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上可改变的风险因素来改善低收入非裔美国人的健康状况。这项建议的目的是开发和测试专门为非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，为低收入非裔美国男性制定一种易于获得的、最低限度的接触干预策略，将提高这一人群的戒烟率，从而降低与吸烟相关的疾病的发生率，如肺癌。我们将承担拟议的研究，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领域拥有广泛和广泛的专业知识。我们也在一个非常适合这项研究的研究环境中工作，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。具体地说，低收入非裔美国男性吸烟者的积累和跟踪将得益于我们与孟菲斯市学校(全国第20大城市学校系统，雇用了约4,000名非裔美国人从事贸易职位)的长期关系，以及我们与孟菲斯轻气和水公司(孟菲斯最大的公有公用事业公司，雇用约1,500名非裔美国人从事贸易职位)首席执行官的关系，一旦我们完成R21申请中提议的工作，我们预计将能够很好地开发并提交R01申请，提出一项团体随机试验(GRT)来评估干预措施。考虑到这一点，R21的具体目标是：(1)进行四个焦点小组(总共n=32)，以评估拟议干预材料的内容和可接受性。(2)根据文献和目标1的结果，为低收入非裔美国人制定并试行一个具有文化相关性和性别适配的戒烟计划。(3)制定用于评估戒烟计划的材料和方案。(4)使用在目标3中开发的材料对目标人群进行调查，以估计在目标2中进行可行性测试的戒烟计划的有效性评估的分组随机试验所需的参数。

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.