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Randomized Controlled Trial
. 2015 Aug;17(4):1120-9.
doi: 10.1007/s10903-014-0045-4.

A Culturally Adapted Smoking Cessation Intervention for Korean Americans: A Mediating Effect of Perceived Family Norm Toward Quitting

Sun S Kim  1 , Seong-Ho Kim, Hua Fang, Simona Kwon, Donna Shelley, Douglas Ziedonis
Affiliations
Randomized Controlled Trial

A Culturally Adapted Smoking Cessation Intervention for Korean Americans: A Mediating Effect of Perceived Family Norm Toward Quitting

Sun S Kim et al. J Immigr Minor Health. 2015 Aug.

Abstract

Korean men and women have the highest current smoking rates across all Asian ethnic subgroups in the United States. This is a 2-arm randomized controlled study of a culturally adapted smoking cessation intervention. The experimental condition received eight weekly 40-min individualized counseling sessions that incorporated Korean-specific cultural elements, whereas the control condition received eight weekly 10-min individualized counseling sessions that were not culturally adapted. All participants also received nicotine patches for 8 weeks. One-hundred nine Korean immigrants (91 men and 18 women) participated in the study. The rate of biochemically verified 12-month prolonged abstinence was significantly higher for the experimental condition than the control condition (38.2 vs. 11.1 %, χ (2) = 10.7, p < 0.01). Perceived family norm significantly mediated the effect of cessation intervention on abstinence. Smoking cessation intervention for Korean Americans should be culturally adapted and involve family members to produce a long-term treatment effect.

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Figures

Figure 1
Figure 1
CONSORT diagram showing a flow of subjects in the trial of a culturally tailored smoking cessation intervention
Figure 2
Figure 2
Kaplan-Meier Survival curves of participants with biochemically confirmed prolonged abstinence (log-rank test χ2 = 14.31, p < 0.001)
Figure 3
Figure 3
A meditational model of abstinence (N = 68). Intervention condition was related to abstinence through the mediation of perceived family norm in the path (cessation intervention → 3-M F/U Perceived Family Norm → 6-M F/U Perceived Family Norm → 12-M prolonged abstinence). All coefficients in the diagram are unstandardized. Note. M = month, F/U = follow-up, †p < 0.10, *p < 0.05, **p < 0.01, and ***p < 0.001.
See this image and copyright information in PMC

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