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Randomized Controlled Trial
. 2009 Dec;11(12):1448-57.
doi: 10.1093/ntr/ntp159. Epub 2009 Nov 13.

The effect of a culturally tailored smoking cessation for Chinese American smokers

Dunli Wu  1 , Grace X Ma, Kathy Zhou, Dinglun Zhou, Andy Liu, Adrienne N Poon
Affiliations
Randomized Controlled Trial

The effect of a culturally tailored smoking cessation for Chinese American smokers

Dunli Wu et al. Nicotine Tob Res. 2009 Dec.

Abstract

Introduction: Tobacco use is a serious public health problem among low-income Chinese Americans with limited English proficiency. Chinese men are at high risk for smoking-related morbidity and mortality. We tested the feasibility of a culturally and linguistically sensitive smoking intervention program with combined counseling and pharmacological components for Chinese smokers in New York City; identified factors and techniques that enhance the administration and appropriateness of the intervention program; and examined the overall impact of this program on quit attempts, quit rates, and overall smoking reduction.

Methods: We were guided by the transtheoretical model and used an adapted motivational interviewing (MI) approach. The study involved a randomized sample with pretreatment assessment and multiple follow-up measures. Eligible participants (N = 122) were randomly assigned to intervention (4 individualized counselor-led MI sessions and nicotine replacement therapy [NRT]) or control groups (4 general health education sessions, self-help materials, and NRT).

Results: Quit rate at 6 months in the intervention group was 67% versus 32% for the control group, indicating minimal relapse and a highly successful intervention program. Increase in self-efficacy and decease in pros of smoking from baseline to 6-month follow-up were positively associated with smoking cessation. The number of cigarette smoked at baseline was inversely related to smoking cessation. Results indicate that a combined intensive behavioral counseling and pharmacological intervention can reduce smoking substantially.

Conclusion: The results of this pilot will be used as a basis for a large-scale randomized trial of an intervention with combined culturally and linguistically sensitive MI and NRT components for Chinese and other Asian ethnic groups.

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Figures

Figure 1.
Figure 1.
Flow chart of recruitment and participation of Chinese smokers in the Chinese QUIT smoking cessation intervention.
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