Evaluation of a Randomized Clinical Trial Comparing the Effectiveness of a Culturally Targeted and Nontargeted Smoking Cessation Intervention for Lesbian, Gay, Bisexual, and Transgender Smokers

Matthews, Alicia K.; Steffen, Alana; Kuhns, Lisa M.; Ruiz, Raymond; Ross, Nat; Burke, Larisa A.; Li, Chien-Ching; King, Andrea C.

doi:10.1093/ntr/nty184

Cited by 29 publications

(34 citation statements)

References 40 publications

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“…36 After adjustment for LOT-R and income, print group was found to be associated with SC among Puerto Rican individuals (P = .032), such that culturally targeted print materials were associated with lower SC rates compared with standard CDC print materials (OR, 0.75; 95% CI, 0.07-0.85).…”

Section: Discussionmentioning

confidence: 98%

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Promoting colonoscopy screening among low‐income Latinos at average risk of colorectal cancer: A randomized clinical trial

DuHamel

Schofield

Villagra

et al. 2019

Cancer

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BACKGROUND: Screening colonoscopy (SC) for colorectal cancer (CRC) is underused by Latino individuals. The current randomized clinical trial examined the impact of 3 interventions: 1) patient navigation; 2) patient navigation plus standard Centers for Disease Control and Prevention print materials; and 3) patient navigation plus culturally targeted print materials for Latinos referred for SC. Demographic, personal and health history, and psychometric factors associated with SC also were examined. METHODS: A total of 344 urban Latino individuals aged 50 to 85 years with no personal and/or immediate family history of CRC diagnosed before age 60 years, no personal history of a gastrointestinal disorder, no colonoscopy within the past 5 years, with insurance coverage, and with a referral for SC were consented. Participants were randomized to patient navigation (20%), patient navigation plus standard Centers for Disease Control and Prevention print materials (40%), and patient navigation plus culturally targeted print materials (40%). The completion of SC was assessed at 12 months. RESULTS: The interventions had an overall SC rate of 82%. Counterintuitively, patients with an average income of <$10,000 were found to have higher SC rates (87%) than those with a greater income (75%). CONCLUSIONS: The addition of standard or culturally targeted print materials did not appear to increase SC rates above those for patient navigation. Indeed, after controlling for other variables, culturally targeted print materials were found to be associated with lower SC rates among Puerto Rican individuals. Cancer 2020;126:782-791.

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Section: Discussionmentioning

confidence: 98%

“…These findings differ from those of cancer prevention and control studies that examined the effect of culturally targeted interventions in diverse populations, which found that compared with standard approaches, cultural targeting resulted in more positive evaluations and greater acceptability of cancer prevention interventions. 36…”

Section: Discussionmentioning

confidence: 99%

Promoting colonoscopy screening among low‐income Latinos at average risk of colorectal cancer: A randomized clinical trial

DuHamel

Schofield

Villagra

et al. 2019

Cancer

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“…8,9 However, evidence for the superiority of SGM-tailored interventions over nontailored interventions is inconsistent. 10 In trials of smoking cessation programs tailored to gay men 11,12 and to the broader SGM community, [13][14][15] abstinence rates were comparable to those of non-SGM tailored smoking cessation treatments in the United States 16 and the United Kingdom. 17 These earlier evaluations were of programs that involved face-to-face sessions, which young adult smokers rarely utilize.…”

Section: Introductionmentioning

confidence: 97%

“…21 Importantly, most previous studies did not include a comparison group. Only one study 15 compared tailored and non-tailored interventions. Significant differences were not found; however, the tailored intervention was perceived more positively.…”

Section: Introductionmentioning

confidence: 99%

The Put It Out Project (POP) Facebook Intervention for Young Sexual and Gender Minority Smokers: Outcomes of a Pilot, Randomized, Controlled Trial

Vogel

Ramo

Meacham

et al. 2019

Nicotine &Amp; Tobacco Research

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Introduction This trial investigated whether a Facebook smoking cessation intervention culturally tailored to young sexual and gender minority (SGM) smokers (versus non-tailored) would increase smoking abstinence. Methods Participants were 165 SGM young adult US smokers (age 18–25) recruited from Facebook in April 2018 and randomized to an SGM-tailored (POP; N = 84) or non-tailored (TSP-SGM; N = 81) intervention. Interventions delivered weekly live counseling sessions and 90 daily Facebook posts to participants in Facebook groups. Primary analyses compared POP and TSP-SGM on biochemically verified smoking abstinence (yes/no; primary outcome), self-reported 7-day point prevalence abstinence (yes/no), reduction in cigarettes per week by 50+% from baseline (yes/no), making a quit attempt during treatment (yes/no), and stage of change (precontemplation/contemplation vs. preparation/action). Supplemental analyses compared POP to two historical control groups. Results POP participants were more likely than TSP-SGM participants to report smoking abstinence at 3 (23.8% vs. 12.3%; OR = 2.50; p = .03) and 6 months (34.5% vs. 12.3%; OR = 4.06; p < .001) and reduction in smoking at 3 months (52.4% vs. 39.5%; OR = 2.11; p = .03). Biochemically verified smoking abstinence did not significantly differ between POP and TSP-SGM at 3 (OR = 2.00; p = .33) or 6 months (OR = 3.12; p = .08), potentially due to challenges with remote biochemical verification. In supplemental analyses, POP participants were more likely to report abstinence at 3 (OR = 6.82, p = .01) and 6 (OR = 2.75, p = .03) months and reduced smoking at 3 months (OR = 2.72, p = .01) than participants who received a referral to Smokefree.gov. Conclusions This pilot study provides preliminary support for the effectiveness of a Facebook smoking cessation intervention tailored to SGM young adults. Implications SGM individuals have disproportionately high smoking prevalence. It is unclear whether smoking cessation interventions culturally tailored to the SGM community are more effective than non-tailored interventions. This pilot trial found preliminary evidence that an SGM-tailored Facebook smoking cessation intervention increased reported abstinence from smoking, compared to a non-tailored intervention. Trial Registration NCT03259360.

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“…resources to their patients. Although having benefit, prior approaches developed by this established collaborative team at HBH have required high staffing rates, relied on patients being actively in treatment or being willing to come for intensive individual or group treatment sessions [41][42][43]. If effective, this proactive approach being developed in collaboration with HBH offers substantial benefits for the organization and the patient population in terms of reach, cost effectiveness, and increasing access to culturally appropriate services.…”

mentioning

confidence: 99%

Adaptation of a Proactive Smoking Cessation Intervention to Increase Tobacco Quitline Use by LGBT Smokers

Matthews¹,

Breen²,

Veluz-Wilkins³

et al. 2019

Progress in Community Health Partnerships

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Evaluation of a Randomized Clinical Trial Comparing the Effectiveness of a Culturally Targeted and Nontargeted Smoking Cessation Intervention for Lesbian, Gay, Bisexual, and Transgender Smokers

Cited by 29 publications

References 40 publications

Promoting colonoscopy screening among low‐income Latinos at average risk of colorectal cancer: A randomized clinical trial

Promoting colonoscopy screening among low‐income Latinos at average risk of colorectal cancer: A randomized clinical trial

The Put It Out Project (POP) Facebook Intervention for Young Sexual and Gender Minority Smokers: Outcomes of a Pilot, Randomized, Controlled Trial

Adaptation of a Proactive Smoking Cessation Intervention to Increase Tobacco Quitline Use by LGBT Smokers

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