Smoking Cessation Intervention for American Indian Women Experiencing Intimate Partner Violence

对遭遇亲密伴侣暴力的美国印第安妇女的戒烟干预

• 批准号: 10436762
• 负责人: Patricia Nez Henderson
• 金额: $ 48.25万
• 依托单位: BLACK HILLS CTR/AMERICAN INDIAN HEALTH
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-01 至 2026-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10436762
• 关键词: Addictive Behavior; Address; Age; Alcohol consumption; American Indians; Anxiety; Awareness; Biochemical; Black race; Blood Circulation; Cardiovascular Diseases; Cause of Death; Cessation of life; Choices and Control; Cities; Communities; Coupled; Data; Development; Drug usage; Educational Curriculum; Effectiveness of Interventions; Emotional; Enrollment; Ethnic group; Family member; Goals; Health; Health Benefit; High Prevalence; Individual; Intervention; Intervention Trial; Knowledge; Malignant neoplasm of lung; Manuals; Mental Depression; Mental Health; Methodology; Mindfulness Training; Modeling; Morbidity - disease rate; Myocardial Infarction; Nicotine Dependence; Outcome Study; Pattern; Population; Post-Traumatic Stress Disorders; Prevalence; Public Health; Research; Research Support; Respiratory physiology; Risk; Risk Factors; Safety; Severities; Smoker; Smoking; Smoking Behavior; Smoking Cessation Intervention; Stroke; Testing; Teton Sioux Indian; Time; Tobacco; Training; Trauma; Tribes; Woman; addiction; base; behavior change; cigarette smoking; craving; environmental tobacco smoke exposure; experience; flexibility; follow-up; high risk population; innovation; intimate partner violence; mindfulness; mortality; northern plains; novel; physical conditioning; premature; programs; psychologic; racial and ethnic; response; satisfaction; smoking abstinence; smoking cessation; smoking prevalence; substance use; therapy development; treatment arm; tribal community

Cigarette smoking and intimate partner violence (IPV) are preventable, major public health concerns that result in severe physical and psychological consequences. Women who have experienced IPV are more likely to suffer from substance use, depression, anxiety, and post-traumatic stress disorder --all of which are risk factors for smoking. Smoking prevalence among women who have experienced IPV is as high as 51% to 70%. American Indian women, including Northern Plains Tribal women, experience the highest proportion of IPV among women from any racial/ethnic group. Furthermore, smoking prevalence among Northern Plains Tribal women is among the highest in the U.S and specifically among Northern Plains Tribal women who experienced IPV, 58% are current smokers. Multiple health interventions have been developed for women who have experienced IPV, including for alcohol and drug use given the high rates of these co-occurring problems. However, there have been no smoking cessation interventions among them. Trauma-informed, mindfulness-based approaches are shown to create physical, psychological, and emotional safety while mitigating habitual patterns of reactive or addictive behaviors by increasing awareness of reactivity and automated (e.g., smoking) behavior, allowing greater flexibility in response to cravings. These strength-based approaches are consistent with the values of American Indian culture and create opportunities for individuals who have been traumatized to rebuild a sense of choice and control. Our research team used an interactive, highly participatory approach to collect and use qualitative data to inform the initial development of a culturally tailored, trauma-informed smoking cessation intervention for Northern Plains Tribal women who have experienced IPV. Therefore, the primary objective of this application is to finalize the 8-session novel intervention and test its feasibility, acceptability, and satisfaction among a group of 48 Northern Plains Tribal women smokers who have experienced IPV. To achieve this goal, the following Aims will be addressed: 1) Use a community-based participatory approach with our Community Advisory Board to refine intervention materials and finalize our pilot intervention methodology; 2) Conduct a single arm intervention trial enrolling 48 Northern Plains Tribal women smokers who have experienced IPV to examine the primary study outcomes of feasibility, acceptability, and satisfaction with our culturally tailored, trauma-informed mindfulness smoking cessation intervention and the secondary study outcome of quit attempts and biochemically verified smoking abstinence prevalence at 3 and 6-months follow-up, which will gauge the effectiveness of the intervention; and 3) As an exploratory aim, we will explore concurrent changes in drug and alcohol use given the proposed intervention’s central focus on personal and historical trauma among American Indian women as contributors to addiction and consistent with a focus on poly- vs. single substance.

吸烟和亲密伴侣暴力（IPV）是可预防的，是造成重大公共卫生问题的原因