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Evaluation of a tailored approach for tobacco dependence treatment for American Indians.
MedLine Citation:
PMID:  21510789     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
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 = 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 = 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 follow-up. Missing = 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.
Authors:
Joanne D'Silva; Barbara A Schillo; Nathan R Sandman; Theresa L Leonard; Raymond G Boyle
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of health promotion : AJHP     Volume:  25     ISSN:  0890-1171     ISO Abbreviation:  Am J Health Promot     Publication Date:    2011 May-Jun
Date Detail:
Created Date:  2011-04-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8701680     Medline TA:  Am J Health Promot     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S66-9     Citation Subset:  T    
Affiliation:
ClearWay Minnesota, Minneapolis, Minnesota 55425, USA. jdsilva@clearwaymn.org
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