The effect of a multi-component smoking cessation intervention in African American women residing in public housing

The effect of a multi-component smoking cessation intervention in African American women residing in public housing
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DOI:
10.1002/nur.20174
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发表时间:
2007-02-01
影响因子:
2
通讯作者:
Tingen, Martha
Tingen, Martha
中科院分区:
医学4区
文献类型:
--
作者:
Andrews, Jeannette O.;Felton, Gwen;Tingen, Martha

文献摘要

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本研究的目的是测试多组分戒烟干预措施对居住在公共住房中的非裔美国妇女的有效性。干预措施包括: (a) 护士主导的行为/赋权咨询; (b) 尼古丁替代疗法; (c) 社区卫生工作者提高吸烟自我效能、社会支持和精神健康。结果显示,干预组和对照组的 6 个月连续戒烟率分别为 27.5% 和 5.7%。随着时间的推移,社会支持和吸烟自我效能的变化可以预测戒烟,而自我效能介导 6 个月的戒烟结果。精神健康并不能预测或调节戒烟结果。这些发现支持使用护士/社区卫生工作者模型为边缘化社区提供适合文化的行为干预措施。 (c) 2007 年 Wiley 期刊公司。
The purpose of this study was to test the effectiveness of a multicomponent smoking cessation intervention in African American women residing in public housing. The intervention consisted of: (a) nurse led behavioral/empowerment counseling; (b) nicotine replacement therapy; and, (c) community health workers to enhance smoking self-efficacy, social support, and spiritual well-being. The results showed a 6-month continuous smoking abstinence of 27.5% and 5.7% in the intervention and comparison groups. Changes in social support and smoking self-efficacy over time predicted smoking abstinence, and self-efficacy mediated 6-month smoking abstinence outcomes. Spiritual well-being did not predict or mediate smoking abstinence outcomes. These findings support the use of a nurse/community health worker model to deliver culturally tailored behavioral interventions with marginalized communities. (c) 2007 Wiley Periodicals, Inc.