Cigarette Smoking
Conditions
Keywords
Smoking Cessation, Cigarette Smoking, Tobacco, LGBT, LGBTQ
Brief summary
For the approximately 4.6 million LGBT persons in the U.S., smoking rates among those living in urban areas are roughly twice that of heterosexuals. Targeted interventions have shown great promise in reducing health risk behaviors across a variety of behaviors and population groups by enhancing the relevance of the health information. The primary aim of this study is to test the efficacy of a culturally targeted group-based smoking cessation intervention (vs. a non-targeted intervention) on smoking outcomes among lesbian, gay, bisexual, and transgender (LGBT) smokers. The investigators anticipate that the culturally targeted intervention will be more effective at helping LGBT smokers to successfully stop smoking than will the non-targeted intervention.
Detailed description
In Phase 1 of this study we used focus groups to establish the cultural appropriateness and acceptability of the targeted elements of the intervention for the LGBT population. For Phase 2 of this study, we seek to enroll 400 participants in a randomized controlled trial of the targeted intervention vs. a non-targeted, comparison condition. Both conditions will consist of group counseling sessions combined with nicotine replacement therapy and peer support. We expect that quit rates, stage of readiness, perceived benefits, self-efficacy, and treatment adherence will be higher among those who received the targeted intervention than those in the non-targeted intervention. Furthermore, we expect that a stronger LGBT cultural identification and salience of that identity will be associated with more satisfaction and adherence to the targeted intervention.
Interventions
BEHAVIORALCulturally Targeted Cessation Program
The culturally targeted version of the behavioral counseling intervention will consist of six group-based smoking cessation counseling sessions. Each smoking cessation therapy session will last approximately 90 minutes and will begin two weeks before the quit date. In addition, participants will be provided nicotine replacement therapy and peer support sessions will occur between the group sessions.
BEHAVIORALNon-Targeted Cessation Program
Behavioral counseling intervention will consist of six group-based smoking cessation counseling sessions. Each smoking cessation therapy session will last approximately 90 minutes and will begin two weeks before the quit date. In addition, participants will be provided nicotine replacement therapy and peer support sessions will occur between the group sessions.
Sponsors
National Institute on Drug Abuse (NIDA)
National Cancer Institute (NCI)
Howard Brown Health Center
University of Illinois at Chicago
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* Self identify as lesbian, gay, bisexual, or transgender * Age 18-65 * Current cigarette smoker * Desire to quit smoking (self-report rating of interest in quitting) * Relatively healthy, with no medical conditions that would adversely interact with study parameters (see
Exclusion criteria
for specific details) * Agree to attend behavioral counseling sessions, be randomized, and be followed-up * Agrees to use nicotine patch and has no prior adverse reactions to patch * Has stable residence and telephone and can provide the name of an outside household collateral family member or close friend for contact and follow-up.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 7-Day Point Prevalence Smoking Quit Rates 1 Month Post Quit Date | Assessed 1 month after quit date | 7-Day point prevalence smoking quit rates will serve as the main outcome measure and will be obtained from Time Line Follow-Back (TLFB) interviews. |
| 7-Day Point Prevalence Smoking Quit Rates 3 Months Post Quit Date | Assessed 3 months after quit date | 7-Day point prevalence smoking quit rates will serve as the main outcome measure and will be obtained from Time Line Follow-Back (TLFB) interviews. |
| 7-Day Point Prevalence Smoking Quit Rates 6 Months Post Quit Date | Assessed 6 months after quit date | 7-Day point prevalence smoking quit rates will serve as the main outcome measure and will be obtained from Time Line Follow-Back (TLFB) interviews. |
| 7-Day Point Prevalence Smoking Quit Rates 12 Months Post Quit Date | Assessed 12 months after quit date | 7-Day point prevalence smoking quit rates will serve as the main outcome measure and will be obtained from Time Line Follow-Back (TLFB) interviews. |
Countries
United States
Outcome results
None listed