A randomized controlled trial of a faith-placed, lay health advisor delivered smoking cessation intervention for rural residents.
A randomized controlled trial of a faith-placed, lay health advisor delivered smoking cessation intervention for rural residents.
复制标题
一项随机对照试验由一位有信仰的非专业健康顾问为农村居民提供戒烟干预措施。
DOI：
10.1016/j.pmedr.2016.03.006
复制
发表时间：
2016
影响因子：
2.8
通讯作者：
Cooper,Thomas
中科院分区：
文献类型：
--
作者：
Schoenberg,NancyE;Studts,ChristinaR;Shelton,BrentJ;Liu,Meng;Clayton,Richard;Bispo,JordanBaeker;Fields,Nell;Dignan,Mark;Cooper,Thomas
IntroductionRural US residents smoke at higher rates than urban or suburban residents. We report results from a community-based smoking cessation intervention in Appalachian Kentucky.Study designSingle-blind, group-randomized trial with outcome measurements at baseline, 17 weeks and 43 weeks.Setting/participantsThis faith-placed CBPR project was located in six counties of rural Appalachian Kentucky. A total of 590 individual participants clustered in 28 churches were enrolled in the study.InterventionLocal lay health advisors delivered the 12-week Cooper/Clayton Method to Stop Smoking program, leveraging sociocultural factors to improve the cultural salience of the program for Appalachian smokers. Participants met with an interventionist for one 90 min group session once per week incorporating didactic information, group discussion, and nicotine replacement therapy.Main outcome measuresThe primary outcome was self-reported smoking status. Secondary outcomes included Fagerström nicotine dependence, self-efficacy, and decisional balance.ResultsWith post-intervention data from 92% of participants, those in intervention group churches (N = 383) had 13.6 times higher odds of reporting quitting smoking one month post-intervention than participants in attention control group churches (N = 154, p < 0.0001). In addition, although only 3.2% of attention control group participants reported quitting during the control period, 15.4% of attention control participants reported quitting smoking after receiving the intervention. A significant dose effect of the 12-session Cooper/Clayton Method was detected: for each additional session completed, the odds of quitting smoking increased by 26%.ConclusionsThe Cooper/Clayton Method, delivered in rural Appalachian churches by lay health advisors, has strong potential to reduce smoking rates and improve individuals' health.
