Pathways to health: A cluster randomized trial of nicotine gum and motivational interviewing for smoking cessation in low-income housing

TitlePathways to health: A cluster randomized trial of nicotine gum and motivational interviewing for smoking cessation in low-income housing
Publication TypeJournal Article
Year of Publication2007
AuthorsOkuyemi, KS, James, AS, Mayo, MS, Nollen, N, Catley, D, Choi, WS, Ahluwalia, JS
JournalHealth Education and Behavior
Volume34
Pagination43-54
Date PublishedFeb
Publication Languageeng
ISBN Number1090-1981 (Print)1090-1981 (Linking)
Accession Number16778147
Keywords*Chewing Gum, *Motivation, *Poverty, Adult, Female, Humans, Interviews as Topic, Male, Middle Aged, Smoking Cessation/*methods, Tobacco Use Disorder/*therapy, United States
Abstract

Despite high smoking rates among those living in poverty, few cessation studies are conducted in these populations. This cluster-randomized trial tested nicotine gum plus motivational interviewing (MI) for smoking cessation in 20 low-income housing developments (HDs). Intervention participants (10 HDs, n = 66) received educational materials, 8 weeks of 4 mg nicotine gum, and 5 MI sessions on quitting smoking. Comparison participants (10 HDs, n = 107) received 5 MI sessions and educational materials addressing fruit and vegetable consumption. Participants had a mean age of 46.3 years and were predominantly female (70%) and African American (83%). Biochemically-verified 7-day abstinence rates at 8 weeks were 6.1% and 5.6% in the intervention and comparison arms, respectively (p = ns); and at 26 weeks were 7.6% and 9.3%, respectively (p = ns). Results suggest that nicotine gum plus MI were not effective for smoking cessation in low-income housing. Programs are needed to enhance the effectiveness of pharmacotherapy and counseling in underserved populations.

URLhttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=16778147
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