En Pareja: A Latino couples intervention to help expectant fathers quit smoking

描述（由申请人提供）：生活在美国的拉丁裔男性吸烟是一个重大的公共卫生问题。拉丁美洲人的吸烟率与白色男性相同，但戒烟的可能性低于白人，这可能导致预期寿命的健康差异，并增加肺癌死亡率。显然，需要拉丁美洲人的戒烟计划。在拉丁美洲人中测试的一些项目已经显示出有效性，但只是短期的。此外，没有人试图在一个可教的时刻鼓励停止：一个停止似乎更相关的时刻。为了达到这一服务不足的吸烟人群，我们建议在北卡罗来纳州的达勒姆和罗利为最近移民的拉丁裔吸烟者进行一项可教时刻干预试验。我们将用西班牙语发言。我们将试图利用拉丁美洲人怀孕的可教时刻作为拉丁美洲人戒烟的动力，因为怀孕是男人可能考虑戒烟的时候。此外，包括妇女可以帮助维持戒烟后，该计划完成。因此，我们正在与拉丁美洲夫妇进行干预，以帮助他们戒烟。我们与达勒姆拉丁裔社区资源中心埃尔森特罗伊斯帕诺的社区领袖合作。我们将主要基于社会认知理论和可教时刻模型制定干预措施。我们将教授男性戒烟技巧，帮助提高男性的自我效能和戒烟的预期结果，并教授夫妇最佳的沟通方式，以减轻新生儿带来的压力。有了更好的沟通，这对夫妇可能能够更好地合作，帮助他戒烟并保持戒烟。我们建议招募怀孕的拉丁裔夫妇（n=420）进行双臂戒烟干预。该计划将在文化上进行调整，以强调可能有助于提高戒烟率的拉丁美洲文化价值观，即家庭主义，对家庭的高度重视，以及个人主义，重视温暖的个人关系。研究组为：组1：自助戒烟指南vs.组2：基于夫妇的戒烟咨询。我们建议在五个时间点对夫妇进行面对面的调查：基线，妊娠28周，产后2，6和12个月。公共卫生相关性：拉丁美洲男性的吸烟率太高。很少有有效的计划达到和促进长期戒烟的拉丁美洲西班牙语吸烟者。这种干预措施接近拉丁美洲人，当他们的妻子怀孕时，以增加戒烟的动力。干预包括拉丁美洲和教会夫妇有效的沟通技巧，以帮助维持长期戒烟效果。

DESCRIPTION (provided by applicant): Smoking among Latino males living in the U.S. is a significant public health problem. Latinos smoke at the same rate as White males but are less likely than Whites to quit smoking, which can contribute to health disparities in life expectancy and increase mortality due to lung cancer. Clearly, smoking cessation programs for Latinos are needed. Some programs tested among Latinos have shown efficacy, but at the short-term only. Further, none has attempted to encourage cessation at a teachable moment: a time when cessation may seem more relevant. To reach this underserved population of smokers, we are proposing to conduct a teachable moment intervention trial for recently immigrated Latino smokers in Durham and Raleigh, North Carolina. We will conduct the interventions in Spanish. We will attempt to capitalize on the teachable moment of Latinas' pregnancy as an impetus for Latinos' cessation because pregnancy is a time when men might consider stopping smoking. Also, including the woman could help sustain cessation after the program is complete. Thus, we are intervening with Latino couples to help the men quit smoking. We have partnered with community leaders at El Centro Hispano, a community resource center for Latinos in Durham. We will develop an intervention based primarily on Social Cognitive Theory and the Teachable Moments Model. We will teach men smoking cessation skills, help improve men's self-efficacy and outcome expectancies for quitting, and teach the couples optimal ways to communicate to reduce the stress that comes with a new baby. With better communication, the couple may be able to work together better to help him quit smoking and stay quit. We are proposing to recruit pregnant Latino couples (n=420) into a two-arm smoking cessation intervention. The program will be culturally tailored to emphasize Latino cultural values that could contribute to higher cessation rates, namely familismo, a high value on the family, and personalismo, valuing warm personal relationships. The study arms are: Arm 1: Self-help smoking cessation guide vs. Arm 2: Couple-based smoking cessation counseling. We propose to survey couples face-to-face at five time-points: baseline, 28 weeks gestation, and 2, 6, and 12 months postpartum. PUBLIC HEALTH RELEVANCE: The smoking rate among Latino males is too high. Few effective programs reach and promote long term smoking cessation among Latino Spanish-speaking smokers. This intervention approaches Latinos when their wives are pregnant to increase motivation for quitting. The intervention includes Latinas and teaches the couples effective communication skills to help sustain cessation effects long term.