental Health and Substance Abuse Facilities Services for the Elderly and Persons with Disabilities All Other Miscellaneous Ambulatory Health Care Services All other ambulatory health care services Offices of Physicians (except Mental Health Specialists) Offices of physicians Medically underserved areas Smoking cessation Patient selection Physicians' attitudes keyword: CBPR Peer-based approach Underserved population CBPR Peer-based approach Underserved population ab: Communities Engaged and Advocating for a Smoke-Free Environment (CEASE) is a long-standing research partnership between a university and the neighboring community that was established to reduce tobacco use among poor and underserved residents. The CEASE tobacco cessation program was implemented in four phases, with each new phase applying lessons learned from the previous phases to improve outcomes. This study describes CEASE's community-based approach and reports results from implementing the second phase of the intervention which, among other things, varied in the type of incentives, setting, and providers used. CEASE implemented a mixed-methods study following the Community-Based Participatory Research (CBPR) approach. During Phase II, a total of 398 smokers were recruited into two 12-session group counseling interventions facilitated by trained peers in community venues, which differed in the type of incentives used to increase participation and reward the achievement of milestones. At 12-week follow-up, 21% of all participants reported not smoking, with a retention rate (i.e., attendance at six or more of the 12 cessation classes offered) of 51.9%. No significant differences in cessation outcomes were found between the two study arms. Using a CBPR approach resulted in a peer-led model of care with improved outcomes compared to Phase I, which was provided by clinicians. The combined use of monetary and non-monetary incentives was helpful in increasing participation in the program but did not significantly impact smoking cessation. A CBPR approach can increase the acceptability and effectiveness of cessation services for underserved populations. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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