Heart, body, and soul: impact of church-based smoking cessation interventions on readiness to quit.
Heart, body, and soul: impact of church-based smoking cessation interventions on readiness to quit.
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心、身体和灵魂：教会戒烟干预措施对戒烟准备的影响。
DOI：
10.1006/pmed.1996.0057
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发表时间：
1996
影响因子：
5.1
通讯作者：
Becker,DM
中科院分区：
文献类型：
--
作者：
Voorhees,CC;Stillman,FA;Swank,RT;Heagerty,PJ;Levine,DM;Becker,DM
背景鉴于非裔美国人吸烟者的自发戒烟率相对较低，治疗效果较差，本研究旨在评估多模式文化相关干预对吸烟行为改变的影响，在巴尔的摩教堂的城市非洲裔美国人中的帮助策略。干预措施，使吸烟者沿着一个连续的戒烟。22个教会被随机分配到一个密集的文化特定的干预或最小的自助干预。吸烟者在基线教会健康博览会和1年的随访中接受了采访。自我报告戒烟者在后续评估使用唾液可替宁和呼出的一氧化碳水平（CO）。变化的阶段进行了测量，通过应用标准化的阶段变化工具，个人访谈的反应序列。分析比较了两个干预组在1年随访时的基线阶段。结果包括戒烟率和积极的进展沿着的变化stages.ResultsMultiple logistic回归结果，控制内相关性和人口统计学和基线吸烟特征，表明，多模式文化干预组更有可能取得积极的进展沿着的变化连续的阶段，相比，自助干预组（OR = 1.68;P= 0.04）。教会面额和干预状态相互作用的多变量模型;浸信会在密集的干预是三倍（OR = 3.23;P= 0.010）更有可能取得进展比所有其他面额groups.ConclusionThe多模式的文化相关的干预更有可能比自助干预积极影响吸烟行为。这是第一个以社区为基础的干预研究，报告进展沿着阶段的变化，作为一个面向过程的衡量成功。值得注意的是，一个以精神为基础的模式，重点是环境制裁更有可能比一个标准的教会传播的自助干预，积极影响城市非裔美国人的吸烟行为。
BackgroundGiven the relatively low spontaneous quit rates and poor treatment outcomes among African American smokers, this study was designed to evaluate the effects of a multimodal culturally relevant intervention for smoking behavior change compared with a self-help strategy among urban African Americans in Baltimore churches.MethodThis randomized controlled trial in urban African American churches used the stages of change model to compare the effectiveness of two interventions in moving smokers along a continuum toward smoking cessation. Twenty-two churches were randomly assigned to either an intensive culturally specific intervention or a minimal self-help intervention. Smokers were interviewed at baseline church health fairs and at a 1-year follow-up. Self-reported quitters at follow-up were evaluated using saliva cotinine and exhaled carbon monoxide levels (CO). Stages of change were measured by applying a standardized stages of change instrument to individual interview response sequences. Analysis compared the two intervention groups at 1-year follow-up with baseline stages. Outcomes included quit rates and positive progress along the stages of change.ResultsMultiple logistic regression results, controlling for intrachurch correlation and demographic and baseline smoking characteristics, showed that the multimodal cultural intervention group was more likely to make positive progress along the stages of change continuum, compared with the self-help intervention group (OR = 1.68;P= 0.04). Church denomination and intervention status interacted in the multivariate model; Baptists in the intensive intervention were three times (OR = 3.23;P= 0.010) more likely to make progress than all the other denomination groups.ConclusionThe multimodal culturally relevant intervention was more likely than a self-help intervention to positively influence smoking behavior. This is the first community-based intervention study to report progress along the stages of change as a process-oriented measure of success. It is notable that a spiritually based model focusing on environmental sanctions was more likely than a standard church disseminated self-help intervention to positively influence smoking behavior in an urban African American population.