A family intervention to reduce smoking among Chinese and Vietnamese men

描述（由申请人提供）：减少中国和越南男性吸烟的家庭干预在亚洲男性亚组中仍然存在烟草使用差异，特别是在低英语水平和来自吸烟率高的文化的移民中，包括中国和越南裔美国男性。2007年加州健康访谈调查估计，加州近一半（47.3%）的亚洲男性吸烟者是中国人或越南人。中国和越南的吸烟者没有充分利用国家戒烟热线服务、戒烟药物和医疗服务提供者的建议。我们最近的研究表明，通过家庭招募中国吸烟者参加戒烟计划是可行的。在越南男性中，与吸烟有关的家庭冲突与过去5年内有戒烟意图和成功戒烟密切相关。让吸烟者的家庭参与促进中国人和越南人的戒烟意愿和利用戒烟资源，对减少这些人群的吸烟有着巨大的潜力。本研究将采用混合方法研究设计，通过非专业卫生工作者（LHW）外展活动开发和预测试家庭干预措施，使吸烟者家庭和吸烟者参与其中，以促进中国和越南裔美国男性戒烟。我们的目标是：1）针对中国和越南吸烟者，制定一项在文化和语言上合适的家庭干预措施;以及2）进行一项试点试验，以研究拟议干预措施的可行性。拟议的家庭干预的发展将通过对中国和越南吸烟者及其家庭的定性个人和二元访谈，社区投入（咨询委员会和焦点小组）以及整合3种理论的文献来指导：社会网络理论，社会认知理论和跨理论模型。我们将进行一项试验性试验，采用单组干预前后设计，有48个吸烟家庭。在过去7天内每天吸烟的中国和越南男性以及来自同一家庭的一名家庭成员将被LHW外展招募。测量的主要结果是招募的可行性，出勤率和干预的可接受性。测量的次要结果是比较干预前后的变化：家庭成员对吸烟者的支持，吸烟者对家庭支持的感知，吸烟者对资源的利用，戒烟意愿和干预期间的戒烟尝试。长期目标是有效利用涉及多个人、家庭和社会层面的以家庭为基础的推广战略，减少难以接触到的人群的吸烟。 公共卫生相关性：吸烟的公共卫生和经济后果是众所周知的。该项目旨在解决在吸烟率不成比例高的代表性不足的人群中治疗烟草依赖的有效策略方面的知识差距，例如中国和越南裔美国男性。这项拟议的研究将审查一项创新战略的使用情况，该战略涉及非专业卫生工作者外展活动，以动员家庭和吸烟者促进华裔和越南裔美国男性戒烟。

DESCRIPTION (provided by applicant): A Family Intervention to Reduce Smoking in Chinese and Vietnamese Men Tobacco use disparities remain in subgroups of Asian men, particularly among those of low English proficiencies and immigrants from cultures where smoking prevalence is high, including Chinese- and Vietnamese-American men. The 2007 California Health Interview Survey estimates that nearly half (47.3 percent) of Asian male smokers in California are either Chinese or Vietnamese. Chinese and Vietnamese smokers underutilize state telephone quitline services, smoking cessation medications, and health providers' advice. Our recent research has shown the feasibility of recruiting Chinese smokers into a smoking cessation program through their families. Among Vietnamese men, having smoking-related family conflicts was a strong correlate with having intention to quit smoking and having quit successfully within the past 5 years. Involving smokers' families to promote intention to quit and to utilize cessation resources among Chinese and Vietnamese has enormous potential to reduce smoking in these populations. This study will use a mixed methods research design to develop and pre-test a family intervention using lay health worker (LHW) outreach to involve both smokers' families and smokers to promote smoking cessation in Chinese- and Vietnamese-American men. We aim to: 1) develop a culturally and linguistically appropriate family intervention targeting Chinese and Vietnamese smokers; and 2) conduct a pilot trial to examine feasibility of the proposed intervention. The development of the proposed family intervention will be guided by qualitative individual and dyadic interviews of Chinese and Vietnamese smokers and their families, community input (advisory boards and focus groups), and literature integrating 3 theories: Social Network Theory, Social Cognitive Theory, and the Transtheoretical Model. We will conduct a pilot trial using a one-group pre- and post- intervention design with 48 smoker-family dyads. Self-identified Chinese and Vietnamese males who smoke daily during the past 7 days and one family member from the same household will be recruited by LHW outreach. The primary outcomes measured are recruitment feasibility, attendance, and acceptability of the intervention. Secondary outcomes measured are comparisons of pre- and post-intervention changes in: family members' provision of support for their smokers, smokers' perceived support from their family, smokers' utilization of resources, quit intentions, and quit attempts made during the intervention period. The long-term goal is to effectively utilize family- based and outreach strategies that involve multiple individual, familial, and social levels to reduce smoking in hard-to-reach populations. PUBLIC HEALTH RELEVANCE: The public health and economic consequences of cigarette smoking are well established. This project addresses gaps in knowledge about effective strategies for treating tobacco dependence in underrepresented populations where smoking prevalence is disproportionately high such as among Chinese- and Vietnamese-American men. The proposed study will examine the use of an innovative strategy that involves lay health worker outreach to mobilize the families and the smokers to promote smoking cessation in Chinese- and Vietnamese-American men.