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Protecting the "hood" against tobacco: cessation project

Institution: University of California, San Francisco
Investigator(s): Ruth Malone, Ph.D., R.N. Carol McGruder, BA
Award Cycle: 2003 (Cycle 12) Grant #: 12AT-1701H Award: $512,200
Subject Area: Tobacco-Use Prevention and Cessation
Award Type: Full CARA

Initial Award Abstract
The overarching goals of this project are to sustain and expand a productive community-academic partnership infrastructure, continue the community action work successfully initiated together in the pilot phase, and contribute to smoking cessation among adult African Americans (age 25 and older) in the Bayview-Hunter’s Point (B-HP) community of San Francisco.

Among all racial/ethnic groups, African Americans have the greatest risk of becoming ill or dying from tobacco-related diseases. Because of this disproportionate disease burden, it is particularly urgent that researchers focusing on tobacco control partner with African American communities. The Bayview-Hunter’s Point community of San Francisco is 61% African American, has high rates of preventable hospitalizations for adults with chronic conditions such as asthma and congestive heart failure, and some 48% of households include at least one smoker. This project addresses TRDRP’s priority goals of funding community-based research that addresses understudied populations and elucidates unique factors and forces shaping cigarette consumption or develops innovative treatments for tobacco addiction.

Intervention strategies which hold the tobacco industry accountable for its behavior are effective in changing views of tobacco use. In earlier work, we found that information from previously secret internal tobacco industry documents, when shown to African American smokers, stimulated reflection about quitting and interest in disseminating information about industry targeting behaviors to others. However, to date there have been no attempts to utilize the information in industry documents as part of a smoking cessation intervention. In this project, we will test whether a community co-developed, tailored intervention featuring exposures to African American-specific tobacco industry documents and media deconstruction training in addition to proven cessation strategies can increase six month and one-year cessation rates as compared with usual care.

The specific aims of the project are to 1) test, using logistic regression, the efficacy of an innovative community-based, culturally tailored smoking cessation intervention for African Americans at 6 and 12 months; 2) test selected variables for their ability to predict relapse in the African American population; 3) use qualitative interviews to identify additional individual and/or community factors associated with successful quitting or relapse; and 4) use ethnographic methods to evaluate the overall effectiveness of the CARA project collaborative efforts in developing and sustaining infrastructure throughout the project period, enhancing community awareness of tobacco issues, and creation or enhancement of community tobacco control resources.

This multi-method community participatory project will help to fill gaps in existing knowledge about effective cessation interventions for African Americans. In addition, it will contribute to the literature on strategies for building and sustaining effective community research partnerships.

Combining community participatory research with a randomized clinical trial: The protecting the hood against tobacco (PHAT) smoking cessation study
Periodical: Heart & Lung Index Medicus:
Authors: Froelicher, E.S., Doolan, D, Yerger, V, McGruder, C, Maline, R.E. ART
Yr: 2010 Vol: 39 Nbr: 1 Abs: Pg: 50-63