Although the prevalence of smoking is lower among Hispanics than among the general population, smoking still levies a heavy public health burden on this underserved group. The current study, Adiós al Fumar (Goodbye to Smoking), was designed to increase the reach of the Spanish-language smoking cessation counseling service provided by the National Cancer Institute's Cancer Information Service (CIS) and to evaluate the efficacy of a culturally sensitive, proactive, behavioral treatment program among Spanish-speaking smokers. Adiós was a 2-group randomized clinical trial evaluating a telephone-based smoking cessation intervention. Spanish-speaking smokers (N = 297) were randomized to receive either standard counseling or enhanced counseling (EC). Paid media was used to increase the reach of the Spanish-language smoking cessation services offered by the CIS. The Adiós sample was of very low socioeconomic status (SES), and more than 90\% were immigrants. Calls to the CIS requesting smoking cessation help in Spanish increased from 0.39 calls to 17.8 calls per month. The unadjusted effect of EC only approached significance (OR = 2.4, P = .077), but became significant after controlling for demographic and tobacco-related variables (OR = 3.8, P = .048). Adiós al Fumar demonstrated that it is possible to reach, retain, and deliver an adequate dose of treatment to a very low SES population that has traditionally been viewed as difficult to reach and hard to follow. Moreover, the findings suggest that a proactive, telephone-counseling program, based on the Treating Tobacco Use and Dependence Clinical Practice Guideline and adapted to be culturally appropriate for Hispanics, is effective. Cancer 2007. (c) 2006 American Cancer Society.
%0 Journal Article
%1 wetter_reaching_2007
%A Wetter, David W
%A Mazas, Carlos
%A Daza, Patricia
%A Nguyen, Lynne
%A Fouladi, Rachel T
%A Li, Yisheng
%A Cofta-Woerpel, Ludmila
%D 2007
%J Cancer
%K Adult, Americans, Cessation, Counseling, Education Female, Health Hispanic Hotlines, Humans, Information Institutes Language, Male, National Outcome, Patient Services, Smoking Smoking, States Studies, Topic, Treatment United as of {(U.S.),} {Follow-Up}
%N 2 Suppl
%P 406--413
%R 10.1002/cncr.22360
%T Reaching and treating Spanish-speaking smokers through the National Cancer Institute's Cancer Information Service. A randomized controlled trial
%U http://www.ncbi.nlm.nih.gov/pubmed/17149758
%V 109
%X Although the prevalence of smoking is lower among Hispanics than among the general population, smoking still levies a heavy public health burden on this underserved group. The current study, Adiós al Fumar (Goodbye to Smoking), was designed to increase the reach of the Spanish-language smoking cessation counseling service provided by the National Cancer Institute's Cancer Information Service (CIS) and to evaluate the efficacy of a culturally sensitive, proactive, behavioral treatment program among Spanish-speaking smokers. Adiós was a 2-group randomized clinical trial evaluating a telephone-based smoking cessation intervention. Spanish-speaking smokers (N = 297) were randomized to receive either standard counseling or enhanced counseling (EC). Paid media was used to increase the reach of the Spanish-language smoking cessation services offered by the CIS. The Adiós sample was of very low socioeconomic status (SES), and more than 90\% were immigrants. Calls to the CIS requesting smoking cessation help in Spanish increased from 0.39 calls to 17.8 calls per month. The unadjusted effect of EC only approached significance (OR = 2.4, P = .077), but became significant after controlling for demographic and tobacco-related variables (OR = 3.8, P = .048). Adiós al Fumar demonstrated that it is possible to reach, retain, and deliver an adequate dose of treatment to a very low SES population that has traditionally been viewed as difficult to reach and hard to follow. Moreover, the findings suggest that a proactive, telephone-counseling program, based on the Treating Tobacco Use and Dependence Clinical Practice Guideline and adapted to be culturally appropriate for Hispanics, is effective. Cancer 2007. (c) 2006 American Cancer Society.
@article{wetter_reaching_2007,
abstract = {Although the prevalence of smoking is lower among Hispanics than among the general population, smoking still levies a heavy public health burden on this underserved group. The current study, Adiós al Fumar {(Goodbye} to Smoking), was designed to increase the reach of the Spanish-language smoking cessation counseling service provided by the National Cancer Institute's Cancer Information Service {(CIS)} and to evaluate the efficacy of a culturally sensitive, proactive, behavioral treatment program among Spanish-speaking smokers. Adiós was a 2-group randomized clinical trial evaluating a telephone-based smoking cessation intervention. Spanish-speaking smokers {(N} = 297) were randomized to receive either standard counseling or enhanced counseling {(EC).} Paid media was used to increase the reach of the Spanish-language smoking cessation services offered by the {CIS.} The Adiós sample was of very low socioeconomic status {(SES),} and more than 90\% were immigrants. Calls to the {CIS} requesting smoking cessation help in Spanish increased from 0.39 calls to 17.8 calls per month. The unadjusted effect of {EC} only approached significance {(OR} = 2.4, P = .077), but became significant after controlling for demographic and tobacco-related variables {(OR} = 3.8, P = .048). Adiós al Fumar demonstrated that it is possible to reach, retain, and deliver an adequate dose of treatment to a very low {SES} population that has traditionally been viewed as difficult to reach and hard to follow. Moreover, the findings suggest that a proactive, telephone-counseling program, based on the Treating Tobacco Use and Dependence Clinical Practice Guideline and adapted to be culturally appropriate for Hispanics, is effective. Cancer 2007. (c) 2006 American Cancer Society.},
added-at = {2011-03-11T10:05:34.000+0100},
author = {Wetter, David W and Mazas, Carlos and Daza, Patricia and Nguyen, Lynne and Fouladi, Rachel T and Li, Yisheng and {Cofta-Woerpel}, Ludmila},
biburl = {https://www.bibsonomy.org/bibtex/206cc6d2ca79b4546d60159559acf091d/jelias},
doi = {10.1002/cncr.22360},
interhash = {2f0f2c59ba5e36442b373d5b0b52da15},
intrahash = {06cc6d2ca79b4546d60159559acf091d},
issn = {{0008-543X}},
journal = {Cancer},
keywords = {Adult, Americans, Cessation, Counseling, Education Female, Health Hispanic Hotlines, Humans, Information Institutes Language, Male, National Outcome, Patient Services, Smoking Smoking, States Studies, Topic, Treatment United as of {(U.S.),} {Follow-Up}},
month = jan,
note = {{PMID:} 17149758},
number = {2 Suppl},
pages = {406--413},
timestamp = {2011-03-11T10:06:31.000+0100},
title = {Reaching and treating Spanish-speaking smokers through the National Cancer Institute's Cancer Information Service. A randomized controlled trial},
url = {http://www.ncbi.nlm.nih.gov/pubmed/17149758},
volume = 109,
year = 2007
}