Janice Y Tsoh1, Nancy J Burke2, Ginny Gildengorin3, Ching Wong3, Khanh Le3, Anthony Nguyen4, Joanne L Chan5, Angela Sun6, Stephen J McPhee3, Tung T Nguyen3. 1. Department of Psychiatry, University of California San Francisco, San Francisco, CA; Asian American Research Center for Health (ARCH), San Francisco, CA; janice.tsoh@ucsf.edu. 2. Asian American Research Center for Health (ARCH), San Francisco, CA; Department of Anthropology, History, and Social Medicine, University of California San Francisco, San Francisco, CA; 3. Asian American Research Center for Health (ARCH), San Francisco, CA; Division of General Internal Medicine, University of California San Francisco, San Francisco, CA; 4. Southeast Asian Community Center (SEACC), San Francisco, CA; 5. Chinese Community Health Resource Center (CCHRC), San Francisco, CA. 6. Asian American Research Center for Health (ARCH), San Francisco, CA; Chinese Community Health Resource Center (CCHRC), San Francisco, CA.
Abstract
INTRODUCTION: Smoking prevalence is high among limited English-proficient Chinese and Vietnamese American men, who are frequently unmotivated to quit and who underutilize smoking cessation resources. This study applied lay health worker outreach to leverage peer and family networks to promote smoking cessation among these men. METHODS: We integrated qualitative formative research findings and Social Network Theory to develop a social-network family-focused intervention. In a pilot single-group trial, 15 lay health workers recruited 96 dyads (N = 192, 75% Vietnamese) of Chinese or Vietnamese male daily smokers and their family members and delivered theintervention consisting of two small group education sessions and two individual telephone calls over 2 months. RESULTS: At baseline, 42% of smokers were at precontemplation. At 3 months following the initiation of the intervention, 7-day and 30-day point prevalence smoking abstinence rates as reported by smokers and independently corroborated by family members were 30% and 24%, respectively. Utilization of smoking cessation resources (medication, quitline, physician's advice) increased from 2% to 60% (P < .001). Findings showed high acceptability of the intervention as it facilitated learning about tobacco-related health risks and cessation resources, and communications between smokers and their families. CONCLUSIONS: This novel social network family-focused intervention to promote smoking cessation among Chinese and Vietnamese smokers appears to be acceptable, feasible, and potentially efficacious. Findings warrant evaluation of long-term efficacy of the intervention in a larger scale randomized controlled trial.
RCT Entities:
INTRODUCTION: Smoking prevalence is high among limited English-proficient Chinese and Vietnamese American men, who are frequently unmotivated to quit and who underutilize smoking cessation resources. This study applied lay health worker outreach to leverage peer and family networks to promote smoking cessation among these men. METHODS: We integrated qualitative formative research findings and Social Network Theory to develop a social-network family-focused intervention. In a pilot single-group trial, 15 lay health workers recruited 96 dyads (N = 192, 75% Vietnamese) of Chinese or Vietnamese male daily smokers and their family members and delivered the intervention consisting of two small group education sessions and two individual telephone calls over 2 months. RESULTS: At baseline, 42% of smokers were at precontemplation. At 3 months following the initiation of the intervention, 7-day and 30-day point prevalence smoking abstinence rates as reported by smokers and independently corroborated by family members were 30% and 24%, respectively. Utilization of smoking cessation resources (medication, quitline, physician's advice) increased from 2% to 60% (P < .001). Findings showed high acceptability of the intervention as it facilitated learning about tobacco-related health risks and cessation resources, and communications between smokers and their families. CONCLUSIONS: This novel social network family-focused intervention to promote smoking cessation among Chinese and Vietnamese smokers appears to be acceptable, feasible, and potentially efficacious. Findings warrant evaluation of long-term efficacy of the intervention in a larger scale randomized controlled trial.
Authors: Janice Y Tsoh; Elisa K Tong; Ginny Gildengorin; Tung T Nguyen; Mary V Modayil; Ching Wong; Stephen J McPhee Journal: Addict Behav Date: 2010-11-27 Impact factor: 3.913
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