Culturally-tailored smoking cessation for American Indians: study protocol for a randomized controlled trial
Won S Choi1, Babalola Faseru, Laura A Beebe
1Department of Preventive Medicine and Public Health, University of Kansas Medical Center, Kansas City, KS, USA. wchoi@kumc.edu
Trials
|May 20, 2011
Summary
A culturally tailored smoking cessation program, "All Nations Breath of Life," was tested against standard care for American Indian smokers. This study aims to reduce high tobacco-related death rates in this population.
Area of Science:
- Public Health
- Clinical Trials
- Health Disparities
Background:
- Cigarette smoking is the leading cause of preventable death for American Indian and Alaska Natives (AI/AN).
- Current AI/AN smoking rates (40.8%) predict high mortality from tobacco-related diseases.
- No effective, culturally-tailored smoking cessation programs exist for diverse AI populations.
Purpose of the Study:
- To test the efficacy of the "All Nations Breath of Life" (ANBL) program.
- To compare ANBL to a non-tailored "Current Best Practices" smoking cessation program.
- To reduce high smoking prevalence and tobacco-related mortality in American Indian smokers.
Main Methods:
- A group randomized clinical trial involving 56 groups (448 American Indian smokers).
- Participants randomized to either the ANBL program or "Current Best Practices."
- All participants offered pharmacotherapy, irrespective of group assignment.
Main Results:
- This is the first controlled trial assessing a culturally-tailored smoking cessation program for American Indians.
- The study's success could significantly impact public health due to high smoking prevalence in this demographic.
- Results pending further analysis.
Conclusions:
- Culturally-tailored interventions are crucial for addressing health disparities in AI/AN populations.
- Effective smoking cessation programs can mitigate significant tobacco-related health risks.
- Further research is needed to confirm the ANBL program's long-term effectiveness.
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