SMOKING CESSATION IN AFRICAN-AMERICAN MEN: A PILOT STUDY

描述（由申请人提供）：我们的长期目标是通过关注行为可改变的风险因素来改善低收入非洲裔美国男性的健康状况。本提案的目的是开发和测试一种专门为非洲裔美国人设计的戒烟干预措施的可行性。这项拟议研究的基本原理是，为低收入非洲裔美国人量身定制一种容易获得的、接触最少的干预策略，将提高这一人群的戒烟率，从而降低与吸烟有关的疾病（如肺癌）的发病率。我们将有能力进行拟议的研究，因为我们已经组建了一个多学科团队，在公共卫生、健康心理学、戒烟、非裔美国人文化、研究设计和生物统计学等领域拥有广泛的专业知识。我们的研究环境也非常适合这项研究因为我们在吸烟研究方面的经验以及我们在低收入人群和少数群体中的工作。具体来说，低收入非裔美国男性吸烟者的积累和随访将通过我们与孟菲斯市学校的长期关系（全国第20大城市学校系统雇用了大约4000名非裔美国人从事贸易工作）以及我们与孟菲斯轻气和水公司首席执行官的关系（全国最大的公共事业公司雇用了大约1500名非裔美国人从事贸易工作）来促进，一旦我们完成了R21申请中提出的工作，我们希望能够很好地开发并提交R01申请，提出一项小组随机试验（GRT）来评估干预措施。考虑到这一点，本R21的具体目标是：(1)进行四个焦点小组（共n=32），以评估拟议干预材料的内容和可接受性。(2)基于文献和目标1的结果，为低收入非洲裔美国男性制定并试点可行性相关文化和性别合适的戒烟计划。(3)制定用于评估戒烟计划的材料和方案。(4)使用Aim 3中开发的材料对目标人群进行调查，以估计分组随机试验规模所需的参数，以评估在Aim 2中测试可行性的戒烟计划的有效性。

DESCRIPTION (provided by applicant): Our long-range goal is to improve the heath status of low-income African American men through a focus on behaviorally modifiable risk factors. The objective of this proposal is to develop and test the feasibility of a smoking cessation intervention specifically designed for African American men. The rationale for the proposed research is that development of an easily accessible, minimal contact intervention strategy culturally tailored for low-income African American men will increase quit-rates in this population, with subsequent reduction in the incidence of smoking-related diseases, such as lung cancer. We are will positioned to undertake the proposed research because we have assembled a multidisciplinary team with the scope and breadth of expertise in the areas of public health, health psychology, smoking cessation, African American culture, research design and biostatistics. We also work in a research environment what is well suited for this study because of our experience in smoking research and our work with low-income populations, and minority groups. Specifically, accrual and follow-up of low-income African American male smokers will be facilitated by our long-term relationship with the Memphis City schools (the 20 th largest metropolitan school system nationally that employs approximately 4,000 African American men in trade positions) and by our relationship with the CEO at Memphis Light Gas and Water (the largest publicly owned utility in the country that employs approximately 1,500 African American men in trade positions), Once we complete the work proposed in the R21 application, we expect to be well-positioned to develop and submit an R01 application to propose a group randomized trial (GRT) to evaluate the intervention. With this in mind, the specific aims for this R21 are to: (1) Conduct four focus groups (total n=32) to assess the content and acceptability of proposed intervention materials.(2) Develop and pilot-test for feasibility a culturally relevant and gender appropriate smoking cessation program for low-income African American men, based on the literature and the results from Aim 1. (3) Develop materials and protocols to be used to evaluate the smoking cessation program. (4) Use the materials developed in Aim 3 to survey the target population to estimate parameters required to size a group-randomized trial for the efficacy evaluation of the smoking cessation program tested for feasibility in Aim 2.