Minority Health Archive

Evaluation of a Tailored Approach for Tobacco Dependence Treatment for American Indians

D'Silva, Joanne and Schillo, Barbara A. and Sandman, Nathan R. and Leonard, Theresa L. and Boyle, Raymond G. (2011) Evaluation of a Tailored Approach for Tobacco Dependence Treatment for American Indians. American Journal of Health Promotion, 25 (sp5). S66-S69. ISSN 0890-1171

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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


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Item Type: Article
Additional Information: This article is available at the publisher’s Web site. Access to the full text is subject to the publisher’s access restrictions.
Uncontrolled Keywords: American Indians, Tobacco Cessation, Evaluation. Manuscript format: research, Research purpose: program evaluation, Study design: nonexperimental, Outcome measure: behavioral, Setting: clinical/health care, local community, Health focus: smoking control, Strategy: education, skill building/behavior change, Target population: adults, Target population circumstances: geographic location and race/ethnicity
Subjects: Health > Disparities
Health > Public Health > Health Risk Factors > Smoking & Tobacco Use
Research
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Depositing User: Users 141 not found.
Date Deposited: 05 May 2011 16:16
Last Modified: 30 Jun 2011 15:47
Link to this item (URI): http://health-equity.lib.umd.edu/id/eprint/2424

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