Abstract:BackgroundWhile many cessation programmes are available to assist smokers in quitting, research suggests that partner involvement may encourage long-term abstinence.
ObjectivesThe purpose of this review was to determine if an intervention to enhance partner support helps smoking cessation when added as an adjunct to a smoking cessation programme.
“…37,55 All of those interventions were delivered by professional counselors; none involved family and peer networks simultaneously as we did. Although there are two published LHW outreach smoking cessation intervention studies, one targeted Southeast Asian men including Vietnamese Americans 27 and the other targeted Latino smokers, 56 they were focused on individual smokers.…”
Section: Discussionmentioning
confidence: 99%
“…21,35,36 To our knowledge, there is no published smoking cessation intervention randomized trial that has simultaneously targeted both family and peer networks of smokers in any population within or outside of the United States. 37 LHW outreach, a social network-based intervention, has been effectively applied across different behaviors such as immunization uptake and cancer screening [38][39][40] and diabetes management. 41 A LHW shares the same ethnicity, cultural and language background of the targeted populations and who, though not a health professional, has received training to deliver specific health messages via individual or small group settings.…”
Introduction: Smoking prevalence is high among limited English-proficient Chinese and Vietnamese American men, who are frequently unmotivated to quit and who underutilize smoking cessation resources. This study applied lay health worker outreach to leverage peer and family networks to promote smoking cessation among these men. Methods: We integrated qualitative formative research findings and Social Network Theory to develop a social-network family-focused intervention. In a pilot single-group trial, 15 lay health workers recruited 96 dyads (N = 192, 75% Vietnamese) of Chinese or Vietnamese male daily smokers and their family members and delivered the intervention consisting of two small group education sessions and two individual telephone calls over 2 months. Results: At baseline, 42% of smokers were at precontemplation. At 3 months following the initiation of the intervention, 7-day and 30-day point prevalence smoking abstinence rates as reported by smokers and independently corroborated by family members were 30% and 24%, respectively. Utilization of smoking cessation resources (medication, quitline, physician's advice) increased from 2% to 60% (P < .001). Findings showed high acceptability of the intervention as it facilitated learning about tobacco-related health risks and cessation resources, and communications between smokers and their families. Conclusions: This novel social network family-focused intervention to promote smoking cessation among Chinese and Vietnamese smokers appears to be acceptable, feasible, and potentially efficacious. Findings warrant evaluation of long-term efficacy of the intervention in a larger scale randomized controlled trial.
“…37,55 All of those interventions were delivered by professional counselors; none involved family and peer networks simultaneously as we did. Although there are two published LHW outreach smoking cessation intervention studies, one targeted Southeast Asian men including Vietnamese Americans 27 and the other targeted Latino smokers, 56 they were focused on individual smokers.…”
Section: Discussionmentioning
confidence: 99%
“…21,35,36 To our knowledge, there is no published smoking cessation intervention randomized trial that has simultaneously targeted both family and peer networks of smokers in any population within or outside of the United States. 37 LHW outreach, a social network-based intervention, has been effectively applied across different behaviors such as immunization uptake and cancer screening [38][39][40] and diabetes management. 41 A LHW shares the same ethnicity, cultural and language background of the targeted populations and who, though not a health professional, has received training to deliver specific health messages via individual or small group settings.…”
Introduction: Smoking prevalence is high among limited English-proficient Chinese and Vietnamese American men, who are frequently unmotivated to quit and who underutilize smoking cessation resources. This study applied lay health worker outreach to leverage peer and family networks to promote smoking cessation among these men. Methods: We integrated qualitative formative research findings and Social Network Theory to develop a social-network family-focused intervention. In a pilot single-group trial, 15 lay health workers recruited 96 dyads (N = 192, 75% Vietnamese) of Chinese or Vietnamese male daily smokers and their family members and delivered the intervention consisting of two small group education sessions and two individual telephone calls over 2 months. Results: At baseline, 42% of smokers were at precontemplation. At 3 months following the initiation of the intervention, 7-day and 30-day point prevalence smoking abstinence rates as reported by smokers and independently corroborated by family members were 30% and 24%, respectively. Utilization of smoking cessation resources (medication, quitline, physician's advice) increased from 2% to 60% (P < .001). Findings showed high acceptability of the intervention as it facilitated learning about tobacco-related health risks and cessation resources, and communications between smokers and their families. Conclusions: This novel social network family-focused intervention to promote smoking cessation among Chinese and Vietnamese smokers appears to be acceptable, feasible, and potentially efficacious. Findings warrant evaluation of long-term efficacy of the intervention in a larger scale randomized controlled trial.
“…A possible explanation is that these interventions were not successful in increasing social support. 14,15 For the development of effective interventions it is, however, necessary to understand the association between social support and smoking in couples by applying dyadic designs and considering both partners of a couple. 16,17 To date, research on social support has mostly focused on individuals, but in daily life most individuals are embedded in close dyadic relationships.…”
“…Some authors have suggested that buddy-behaviours might be somewhat intractable and that motivational-buddies may quickly return to their default (motivational) style when no longer under the influence and guidance of researchers or programme providers (see Carlson, Goodey, Bennett, Taenzer, & Koopmans, 2002;Glasgow, Klesges, & O'Neill, 1986;Park, Tudiver, & Campbell, 2012 for more detailed perspectives). The relative merits of training buddies versus selecting naturally-supportive buddies needs to be rigorously evaluated.…”
This article describes the implementation and evaluation of a novel buddy-Motivational Interviewing intervention intended to help apparently healthy but relatively sedentary adults to adopt and maintain regular physical activity for health and fitness. This intervention is an adaptation of Motivational Interviewing which adds client-selected motivational-buddies who can provide in-session input as well as ongoing out-of-session support focused on strengthening client's motivation for and movement toward their physical activity goals. A pragmatic parallel-group randomised controlled trial with 12-month follow-up was implemented to test the intervention. The trial demonstrated that buddy-MI was feasible and could be delivered with equivalent fidelity to standard MI and both groups demonstrated statistically significant changes across a range of behavioural and health-status outcomes. Moreover, the experimental group participants generally 'outperformed' the control group participants as shown by the consistent trends observed over three repeated measures out to 12-months (although these between-group differences were statistically non-significant). Qualitative data indicated participant acceptance of the programme as well as providing initial evidence of positive collateral health effects ('ripple effects' whereby buddies changed their behaviours also). Consideration for further development, evaluation and applications are also discussed.
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