Design of a comparative effectiveness evaluation of a culturally tailored versus standard community-based smoking cessation treatment program for LGBT smokers

摘要: Smoking prevalence rates among the lesbian, gay, bisexual, and transgender (LGBT) population are significantly higher than general population. However, there is limited research on smoking cessation treatments in this group, particularly culturally targeted interventions. Moreover, few interventions that address specific psychosocial variables (e.g., minority stress) may influence outcomes. This paper describes protocol for a comparative effectiveness trial testing an evidence-based program, Courage to Quit, against tailored version LGBT smokers, examines role of To examine versus standard intervention, study utilizes 2-arm block, randomized, control (RCT) design. Adult participants (n = 400) randomized one two programs each consisting six-session group program delivered community center eight week supply transdermal nicotine patch. Four individualized telephone counseling sessions occur at weeks 2, 5, 7, 9, times greatest risk relapse. Study outcome measures collected baseline, 1, 3, 6, 12 months post quit date. Primary outcomes expired air carbon monoxide verified 7-day point-prevalence measurement period. Secondary assess changes cravings, withdrawal symptoms, self-efficacy, treatment adherence. Additionally, staff using path analysis. Determining efficacy evidence based approaches critical issue facing field today. provides model development implementation intervention addresses gap by examining associated with U.S. National Institutes Health Clinical Trials NCT01633567 Registered 30 May 2012.