Preliminary investigation of a culturally specific smoking cessation intervention for Hispanic smokers

Am J Health Promot. Jan-Feb 1997;11(3):198-207. doi: 10.4278/0890-1171-11.3.198.

Abstract

Purpose: The purpose of this study was to compare a culturally specific, multicomponent behavioral smoking cessation program for Hispanic smokers with a low-intensity, enhanced self-help control condition.

Design: Participants who completed pretreatment assessment were randomly assigned to treatment conditions. Smoking status was evaluated at posttreatment, 6-month follow-up, and 12-month follow-up intervals.

Setting: The study was based in predominantly Hispanic neighborhoods in Queens, New York.

Participants: Ninety-three Hispanic smokers participated: 48 men and 45 women.

Intervention: The multicomponent treatment involved a clinic-based group program that incorporated a culturally specific component consisting of videotaped presentations of culturally laden smoking-related vignettes. The self-help control program was enhanced by the use of an introductory group session and follow-up supportive telephone calls.

Measures: Smoking outcomes were based on cotinine-validated abstinence and self-reported smoking rates. Predictors of abstinence were examined, including sociodemographic variables, smoking history, nicotine dependence, acculturation, partner interactions, reasons for quitting, self-efficacy, and linguistic competence.

Results: Significant group differences in cotinine-validated abstinence rates in favor of the multicomponent group were obtained, but only at posttreatment. With missing data included and coded for nonabstinence, validated abstinence rates at posttreatment were 21% for the multicomponent group and 6% for the self-help group. At the 6-month follow-up, the rates were 13% for the multicomponent group and 9% for the self-help group. By the 12-month follow-up, the rates declined to 8% and 7% for the multicomponent and self-help groups, respectively. A dose-response relationship between attendance at group sessions and abstinence status was shown at posttreatment and 6-month follow-up intervals.

Conclusions: The results of the present study failed to show any long-term benefit from use of a clinic-based, culturally specific multicomponent smoking cessation intervention for Hispanic smokers relative to a minimal-contact, enhanced self-help control.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Behavior Therapy
  • Cotinine / blood
  • Cultural Characteristics
  • Female
  • Hispanic Americans*
  • Humans
  • Male
  • Middle Aged
  • New York
  • Psychotherapy, Group
  • Self-Help Groups
  • Smoking Cessation / ethnology*
  • South America / ethnology

Substances

  • Cotinine