The effect of a multi-component smoking cessation intervention in African American women residing in public housing

Authors


  • The authors acknowledge study consultants Dr. Carolyn Murdaugh, Professor, University of Arizona, and Dr. DeAnne Messias, associate professor, University of South Carolina.

Abstract

The purpose of this study was to test the effectiveness of a multi-component smoking cessation intervention in African American women residing in public housing. The intervention consisted of: (a) nurse led behavioral/empowerment counseling; (b) nicotine replacement therapy; and, (c) community health workers to enhance smoking self-efficacy, social support, and spiritual well-being. The results showed a 6-month continuous smoking abstinence of 27.5% and 5.7% in the intervention and comparison groups. Changes in social support and smoking self-efficacy over time predicted smoking abstinence, and self-efficacy mediated 6-month smoking abstinence outcomes. Spiritual well-being did not predict or mediate smoking abstinence outcomes. These findings support the use of a nurse/community health worker model to deliver culturally tailored behavioral interventions with marginalized communities. © 2007 Wiley Periodicals, Inc. Res Nurs Health 30: 45–60, 2007

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