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

描述（由申请人提供）：居住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人男性相同，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，需要针对拉丁裔的戒烟项目。在拉美裔人中测试的一些项目显示出了效果，但只是短期的。此外，没有人试图鼓励在一个可教育的时刻戒烟：一个戒烟似乎更相关的时刻。为了接触到这一服务不足的烟民群体，我们建议在北卡罗来纳州达勒姆和罗利对新近移民的拉丁裔烟民进行一项“教育时刻”干预试验。我们将用西班牙语进行干预。我们将尝试利用拉丁裔怀孕的教育时刻作为拉丁裔戒烟的动力，因为怀孕是男性可能考虑戒烟的时候。此外，包括女性可以帮助在项目完成后保持戒烟。因此，我们正在干预拉丁裔夫妇，帮助他们戒烟。我们与达勒姆拉美裔社区资源中心El Centro Hispano的社区领导人合作。我们将开发一个主要基于社会认知理论和可教时刻模型的干预。我们将教男性戒烟技巧，帮助提高男性的自我效能和戒烟的预期结果，并教夫妇沟通的最佳方式，以减少新生儿带来的压力。通过更好的沟通，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。该计划将根据文化进行调整，以强调可能有助于提高戒烟率的拉丁文化价值观，即重视家庭的familismo和重视温暖的个人关系的personalismo。研究分为两组：第一组：自助戒烟指南；第二组：夫妻戒烟咨询。我们建议在五个时间点对夫妇进行面对面调查：基线，妊娠28周，产后2个月，6个月和12个月。公共卫生相关性：拉丁裔男性的吸烟率太高。很少有有效的计划能达到并促进拉丁裔西班牙语吸烟者的长期戒烟。当拉丁美洲人的妻子怀孕时，这种干预会增加他们戒烟的动机。干预措施包括拉丁裔，并教授夫妇有效的沟通技巧，以帮助长期维持戒烟效果。

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.