Evaluation of a Tailored Approach for Tobacco Dependence Treatment for American Indians

D’Silva J, Schillo BA, Sandman NR, Leonard TL, Boyle RG
Am J Health Promot. 2011 May-Jun;25(5 Suppl):S66-9

Purpose:
Evaluate a tailored approach for tobacco dependence treatment for American Indians.

Design:
A single-group design evaluation of a culturally specific curriculum for tobacco dependence treatment was implemented. Baseline assessment, program utilization, and 90-day follow-up interview data were analyzed.

Setting:
Fond du Lac Reservation in rural Minnesota and Mashkiki Waakaaigan Pharmacy in Minneapolis, Minnesota.

Subjects:
American Indian adults (N 5 317).

Intervention:
Four 1-hour individual or group sessions of behavioral counseling paired with pharmacotherapy.

Measures:
Demographic variables, program satisfaction, and tobacco use behaviors.

Analysis:
Descriptive statistics; for abstinence, a smoking 5 missing analysis was used, assuming all nonrespondents were still smoking.

Results:
Sixty-three percent of participants completed the program. The 90-day follow-up response rate was 47%. Of those who completed, 47% reported abstinence at the 90-day followup. Missing 5 smoking analysis yielded a 21.8% quit rate. Continuing smokers cut their daily smoking by half from 17 to eight cigarettes, 88% reported an increase in self-efficacy for their next quit, and 44% planned to quit within 30 days.

Conclusion:
Evidence-based tobacco dependence treatment programs tailored to be culturally specific have the potential to significantly affect the burden of tobacco-related disparities among American Indians.

 

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