Culturally Targeted & Individually Tailored Smoking Cessation Study: LGBT Smokers

文化目标

• 批准号: 8512681
• 负责人: Alicia K Matthews
• 金额: $ 49.72万
• 依托单位: UNIVERSITY OF ILLINOIS AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-30 至 2015-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8512681
• 关键词: Abstinence; Address; Adherence; American Lung Association; Back; Behavior; Bisexual; Carbon Monoxide; Communities; Conscious; Discrimination; Disease; Effectiveness; Effectiveness of Interventions; Elements; Event; Focus Groups; Freedom; Gays; General Population; Goals; Health; Heart Diseases; Heavy Drinking; Individual; Intervention; Knowledge; Lesbian; Life; Literature; Maintenance; Measures; Mediating; Minority; Outcome; Patient Self-Report; Persons; Phase; Play; Population Group; Prevalence; Probability; Process; Psychosocial Factor; Publishing; Randomized; Readiness; Recruitment Activity; Relapse; Reporting; Risk; Risk Behaviors; Risk Factors; Role; Sample Size; Self Efficacy; Sex Orientation; Smoker; Smoking; Smoking Behavior; Smoking Cessation Intervention; Staging; Stress; Testing; Time; TimeLine; Underserved Population; Withholding Treatment; base; comparative efficacy; follow-up; group counseling; hazard; health disparity; improved; intervention effect; nicotine replacement; peer; pilot trial; programs; psychosocial; public health relevance; smoking cessation; social stigma; stressor; transgender; treatment adherence; urban area

DESCRIPTION (provided by applicant): Our long-term goals are to increase smoking cessation in lesbian, gay, bisexual and transgender (LGBT) smokers and to understand the processes related to cessation and relapse in this underserved population. Conducted in two phases, the primary aim of this study is to compare the efficacy of a culturally targeted intervention versus a non-targeted intervention on smoking cessation outcomes in LGBT smokers. Further aims are to determine the effect of the ALA-CT intervention on individually mediated predictors of cessation and to explore the underlying cultural and psychosocial mechanisms through which the ALA-CT intervention has an impact (differential or not) on smoking cessation. In Phase I, we will use focus groups and a pilot trial to establish the cultural appropriateness and acceptability of the targeted elements of the intervention. In Phase 2, we will conduct a randomized smoking cessation trial to compare for the first time the efficacy of the American Lung Association's 'Freedom from Smoking Program' (ALA-FFS). Culturally targeted (ALA-CT) and Non-Targeted (Standard ALA-FFS) to LGBT smokers. The ALA-CT will consist of 7 culturally targeted (psychosocial and cultural) group counseling sessions combined with nicotine replacement and peer support. The contrast condition will be smokers who receive the non-targeted ALA-FFS program, nicotine replacement and peer support. The primary smoking cessation outcome will be point prevalence abstinence, i.e., no smoking, not even a puff, for previous 7 days, and will be assessed by Timeline Follow-Back derived measures for prolonged abstinence and point prevalence quit rates. Reported outcomes will be objectively verified [Carbon monoxide (CO) testing] at 1 month, 3, 6, 9 and 12 months follow-up to determine short and longer- term cessation outcomes. We will control for demographic variables that have known associations with smoking outcomes.

描述（由申请人提供）：我们的长期目标是提高女同性恋、男同性恋、双性恋和跨性别者 (LGBT) 吸烟者的戒烟率，并了解这一服务不足的人群中与戒烟和复吸相关的过程。本研究分两个阶段进行，主要目的是比较文化针对性干预与非针对性干预对 LGBT 吸烟者戒烟结果的效果。进一步的目标是确定 ALA-CT 干预对个体介导的戒烟预测因素的影响，并探索 ALA-CT 干预对戒烟产生影响（差异或无差异）的潜在文化和心理社会机制。在第一阶段，我们将利用焦点小组和试点试验来确定干预目标要素的文化适当性和可接受性。在第二阶段，我们将进行随机戒烟试验，首次比较美国肺脏协会“戒烟计划”（ALA-FFS）的功效。针对 LGBT 吸烟者的文化针对性 (ALA-CT) 和非针对性 (标准 ALA-FFS)。 ALA-CT 将包括 7 场针对文化（社会心理和文化）的团体咨询课程，并结合尼古丁替代和同伴支持。对比情况是接受非针对性 ALA-FFS 计划、尼古丁替代品和同伴支持的吸烟者。主要戒烟结果将是点流行率戒烟，即在过去 7 天内不吸烟，甚至不吸烟，并将通过时间线跟踪衍生的长期戒烟率和点流行率戒烟率评估。报告的结果将在 1 个月、3、6、9 和 12 个月的随访中进行客观验证[一氧化碳 (CO) 测试]，以确定短期和长期戒烟结果。我们将控制已知与吸烟结果相关的人口变量。