Evaluation of a Randomized Clinical Trial Comparing the Effectiveness of a Culturally Targeted and Nontargeted Smoking Cessation Intervention for Lesbian, Gay, Bisexual, and Transgender Smokers.

作者: Alicia K Matthews , Alana D Steffen , Lisa M Kuhns , Raymond A Ruiz , Nat A Ross

DOI: 10.1093/NTR/NTY184

关键词: Prospective cohort studyIntervention (counseling)Nicotine withdrawalRandomized controlled trialPhysical therapyNicotine replacement therapyCTQ treeSmoking cessationMedicinePsychological intervention

摘要: PURPOSE To examine the benefits of a culturally targeted compared with nontargeted smoking cessation intervention on outcomes among lesbian, gay, bisexual, and transgender (LGBT) smokers. METHODS A prospective randomized design was used to evaluate added an LGBT Courage Quit (CTQ-CT) treatment (N = 172) standard (CTQ; N 173). The program consisted six sessions combined 8 weeks nicotine replacement therapy. primary outcome 7-day point prevalence quit rates. Secondary examined included changes in dependence, withdrawal, cigarettes per day, urges, self-efficacy, readiness quit. RESULTS Overall rates were 31.9% at 1 month, 21.1% 3 months, 25.8% 6 22.3% 12 months. did not differ between groups [1 month OR 0.81 (0.32, 2.09), months 0.65 (0.23, 1.78), 0.45 (0.17, 1.21), 0.70 (0.26, 1.91)]. Compared baseline levels, all secondary measured improved maintained 12-month follow-up. CTQ, CTQ-CT more highly rated effectiveness (d 0.2, p .011), techniques .014), manual 0.3, < .001), being needs smokers 0.5, .0001). CONCLUSIONS receiving CTQ achieved range reported for other demographic groups. Cultural targeting acceptability but confer any additional benefit outcomes. IMPLICATIONS Study results have implications understanding interventions improving Shorter longer term associated modest comparable group-based delivered community setting. Although cultural overall intervention, no observed either or

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