Urban American Indian Clinic Smoking Cessation Program

Area of Science:

• Public Health
• Behavioral Science
• Health Disparities

Background:

• Significant cigarette smoking disparities persist among minority populations, notably American Indians.
• American Indians exhibited the highest smoking prevalence at 24% in 2017.

Purpose of the Study:

• To implement and evaluate a nurse practitioner-led smoking cessation pilot program.
• The program targeted an urban American Indian health center.

Main Methods:

• Utilized the
• Treating Tobacco Use and Dependence
• guideline, motivational interviewing, and the Transtheoretical Model.
• Delivered ten sessions (one in-person, nine telephone) over eight weeks.
• Collected qualitative and quantitative data through weekly calls and a final follow-up.

Main Results:

• Three out of five participants achieved complete smoking cessation.
• One participant reduced smoking behavior; another experienced no change.

Conclusions:

• The pilot program demonstrated effectiveness for participants who completed it.
• Program attrition was a significant challenge, indicating a need for design modifications.