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Randomized Controlled Trial
. 2016 Dec;41(6):1146-1152.
doi: 10.1007/s10900-016-0264-9.

Examining Smoking Cessation in a Community-Based Versus Clinic-Based Intervention Using Community-Based Participatory Research

Payam Sheikhattari  1   2   3 , Jummai Apata  4   5 , Farin Kamangar  4   6 , Christine Schutzman  5 , Anne O'Keefe  7 , Jane Buccheri  8 , Fernando A Wagner  4   5
Affiliations
Randomized Controlled Trial

Examining Smoking Cessation in a Community-Based Versus Clinic-Based Intervention Using Community-Based Participatory Research

Payam Sheikhattari et al. J Community Health. 2016 Dec.

Abstract

Tobacco use remains a major public health problem in the U.S. disproportionately affecting underserved communities. The Communities Engaged and Advocating for a Smoke-free Environment (CEASE) initiative is an intervention to address the problem using a community-based participatory research (CBPR) approach. This study compares quit rates in a peer-led community-based intervention with those achieved in a clinical setting. The intervention consisted of three Phases. Phase I (n = 404) was a clinic-based trial comparing two types of counseling. Phase II (n = 398) and Phase III (n = 163) interventions were conducted in community venues by trained Peer Motivators. Quit rates at 12-week follow-up increased from 9.4 % in Phase I (clinic-based) to an average of 23.7 % in Phases II and III combined (community-based). The main predictor of smoking cessation was delivery of services in community settings (OR 2.6, 95 % CI 1.7-4.2) while controlling for possible confounders. A community-based approach can significantly guide and improve effectiveness and acceptability of smoking cessation services designed for low-income urban populations. In addition, CBPR can result in better recruitment and retention of the participants.

Keywords: CBPR; Low-income population; Peer-based approach; Smoking cessation.

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