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Examining Smoking Cessation in a Community-Based Versus Clinic-Based Intervention Using Community-Based Participatory Research

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Abstract

Tobacco use remains a major public health problem in the U.S. disproportionately affecting underserved communities. The Communities Engaged and Advocating for a Smoke-free Environment (CEASE) initiative is an intervention to address the problem using a community-based participatory research (CBPR) approach. This study compares quit rates in a peer-led community-based intervention with those achieved in a clinical setting. The intervention consisted of three Phases. Phase I (n = 404) was a clinic-based trial comparing two types of counseling. Phase II (n = 398) and Phase III (n = 163) interventions were conducted in community venues by trained Peer Motivators. Quit rates at 12-week follow-up increased from 9.4 % in Phase I (clinic-based) to an average of 23.7 % in Phases II and III combined (community-based). The main predictor of smoking cessation was delivery of services in community settings (OR 2.6, 95 % CI 1.7–4.2) while controlling for possible confounders. A community-based approach can significantly guide and improve effectiveness and acceptability of smoking cessation services designed for low-income urban populations. In addition, CBPR can result in better recruitment and retention of the participants.

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Acknowledgments

This research received financial support from the National Institute on Minority Health and Health Disparities (Grant No’s MD000217, MD002803), the National Institute on Drug Abuse (Grant No’s DA012390, DA019805), and Pfizer Inc. In addition, we acknowledge members of the CEASE partnership including the members of the Community Action Board, Peer-Motivators, People’s Community Health Centers’ staff and administrators, and other community organizations and programs that hosted CEASE intervention and supported us.

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Authors and Affiliations

  1. Department of Behavioral Health Sciences, School of Community Health and Policy, Morgan State University, 1700 E. Cold Spring Lane, Portage Campus #103, Baltimore, MD, 21251, USA

    Payam Sheikhattari

  2. Department of Public Health Analysis, School of Community Health and Policy, Morgan State University, 1700 E. Cold Spring Lane, Baltimore, MD, 21251, USA

    Jummai Apata, Farin Kamangar & Fernando A. Wagner

  3. Prevention Sciences Research Center, Morgan State University, 1700 E. Cold Spring Lane, Baltimore, MD, 21251, USA

    Payam Sheikhattari, Jummai Apata, Christine Schutzman & Fernando A. Wagner

  4. ASCEND Center for Biomedical Research, Morgan State University, 1700 E. Cold Spring Lane, Baltimore, MD, 21251, USA

    Payam Sheikhattari & Farin Kamangar

  5. Department of Health Policy and Management, School of Community Health and Policy, Morgan State University, 1700 E. Cold Spring Lane, Baltimore, MD, 21251, USA

    Anne O’Keefe

  6. CEASE Partnership, 1120 Hollins St, Baltimore, MD, 21223, USA

    Jane Buccheri

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  1. Payam Sheikhattari
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  2. Jummai Apata
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  4. Christine Schutzman
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  7. Fernando A. Wagner
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Correspondence to Payam Sheikhattari.

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Sheikhattari, P., Apata, J., Kamangar, F. et al. Examining Smoking Cessation in a Community-Based Versus Clinic-Based Intervention Using Community-Based Participatory Research. J Community Health 41, 1146–1152 (2016). https://doi.org/10.1007/s10900-016-0264-9

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  • DOI: https://doi.org/10.1007/s10900-016-0264-9

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