Telephone Counseling for Smoking Cessation: What's in a Call?

Zhu, Shu‐Hong; Tedeschi, Gary J.; Anderson, Christopher M.; Pierce, John P.

doi:10.1002/j.1556-6676.1996.tb02319.x

Cited by 97 publications

(102 citation statements)

References 26 publications

(28 reference statements)

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“…Additional studies have assessed barriers to breast and prostate cancer screening among African Americans. [37][38][39][40][51][52][53][54] Many of these studies have relied on the HBM, 47 a model within which barriers are often the most predictive construct for a given health behavior. Our results may be placed in the context of this model, and, in general, they confirm that CRC screening is influenced by many of the same factors influencing breast and prostate cancer screening in African Americans.…”

Section: Discussionmentioning

confidence: 99%

Knowledge and perceptions of colorectal cancer screening among urban African Americans

et al. 2005

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OBJECTIVE: To explore colorectal cancer (CRC) screening knowledge, attitudes, barriers, and preferences among urban African Americans as a prelude to the development of culturally appropriate interventions to improve screening for this group. DESIGN:Qualitative focus group study with assessment of CRC screening preferences.SETTING: Community health center serving low-income African Americans. PARTICIPANTS:Fifty-five self-identified African Americans over 40 years of age. MEASUREMENTS AND MAIN RESULTS:Transcripts were analyzed using an iterative coding process with consensus and triangulation on final thematic findings. Six major themes were identified: (1) Hope-a positive attitude toward screening, (2) Mistrust-distrust that the system or providers put patients first, (3) Fear-fear of cancer, the system, and of CRC screening procedures, (4) Fatalism-the belief that screening and treatment may be futile and surgery causes spread of cancer, (5) Accuracy-a preference for the most thorough and accurate test for CRC, and (6) Knowledge-lack of CRC knowledge and a desire for more information. The Fear and Knowledge themes were most frequently noted in transcript theme counts. The Hope and Accuracy themes were crucial moderators of the influence of all barriers. The largest number of participants preferred either colonoscopy (33%) or home fecal occult blood testing (26%).CONCLUSIONS: Low-income African Americans are optimistic and hopeful about early CRC detection and believe that thorough and accurate CRC screening is valuable. Lack of CRC knowledge and fear are major barriers to screening for this population along with mistrust, and fatalism. Studies show CRC screening disparities between whites and African Americans, 15-18 especially for sigmoidoscopy. [19][20][21][22] African Americans have exhibited higher rates of late-stage CRC diagnosis and less overall decline in colorectal deaths than whites over the past decade. [23][24][25] Barriers to CRC screening include the inconvenient or impractical nature of the tests, 26-29 the embarrassing or unpleasant nature of the tests, 28,29 fatalistic cancer beliefs, 30,31 and participants not wanting to know that something is wrong. 28,32,33 Studies of African Americans have shown that these barriers and others, such as lack of physician recommendation, limited CRC knowledge, and the uncomfortable nature of tests, may contribute to inadequate screening 16,[34][35][36] Although prior qualitative studies have explored how knowledge, socio-culturally mediated attitudes and perceptions, and testing preferences influence screening for breast and prostate cancer among African Americans, 37-40 few qualitative studies have been conducted with African Americans on CRC screening. 20,41,42 These qualitative studies had enrolled from multiethnic populations and had not specifically focused on the attitudes, opinions, and preferences of African Americans. The purpose of our focus group study was to explore CRC screening knowledge, attitudes, barriers, and preferences among urban African A...

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Section: Discussionmentioning

confidence: 99%

Knowledge and perceptions of colorectal cancer screening among urban African Americans

et al. 2005

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“…A California protocol, which focused on self-regulation (7) and framing of decisions (76), was developed (96). The study compared a self-help control group with single and multiple contact interventions.…”

Section: The Development Of Tobacco Control Program Quitlinesmentioning

confidence: 99%

Quitlines and Nicotine Replacement for Smoking Cessation: Do We Need to Change Policy?

Pierce

Cummins

White

et al. 2012

Annu. Rev. Public Health

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In the past 20 years, public health initiatives on smoking cessation have increased substantially. Randomized trials indicate that pharmaceutical cessation aids can increase success by 50% among heavier smokers who seek help, and use of these aids has increased markedly. Quitlines provide a portal through which smokers can seek assistance to quit and are promoted by tobacco control programs. Randomized trials have demonstrated that telephone coaching following a quitline call can also increase quitting, and a combination of quitlines, pharmaceutical aids and physician monitoring can help heavier smokers to quit. While quit attempts have increased, widespread dissemination of these aids has not improved population success rates. Pharmaceutical marketing strategies may have reduced expectations of the difficulty of quitting, reducing success per attempt. Some policies actively discourage unassisted smoking cessation despite the documented high success rates of this approach. There is an urgent need to revisit public policy on smoking cessation.

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“…This aspect also appeals to many that are reluctant to seek face-toface help, especially in group settings. Moreover, the increased accessibility of the telephone format may help to redress the longstanding underrepresentation of the non-White population among those who seek assistance" (71).…”

Section: Counsel Members Who Smokementioning

confidence: 99%

The Role of Health Plans in Tobacco Control

Manley

Griffin

Foldes

et al. 2003

Annu. Rev. Public Health

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Key Words smoking, managed care, health improvement, tobacco use, insurance coverage s Abstract Health plans play an important role in tobacco control. In this chapter we present an overview of the scientific research on health plan involvement in clinical and community interventions regarding tobacco use. Also included are interventions that have been undertaken by health plans to lower smoking rates among their members and the general population. We conclude with a new model that can be used to engage health plans in tobacco control efforts and a case study that outlines how one health plan has implemented this new model.

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Telephone Counseling for Smoking Cessation: What's in a Call?

Cited by 97 publications

References 26 publications

Knowledge and perceptions of colorectal cancer screening among urban African Americans

Knowledge and perceptions of colorectal cancer screening among urban African Americans

Quitlines and Nicotine Replacement for Smoking Cessation: Do We Need to Change Policy?

The Role of Health Plans in Tobacco Control

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