Culturally Targeted & Individually Tailored Smoking Cessation Study: LGBT Smokers

文化目标

基本信息

批准号：
8308555
负责人：
Alicia K Matthews
金额：
$ 53.65万
依托单位：
UNIVERSITY OF ILLINOIS AT CHICAGO
依托单位国家：
美国
项目类别：
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/8308555
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 Stigmata 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

项目摘要

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. PUBLIC HEALTH RELEVANCE: The purpose of this study is to develop and evaluate the benefits of culturally targeted smoking cessation intervention for lesbian, gay, bisexual and transgender smokers. Findings will contribute to the scientific literature on reducing smoking-related health disparities among underserved populations.

描述（由申请人提供）：我们的长期目标是增加女同性恋，同性恋，双性恋和变性者（LGBT）吸烟者的戒烟，并了解与停止和复发有关的人群中的过程。这项研究的主要目的分为两个阶段，是比较以文化靶向干预措施的功效与对LGBT吸烟者中戒烟结果的非靶向干预措施的功效。进一步的目的是确定ALA-CT干预对戒烟的单独介导的预测指标的影响，并探索ALA-CT干预对戒烟产生影响（与差异）的潜在文化和社会心理机制。在第一阶段，我们将使用焦点小组和试点试验来确定干预措施目标要素的文化适当性和可接受性。在第2阶段，我们将进行随机戒烟试验，以首次比较美国肺协会的“自由吸烟计划”（ALA-FFS）的功效。具有文化靶向（ALA-CT）和非靶向LGBT吸烟者的（标准ALA-FFS）。 ALA-CT将由7种具有文化目标（社会心理和文化）群体咨询会议组成，并结合尼古丁的替代和同伴支持。对比条件将是吸烟者，他们接受非目标的ALA-FFS计划，尼古丁替代和同伴支持。原发性戒烟结果将是戒断点的戒烟，即，在过去的7天内没有吸烟，甚至没有吹气，并且将通过时间轴遵循后卫派生的措施来评估长时间的节制和点流行率戒烟率。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]，以确定短期和长期停止结果。我们将控制与吸烟结果有关的人口变量。公共卫生相关性：这项研究的目的是开发和评估对女同性恋，同性恋，双性恋和跨性别吸烟者的文化靶向戒烟干预的好处。调查结果将有助于科学文献，以减少服务不足人群中与吸烟有关的健康差异。