Department of Behavioral Health Science, School of Community Health and Policy, Morgan State University, Baltimore, MD, United States.
Prevention Sciences Research Center, Morgan State University, Baltimore, MD, United States.
Int J Public Health. 2023 Jun 20;68:1605739. doi: 10.3389/ijph.2023.1605739. eCollection 2023.
Using a participatory research approach, this study reports the efficacy of the Communities Engaged and Advocating for a Smoke-free Environment (CEASE)-4 intervention offered by the local peers. CEASE-4 is a theory-based tobacco-cessation intervention, tailored to the needs of underserved populations. 842 tobacco users self-selected into: a) self-help ( = 472), b) single-session class ( = 163), and c) four-session class ( = 207). While self-help group only received educational materials, curriculum for other arms was built on the social cognitive, motivational interviewing, and trans-theoretical- frameworks. Participants could also receive nicotine replacement therapy (NRT). Outcome was self-reported smoking cessation measured 12 weeks after completion of the intervention, validated by exhaled carbon monoxide (CO) test. Quit rate was statistically different across groups, with highest quit rate in four-session and lowest quit rate in self-help arm. Cessation rates at follow up (12 weeks after completion of the intervention) were 2.3% in the self-help arm, 6.1% in the single-session arm and 13.0% in the four-session arm. While theory-based smoking cessation services are effective for underserved populations, four-session curriculum might be superior to a single session program.
采用参与式研究方法，本研究报告了由当地同行提供的社区参与和倡导无烟环境（CEASE-4）干预的疗效。CEASE-4 是一种基于理论的戒烟干预措施，针对服务不足人群的需求进行了定制。842 名烟民自行选择参加：a）自助（=472），b）单次课程（=163）和 c）四次课程（=207）。自助组仅接受教育材料，而其他组的课程则基于社会认知、动机访谈和跨理论框架构建。参与者还可以接受尼古丁替代疗法（NRT）。结果是自我报告的戒烟情况，在干预完成后 12 周进行测量，并通过呼出的一氧化碳（CO）测试进行验证。戒烟率在组间存在统计学差异，四次课程组的戒烟率最高，自助组的戒烟率最低。在干预完成后 12 周的随访中，自助组的戒烟率为 2.3%，单次课程组为 6.1%，四次课程组为 13.0%。虽然基于理论的戒烟服务对服务不足的人群有效，但四次课程的课程可能优于单次课程。
