Minority Health Archive

Combining community participatory research with a randomized clinical trial: The protecting the hood against tobacco (PHAT) smoking cessation study

Froelicher, Erika Sivarajan and Doolan, Daniel and Yerger, Valerie B. and McGruder, Carol O. and Malone, Ruth E. (2010) Combining community participatory research with a randomized clinical trial: The protecting the hood against tobacco (PHAT) smoking cessation study. Heart & Lung: The Journal of Acute and Critical Care, 39 (1). pp. 50-63. ISSN 01479563

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BACKGROUND: This article describes the process and results of a smoking cessation intervention randomized clinical trial (RCT) that was conducted as a community-based participatory research project. This RCT tested whether outcomes are improved by adding social justice and tobacco industry targeting messages to a smoking cessation program conducted among African American adults within a low-income community in San Francisco, California. This study provides lessons for future similar research projects that focus on urban low-income populations. METHODS: Participants were randomly allocated to receive a smoking-cessation program (control group [CG]) or CG care plus tobacco industry and media (IAM) messages. Primary interventions were behavioral. At intake, participants reporting severe withdrawal or smoking > or = 25 cigarettes daily were offered free nicotine replacement therapy. Baseline data were from an in-person interview. Outcome measures included self-reported smoking status; validation of quitting was by salivary cotinine assays. RESULTS: Of 87 participants providing baseline data, 31% (27) did not join the RCT. Proportions quitting in the CG and IAM group were 11.5% and 13.6% at 6 months and 5.3% and 15.8% at 12 months, respectively. CONCLUSION: African Americans in underserved inner-city neighborhoods can be recruited into RCTs with community participatory approaches. Differences between the CG and IAM in proportions who quit were 2.1% and 10.5% at 6 and 12 months, respectively. More than 3 years with adequate funding, high staffing ratios, and intense outreach and follow-up schedules are needed to achieve recruitment and study goals.

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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: African Americans, smoking cessation, randomized clinical trial (RCT), community-based participatory research
Subjects: Health > Public Health > Health Risk Factors > Smoking & Tobacco Use
Practice > outreach
Practice > interventions
Research > studies
Research > methodologies
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Depositing User: Users 141 not found.
Date Deposited: 16 Jul 2011 12:20
Last Modified: 16 Jul 2011 12:20
Link to this item (URI): http://health-equity.lib.umd.edu/id/eprint/2760

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