Creating a Tobacco Cessation Program for People with Disabilities: A Community Based Participatory Research Approach

Pomeranz, Jamie L.; Moorhouse, Michael; King, J. Stanton; Barnett, Tracey E.; Young, Mary Ellen; Simmons, Vani N.; Brandon, Thomas H.; Stetten, Nichole

doi:10.4172/2155-6105.1000204

Cited by 11 publications

(14 citation statements)

References 15 publications

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“…In designing this intervention, the research team made 42 modifications from a standard tobacco cessation intervention. 22 Participants referred to the following categories in interviews: tailoring to people with disabilities, program duration and accessibility, access to nicotine replacement therapy, the curriculum, and use of carbon monoxide monitoring.…”

Section: Resultsmentioning

confidence: 99%

“…Interviewers had met participants prior to conducting the interviews which were semi-structured with probing relevant to the context of individual responses, each lasting between ten and thirty minutes. The interview guide was developed by former smokers with disabilities during development of the intervention 22 and consisted of 11 questions over six content areas: overall assessment, accessibility, curriculum, facilitators, nicotine replacement therapy, and group interaction. The interviews were recorded and later transcribed verbatim to ensure accuracy and completeness of data for analysis.…”

Section: Methodsmentioning

confidence: 99%

“…Changes included program location and accessibility, modifications to the program manual and overall delivery (accommodating for visual or hearing impairments; increased readability), personal vignettes from people with disabilities, and appropriate counseling strategies and other pertinent information within a facilitator guide. 22 …”

Section: Introductionmentioning

confidence: 99%

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Evaluation of a newly developed tobacco cessation program for people with disabilities

King

Pomeranz

Young

et al. 2016

Disability and Health Journal

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Background Tobacco use is the single most preventable cause of morbidity and mortality, accounting for at least 480,000 deaths in the United States annually. People with disabilities smoke at a rate 1.5 times greater than the able-bodied population. Higher incidence of tobacco use among people with disabilities has been directly related to both unique and universal cessation barriers. Despite increased prevalence of tobacco use and cessation obstacles, evidence is lacking on the development of successful interventions targeting people with disabilities. Objective We aimed to assess the feasibility, acceptability, and potential effectiveness of a cessation intervention tailored to people with disabilities. Methods Eighteen tobacco users with disabilities (56% African American, 64% male) participated in a 4-week, 8-session tobacco cessation program consisting of group sessions on managing addiction, relapse, and lifestyle changes specific to people with disabilities. Semi-structured interviews were conducted at the conclusion of the program. A follow-up measure of smoking status, triggers, and nicotine replacement therapy usage was completed at 4 weeks and 6 months. Results Sixteen participants completed the intervention (89%), with participants on average attending 86% of sessions. Most participants rated the program as excellent (83%) or good (8%). Qualitative interviews revealed participants value social support, accessibility, and a tailored program. Four participants (22%) reported abstinence at six months, which is greater than the standard quit rate. Conclusion This study suggests tailoring a cessation program to the characteristics unique to people with disabilities may be critical in delivering meaningful and effective cessation interventions among this population.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Evaluation of a newly developed tobacco cessation program for people with disabilities

King

Pomeranz

Young

et al. 2016

Disability and Health Journal

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“…3 Disparate rates of smoking among PWD offers an opportunity to improve and promote health; however, a lack of effective tobacco cessation programming for PWD likely contributes to these tobacco-related disparities. 4 To address this issue, Pomeranz et al 5 developed an accessible tobacco cessation intervention for PWD, Living Independent From Tobacco (LIFT).…”

mentioning

confidence: 99%

“…LIFT is an evidence-based smoking cessation program developed for PWD with input from PWD and disability experts. 5 The LIFT curriculum addresses health education about the harmful effects of tobacco and benefits of tobacco cessation. Participants also learn about the addictive properties of nicotine and are taught coping strategies to manage nicotine withdrawal.…”

mentioning

confidence: 99%

Evidence for the Fidelity and Effectiveness of Living Independent From Tobacco for People with Disabilities and Their Caregivers

et al. 2019

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People with disabilities (PWD) are more likely to use tobacco and less likely to access tobacco cessation programs compared with people without disabilities. Living Independent From Tobacco (LIFT), an evidence-based intervention designed for PWD, was piloted with dyads of PWD (n = 5) and their caregivers (n = 7). As an important source of practical and social support for PWD, caregivers also impact health-related attitudes, knowledge, and behaviors of PWD. Caregivers who smoke may unwittingly interfere with cessation efforts of the people they support. We found that LIFT could be offered to dyads of PWD and their caregivers with fidelity. The intervention was associated with increased use of coping strategies and self-efficacy to reduce smoking. Tobacco use decreased at post-test (−34.94%), with further reduction 6-months after the intervention (−50.60%). Implications for offering inclusive health promotion interventions to both PWD and their caregivers are discussed.

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Smoking cessation interventions for U.S. adults with disabilities: A systematic review

A. Schulz,

Regnier,

Erath

et al. 2024

Addictive Behaviors

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Creating a Tobacco Cessation Program for People with Disabilities: A Community Based Participatory Research Approach

Cited by 11 publications

References 15 publications

Evaluation of a newly developed tobacco cessation program for people with disabilities

Evaluation of a newly developed tobacco cessation program for people with disabilities

Evidence for the Fidelity and Effectiveness of Living Independent From Tobacco for People with Disabilities and Their Caregivers

Smoking cessation interventions for U.S. adults with disabilities: A systematic review

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